A survey of psychological need amongst adult burn-injured patients

Kleve, Liv; Robinson, Elizabeth

doi:10.1016/s0305-4179(99)00070-4

Cited by 44 publications

(21 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants were excluded if they were below the age of 16, were not fluent in English, sustained their injuries through self-harm, or had significant cognitive impairment. There is evidence that the objective severity and location of the burn injury is not related to the degree of psychological distress (Fauerbach et al, 2002;Kleve & Robinson 1999;Lawrence et al, 2004;Wallis et al, 2006), therefore these factors did not form part of the inclusion criteria.…”

Section: Participantsmentioning

confidence: 99%

Posttraumatic stress symptomatology and appearance distress following burn injury: An interpretative phenomenological analysis.

2016

View full text Add to dashboard Cite

Objectives: Although many traumatic incidents result in changes to appearance, little research has examined the experience of individuals distressed by such changes in connection with psychological processes involved in post-traumatic stress disorder (PTSD). This study aimed to examine how PTSD and appearance concern associated with burn injury are experienced when both difficulties co-occur. Method: The qualitative method of interpretative phenomenological analysis (IPA) was utilized to provide a framework for building nuanced accounts of individual experience. In-depth analysis was conducted with interview data obtained from eight women, who were purposively selected on the basis of being distressed in relation to burn scarring, and having symptoms of PTSD. Results:Participants described how changes in appearance were experienced as maintaining a sense of threat through social stigma, and acting as a trigger for re-experiencing the traumatic incident that had caused the burn injury. As such, appearance concern and PTSD symptomatology appeared intertwined within the participantsÕ accounts of their post burn injury recovery. Conclusions: This is the first study to consider some of the processes through which PTSD and appearance concern might be mutually maintained. The results suggest that psychosocial interventions need to be tailored to simultaneously address processes related to concerns about change in appearance and also with traumatic reexperiencing.

show abstract

Section: Participantsmentioning

confidence: 99%

Posttraumatic stress symptomatology and appearance distress following burn injury: An interpretative phenomenological analysis.

2016

View full text Add to dashboard Cite

show abstract

“…Distress related to body image is a common problem among burn survivors even many years after the burn injury [12,20,27] and is associated with symptoms of depression and social difficulties [27,28]. Factors that have been related to high levels of body image dissatisfaction in burn injury include the severity of the disfigurement (e.g., extent or visibility of scarring) [12,27,29], female sex [27,29,30], and the degree to which physical attractiveness is valued [20].…”

Section: Introductionmentioning

confidence: 99%

From survival to socialization: A longitudinal study of body image in survivors of severe burn injury

Thombs

Notes

Lawrence

et al. 2008

Journal of Psychosomatic Research

147

View full text Add to dashboard Cite

“…Changes to appearance following burn injuries are most often sudden, unexpected and not under the control of the individual [1][2] and it is well-documented in the literature that appearancerelated distress or body image disturbance is common [3][4][5][6]. Stigma associated with changes to appearance may be one of the most difficult challenges in adjusting to burn injuries [7].…”

Section: Introductionmentioning

confidence: 99%

Looking in the mirror for the first time after facial burns: A retrospective mixed methods study

Shepherd

Tattersall

Buchanan

2014

Burns

View full text Add to dashboard Cite

Appearance-related concerns are common following burns. However, there is minimal research that has specifically investigated patients' reactions when they looked in the mirror for the first time following facial burns. The current study aimed to investigate patients' reactions and factors associated with distress. Burns patients (n=35) who had sustained facial injuries completed a questionnaire which examined their reactions when looking in the mirror for the first time. Data were collected between April and July 2013. Participants had sustained their burn injuries 12 months prior to participating, on average (ranging from one to 24 months). Forty seven percent (n=16) of patients were worried about looking for the first time, 55% (n=19) were concerned about what they would see, and 42% (n=14) held negative mental images about what their faces looked like before they looked. twenty seven percent (n=9) of patients initially avoided looking, 38% (n=13) tried to 'read' others' reactions to them to try to gauge what they looked like, and 73% (n=25) believed that it was important for them to look. Mean ratings suggested that patients found the experience moderately distressing. Patients most often found the experience less distressing compared to their expectations. Distress was related to feeling less prepared, more worried and increased negative mental images prior to looking. In conclusion, patients' reactions to looking in the mirror for the first time vary. Adequately preparing patients and investigating their expectations beforehand is crucial. The findings have a number of important implications for practice.

show abstract

A survey of psychological need amongst adult burn-injured patients

Cited by 44 publications

References 15 publications

Posttraumatic stress symptomatology and appearance distress following burn injury: An interpretative phenomenological analysis.

Posttraumatic stress symptomatology and appearance distress following burn injury: An interpretative phenomenological analysis.

From survival to socialization: A longitudinal study of body image in survivors of severe burn injury

Looking in the mirror for the first time after facial burns: A retrospective mixed methods study

Contact Info

Product

Resources

About