A Literature Review to Determine the Impact of Sexuality and Body Image Changes Following Burn Injuries

Connell, Kylie; Coates, Rosemary; Doherty-Poirier, Maryanne; Wood, Fiona

doi:10.1007/s11195-013-9321-9

Cited by 15 publications

(4 citation statements)

References 17 publications

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“…The findings in the current study that anxiety yielded a direct effect on work functioning and both depression and anxiety simultaneously mediated the relationship between pain and work functioning dovetail with previous research suggesting that individuals are less likely to return to work after burn who have high levels of pain and psychological problems (Schneider et al, 2011). Similarly, the current findings that depression had a direct effect on sexual functioning and fully mediated the relationship between pain and sexual functioning, are in line with previous research suggesting that burns can affect mental health and body image, which can indirectly influence sexual satisfaction (Connell, Coates, Doherty-Poirier, & Wood, 2013). And the current parallel findings are also similar to previous research demonstrating that pain has important relationships with common depressive thinking patterns including catastrophic thinking (Spinhoven et al, 2004), helplessness (Samwel, Evers, Crul, & Kraaimaat, 2006), and avoidance (Cook, Brawer, & Vowles, 2006) that can undermine interpersonal functioning.…”

Section: Discussionsupporting

confidence: 92%

Mediational models of pain, mental health, and functioning in individuals with burn injury.

Cariello¹,

Perrin²,

Tyler³

et al. 2021

Rehabilitation Psychology

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Purpose/Objective: Despite the increasingly high number of individuals who survive burns and the documented impairments in functioning across psychological, work, sexual, and interpersonal domains, there has been a dearth of research investigating connections between pain and functioning in these domains after burn injury. The purpose of the current study was to investigate the relationships among pain, mental health, and functioning of individuals with burn injury. It was hypothesized that pain after burn would yield direct effects on functioning (work, sexual, and interpersonal), as well as indirect effects on functioning through depression and anxiety. Research Method/Design: Eighty-seven individuals with burn injury completed a questionnaire assessing study constructs in an outpatient burn center setting. Results: Pain was positively related to depression and anxiety and inversely related to all three forms of functioning. In a series of mediational models, depression and anxiety simultaneously and partially mediated the relationship between pain and work functioning. Depression fully mediated the relationship between pain and sexual functioning, as well as partially mediated the relationship between pain and interpersonal functioning. The models explained 39.2% of the variance in work functioning, 28.4% in sexual functioning, and 35.6% in interpersonal functioning. Conclusions/Implications: Although the cross-sectional findings are unable to conclude causality, individuals with burn injury experiencing pain may benefit from a biopsychosocial treatment approach while also addressing symptoms of depression and anxiety. Impact and ImplicationsIndividuals with burn injury often experience pain, which can impair their level of functioning in important life domains. This study found that pain in individuals with burn injury may initiate a cascade of effects on mental health and functioning across work, sexual, and interpersonal domains. Individuals with burn injury experiencing pain may benefit from a biopsychosocial treatment approach that includes a focus on depressive and anxious symptoms.

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Section: Discussionsupporting

confidence: 92%

Mediational models of pain, mental health, and functioning in individuals with burn injury.

Cariello¹,

Perrin²,

Tyler³

et al. 2021

Rehabilitation Psychology

View full text Add to dashboard Cite

show abstract

“…However, participants indicated the least confidence in assisting burn survivors with sexual intimacy issues. There has been little research on the sexuality of burn survivors, though it is predictable that changes in body image after a burn would affect a burn survivor's sex life [14]. Our survey points to a possible need to develop better training for burn MHPs in ways of supporting patients in relation to sexuality issues.…”

Section: Discussionmentioning

confidence: 91%

A survey of burn professionals regarding the mental health services available to burn survivors in the United States and United Kingdom

Lawrence

Qadri

Cadogan

et al. 2016

Burns

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“…The breadth of research that has assessed sexual quality is extensive and reaches into a variety of different domains. Numerous empirical articles have examined the links between sexual quality and relationship quality (Butzer & Campbell, 2008;Byers, 2005;Haavio-Mannila & Kontula, 1997;Oggins, Leber, & Veroff, 1993), infidelity (Mark, Janssen, & Milhausen, 2011;Plack, Kroger, Allen, Baucom, & Hahlweg, 2010;Shaw, Rhoades, Allen, Stanley, & Markman, 2013), body image (Daniel & Bridges, 2013;Pujols & Meston, 2009), physical health and illness (Connell, Coates, Doherty-Poirier, & Wood, 2013;Foster & Byers, 2013;Yount, 2013), childhood sexual abuse (Easton, Coohey, O'Leary, Zhang, & Hua, 2011;Meston, Lorenz, & Stephenson, 2013;Stroebel et al, 2012), and mental health (Holmberg, Blair, & Phillips, 2010;Suvak, Brogan, & Shipherd, 2012;Syme, Klonoff, Macera, & Brodine, 2013), suggesting that the quality of an individual's sexual life can be strongly linked to many other areas of individual functioning. Additionally, in sex therapy and sexual medicine, sexual quality is often used as a gauge of sexual and relationship health.…”

Section: Prior Workmentioning

confidence: 99%

Evaluating and Refining the Construct of Sexual Quality With Item Response Theory: Development of the Quality of Sex Inventory

Shaw

Rogge

2016

Arch Sex Behav

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This study took a critical look at the construct of sexual quality. The 65 items of four well-validated self-report measures of sexual satisfaction (the Index of Sexual Satisfaction [ISS], Hudson, Harrison, & Crosscup, 1981; the Global Measure of Sexual Satisfaction [GMSEX], Lawrance & Byers, 1995; the Pinney Sexual Satisfaction Inventory [PSSI], Pinney, Gerrard, & Denney, 1987; the Young Sexual Satisfaction Scale [YSSS], Young, Denny, Luquis, & Young, 1998) and an additional 74 potential sexual quality items were given to 3060 online participants. Using Item Response Theory (IRT), we demonstrated that the ISS, YSSS, and PSSI scales provided suboptimal levels of precision in assessing sexual quality, particularly given the length of those scales. Exploratory factor analyses, IRT, differential item functioning analyses, and longitudinal responsiveness analyses were used to develop and evaluate the Quality of Sex Inventory. Results suggested that, in comparison to existing scales, the QSI (1) offers investigators and clinicians more theoretically focused scales, (2) distinguishes sexual satisfaction from sexual dissatisfaction, and (3) offers greater precision and power for detecting differences with (4) comparably high levels of responsiveness for detecting change over time despite being notably shorter than most of the existing scales. The QSI-satisfaction subscales demonstrated strong convergent validity with other measures of sexual satisfaction and excellent construct validity with anchor scales from the nomological net surrounding that construct, suggesting that they continue to assess the same theoretical construct as prior scales. Implications for research are discussed.

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A Literature Review to Determine the Impact of Sexuality and Body Image Changes Following Burn Injuries

Cited by 15 publications

References 17 publications

Mediational models of pain, mental health, and functioning in individuals with burn injury.

Mediational models of pain, mental health, and functioning in individuals with burn injury.

A survey of burn professionals regarding the mental health services available to burn survivors in the United States and United Kingdom

Evaluating and Refining the Construct of Sexual Quality With Item Response Theory: Development of the Quality of Sex Inventory

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