Risk factors for peri-traumatic distress and appearance concerns in burn-injured inpatients identified by a screening tool

Oaie, Ecaterina; Piepenstock, Emma; Williams, Lisa

doi:10.1177/2059513118765294

Cited by 7 publications

(5 citation statements)

References 41 publications

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“…Psychological screening is in line with NBCS 6 and established clinical practice within burns care services. 11 Further psychology input was then delivered if required. At the time of audit, there was no established service screening tool for burns outpatients.…”

Section: Methodsmentioning

confidence: 99%

An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics

Potter

Aaron

Mumford

et al. 2023

Scars, Burns & Healing

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Introduction Research highlights the complex psychological needs that patients and their families can face following a burn injury, regardless of the objective severity of the injury and often beyond the timeframe of physical healing. Identification of psychological needs at different stages post-burn recovery is therefore a key role of clinical psychologists working in burn care services. Method This paper presents audit data collected across a two-year period in routine paediatric and adult multidisciplinary team follow-up clinics in a UK burns service. 808 clinical contacts (331 adults, 477 paediatrics) were recorded. Data gathered related to the identification of patient and/or family psychological need and the level of psychology input within clinic. Results For 43% of adult patients and 46% of paediatric patients seen in clinic, some degree of psychological need for the patient and/or family was identified during the consultation. A large majority of concerns related directly to the burn injury. This is consistent with previous research into the psychological impact of burns. Even for patients with no identified psychological needs, psychology presence enabled the opportunity for brief screening, preventative advice or signposting to take place during clinic. Discussion A substantial number of individuals and families presented with some level of psychological concern in relation to a burn injury when attending burns multidisciplinary team follow-up clinics. Conclusion A substantial number of patients and families presented with psychological needs in relation to a burn injury when attending burns MDT follow-up clinics. The presence of Clinical Psychologists at burns MDT follow-up clinics is beneficial for the identification of burns and non-burns related psychological concerns and is a valuable use of psychological resources within a burns service. Lay Summary The Regional Burns Centre holds regular outpatient scar clinics to monitor recovery and healing. As well as the medical professionals, the clinics are joined by Clinical Psychologists who can assess, refer, and support individuals struggling with their burn or scarring on a mental level. Over 15 months, data was collected about patients attending the clinics and the involvement of the psychologists. 43% of adult patients and 46% of paediatric patients were identified as having some psychological need, either related to their burn or to other aspects of their life. This demonstrates the benefits of having psychology presence within scar clinics, as nearly half of the patients seen in clinic received an assessment and further support (such as signposting and referrals to psychological support). Burns staff also felt that psychology presence enhanced conversations and increased collaboration with decision making around treatment.

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Section: Methodsmentioning

confidence: 99%

An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics

Potter

Aaron

Mumford

et al. 2023

Scars, Burns & Healing

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“…The second type includes pre-trauma correlates such as prior psychopathology, prior trauma exposure, familial psychiatric history, and neurobiological factors (Rosellini 10.3389/fpsyg.2022.1030470 Frontiers in Psychology 04 frontiersin.org et al, 2018). The third type concerns peri-trauma factors including the duration/severity of trauma exposure, core belief challenge, and subjective fear (Oaie et al, 2018;Meiser-Stedman et al, 2019;Beaudoin et al, 2021). The fourth type involves post-trauma factors including coping strategies, rumination, resilience, attribution style, access to needed resources, social support, specific cognitive patterns, gratitude, etc.…”

Section: Dissociation Of Relationship Grief Of Loss and Trauma Recoverymentioning

confidence: 99%

Breaking up with my idol: A qualitative study of the psychological adaptation process of renouncing fanship

Sun

2022

Front. Psychol.

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Introduction:This study aimed to explore the psychological adaptation process of renouncing fanship due to para-loveshock in the context of fandom culture.MethodsWe adopted netnography to explore social media platforms used by fans in China (Weibo, WeChat, and Douban) as research fields for 3 years.Results(1) The process of “breaking up with” or renouncing an idol can be divided into three phases: the resistance phase with acute stress, the negotiation phase with bargaining, and the recovery phase with attachment reconstruction. In the resistance phase, fans displayed acute stress responses due to loveshock in psychological, physical, and behavioral aspects. In the negotiation phase, fans faced four barriers to renouncement: cognitive dissonance, emotional attachment, behavioral dependence, and social threat. They bargained within the three types of cognitive framework before deciding to “leave” or “re-follow” their idol. In the recovery phase, fans adopted two types of strategies to promote recovery: healing the past and facing the future. Healing the past involved public outcry, sharing their breakup plans, cognitive reconstruction, and seeking closure to the fan role. Facing the future involved switching environments, seeking new interests, and inhibiting the re-intrusion of trauma cues. (2) Internal factors affecting the psychological adaptation process of renouncement include the level of initiative, attribution styles, experience, attachment status and core belief systems, and alternative lifestyles; external factors include social support, peer pressure from the fan community, life stressors, and types and impact of traumatic events. (3) Based on the two dimensions of orientation and commitment, fans were classified into four types: short-term rational, short-term passionate, bounded loyal, and unconditionally loyal, corresponding to non-traumatic, stressful, accumulated, and traumatic breakup processes, respectively. (4) The post-renouncement growth of fans mainly manifested in the development of mental modes, coping skills toward trauma, emotional adaptation experience, and behavior patterns.ImplicationsThis investigation of the recovery process from para-loveshock after renouncement of fanship can provide theoretical and practical insights into the development of psychological resilience for fans, reduction of the psychological distress and negative outcomes, and public governance on social media platform and cyber pop culture industry.

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“…Previous studies have found that one of the strongest factors associated with PTSD is the presence of ASD in the acute post-injury period [12,13]. Additionally, there is no clear pattern of injury etiology or circumstance most associated with the development of stress disorder symptoms [15]. It is therefore necessary to screen patients with burn injuries for symptoms of stress disorders throughout their recovery and intervene with patients who are symptomatic.…”

Section: Introductionmentioning

confidence: 99%

Current Practices and Beliefs Regarding Screening Patients with Burns for Acute Stress Disorder and Posttraumatic Stress Disorder: A Survey of the American Burn Association Membership

Smith

Wiechman

Mandell

et al. 2021

EBJ

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Stress disorders are common after burn injuries and universal screening is recommended. This study describes current screening practices and provider beliefs regarding screening for stress disorders in patients with burns in the US. This was a 31-question survey distributed to the American Burn Association. Sixty-two percent of 121 respondents indicated their institution formally screened for ASD and/or PTSD. The most common reason for not screening was a lack of mental healthcare providers (46%), lack of funding (26%) and lack of time (20%). The timing of screening, the person administering the screening, and the method of screening varied for both pediatric and adult patients. Most respondents (87%) believed screening should be a standard of care, but only 32% were comfortable screening pediatric patients and 62% were comfortable screening adults. While screening for ASD and PTSD is recommended for patients with burns, our study indicates that screening is not a current standard of care. Lack of mental healthcare providers, funding, and time are contributing factors. Among those institutions that screen, a uniform screening practice does not exist.

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Risk factors for peri-traumatic distress and appearance concerns in burn-injured inpatients identified by a screening tool

Cited by 7 publications

References 41 publications

An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics

An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics

Breaking up with my idol: A qualitative study of the psychological adaptation process of renouncing fanship

Current Practices and Beliefs Regarding Screening Patients with Burns for Acute Stress Disorder and Posttraumatic Stress Disorder: A Survey of the American Burn Association Membership

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