DOI: http://dx.doi.org/10.18203/2349-2902.isj20195407

Psychological evaluation of adult burn survivors: a pilot study

Silvana Kurian, Sebastian Padickaparambil, Joseph Thomas, N. C. Sreekumar, Alphy Rose James

Abstract


Background: Survivors of disfiguring burn injury often become social handicaps. Therefore, it is of utmost importance to understand their perception of body image, their coping skills, their appraisals about social support and self-monitoring behaviour in social situations and explore the factors that can promote better psychological adjustment.

Methods: Using a single group cohort design, a sample of 18 individuals with burn injury, were recruited through purposive sampling. Personal data sheet, self-monitoring scale (SMS) and satisfaction with appearance scale (SWAP) were administered when the patients were admitted post-injury. Social support appraisal scale (SSA), coping with burns questionnaire along with SMS and SWAP were administered at one-month post-discharge.

Results: The findings indicated that gender and education played a significant role in body image, coping, social support appraisal and self-monitoring behaviours. Further, higher scores on coping strategies were associated with better body satisfaction.

Conclusions: The findings indicate the need to look into the variables of coping, body image, social support, self-monitoring behaviours of burns patients and the need to develop interventions for improving their quality of life. A mixed-method study design for better understanding of the psychosocial factors impacting adjustment post-burn injury would be beneficial. Although a larger cohort needs to be studied for understanding the impact of these factors, one may already notice definite indicators that are risk factors that may lead to poorer psycho-social wellbeing of burn victims and potential areas where interventions may be effective.


Keywords


Satisfaction with appearance, Coping with burns, Self-monitoring, Social support appraisal

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References


Lawrence JW, Mason ST, Schomer K, Klein MB. Epidemiology and impact of scarring after burn injury: A systematic review of the literature. J Burn Care Res. 2012;33(1):136-46.

Finnerty CC, Jeschke MG, Branski LK, Barret JP, Dziewulski P, Herndon DN. Hypertrophic scarring: the greatest unmet challenge following burn injury. Lancet. 2016;388(10052):1427-36.

Sadeghi-Bazargani H, Zare Z, Ranjbar F. Factor structure of the Persian version of general, social, and negative self-consciousness of appearance domains of derriford appearance scale 59: An application in the field of burn injuries. Neuropsychiatr Dis Treat. 2017;13:147-54.

Grabe S, Hyde JS. Ethnicity and body dissatisfaction among women in the United States: A meta-analysis. Psychol Bull. 2006;132(4):622-40.

Hunter TA, Medved MI, Hiebert-Murphy D, Brockmeier J, Sareen J, Thakrar S, et al. “Put on your face to face the world”: Women’s narratives of burn injury. J Int Society Burn Injuries. 2013;39(8):1588-98.

Connell KM, Coates R, Wood FM. Sexuality following trauma injury: A literature review. Burns Trauma. 2014;2(2):61-70.

Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38(4):319-45.

Bosmans MWG, Hofland HW, De Jong AE, Van Loey NE. Coping with burns: the role of coping self-efficacy in the recovery from traumatic stress following burn injuries. J Behav Med. 2015;38(4):642-51.

Fauerbach JA, Heinberg LJ, Lawrence JW, Bryant AG, Richter L, Spence RJ. Coping with body image changes following a disfiguring burn injury. Heal Psychol. 2002;21(2):115-21.

Vaux A, Phillips J, Holly L, Thomson B, Williams D, Stewart D. The social support appraisals (SS-A) scale: Studies of reliability and validity. Am J Community Psychol. 1986;14(2):195-218.

Reddish P, Blumenfield M. Psychological reactions in wives of patients with severe burns. J Burn Care Rehabil. 1984;5:388-90.

Phillips C, Fussell A, Rumsey N. Considerations for psychosocial support following burn injury-A family perspective. Burns. 2007;33(8):986-94.

Lawrence JW, Heinberg LJ, Roca R, Munster A, Spence R, Fauerbach JA. Development and validation of the satisfaction with appearance assessing body image among burn-injured patients. Psychol Assess. 1998;10(1):64-70.

Stanton AL, Danoff-Burg S, Cameron CL, Ellis AP. Coping Through Emotional Approach: Problems of Conceptualization and Confounding. J Pers Soc Psychol. 1994;66(2):350-62.

Snyder M. Self-monitoring of expressive behaviour. J Pers Soc Psychol. 1974;30(4):526-37.

Kornhaber R, Wilson A, Abu-Qamar MZ, McLean L. Coming to terms with it all: Adult burn survivors’ “lived experience” of acknowledgement and acceptance during rehabilitation. Burns. 2014;40(4):589-97.

Kildal M, Willebrand M, Andersson G, Gerdin B, Ekselius L. Coping strategies, injury characteristics and long-term outcome after burn injury. Injury. 2005;36(4):511-8.

Bras M, Loncar Z, Brajkovic L, Gregurek R, Mickovic V. Coping with severe burns in the early stage after burn injury. Coll Antropol. 2007;31(1):159-63.

Stoddard FJ, Norman DK, Michael Murphy J. A diagnostic outcome study of children and adolescents with severe burns. J Trauma - Inj Infect Crit Care. 1989;29(4):471-7.

Jain M, Khadilkar N, De Sousa A. Burn-related factors affecting anxiety, depression and self-esteem in burn patients: an exploratory study. Ann Burns Fire Disasters 2017;30(1):30-4.

Öster C, Willebrand M, Ekselius L. Health-related quality of life 2 years to 7 years after burn injury. J Trauma - Inj Infect Crit Care. 2011;71(5):1435-41.

Fong J. A study of self-monitoring processes and coping behaviour in burns victims. Burns. 1997;23 Suppl 1:S8-11.

Baker RA, Jones S, Sanders C, Sadinski C, Martin-Duffy K, Berchin H, et al. Degree of burn, location of burn, and length of hospital stay as predictors of psychosocial status and physical functioning. J Burn Care Rehabil. 1996;17(4):327-33.

Cobb N, Maxwell G, Silverstein P. Patient perception of quality of life after burn injury. Results of an eleven-year survey. J Burn Care Rehabil. 1990;11(4):330-3.

Warden GD, Warner PM. Functional sequelae and disability assessment. Eds. David N. Herndon’s Total Burn Care. 5th ed. Elsevier; 2018: 673-678.