TY - JOUR
T1 - From survival to socialization
T2 - A longitudinal study of body image in survivors of severe burn injury
AU - Thombs, Brett D.
AU - Notes, Lisa D.
AU - Lawrence, John W.
AU - Magyar-Russell, Gina
AU - Bresnick, Melissa G.
AU - Fauerbach, James A.
N1 - Funding Information:
This study was supported by funds from the National Institute on Disability and Rehabilitation Research in the Office of Special Education and Rehabilitative Services at the US Department of Education and by a grant from the Johns Hopkins Burn Center Community Fund, both awarded to Dr. Fauerbach.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2008/2
Y1 - 2008/2
N2 - Objective: Little is known about the course of body image dissatisfaction following disfiguring injury or illness. The objective of this study was to test a proposed framework for understanding the trajectory of body image dissatisfaction among burn survivors and to longitudinally investigate the role of body image in overall psychosocial functioning. Methods: A sample of 79 survivors of severe burn injuries completed the Satisfaction with Appearance Scale (SWAP), the Importance of Appearance subscale of the Multidimensional Body-Self Relations Questionnaire, and the SF-36 in the hospital and at 6 and 12 months postdischarge (SWAP and SF-36). A repeated-measures analysis of covariance model was used to assess the course of body image dissatisfaction over time, and a path analysis model tested the role of body image dissatisfaction in mediating the relationship between preburn and postburn psychosocial functioning. Results: Female sex (P<.05), total body surface area burned (P<.01), and importance of appearance (P<.01) predicted body image dissatisfaction. From hospitalization to 12 months postdischarge, body image dissatisfaction increased for women (P<.01) and individuals with larger burns (P<.01) compared, respectively, to men and individuals with smaller burns. In the path analysis, body image dissatisfaction was the most salient predictor of psychosocial function at 12 months (β=.53, P<.01) and mediated the relationship between preburn and 12-month psychosocial function. Conclusion: Findings from this study suggest the importance of routine psychological screening for body image distress during hospitalization and after discharge.
AB - Objective: Little is known about the course of body image dissatisfaction following disfiguring injury or illness. The objective of this study was to test a proposed framework for understanding the trajectory of body image dissatisfaction among burn survivors and to longitudinally investigate the role of body image in overall psychosocial functioning. Methods: A sample of 79 survivors of severe burn injuries completed the Satisfaction with Appearance Scale (SWAP), the Importance of Appearance subscale of the Multidimensional Body-Self Relations Questionnaire, and the SF-36 in the hospital and at 6 and 12 months postdischarge (SWAP and SF-36). A repeated-measures analysis of covariance model was used to assess the course of body image dissatisfaction over time, and a path analysis model tested the role of body image dissatisfaction in mediating the relationship between preburn and postburn psychosocial functioning. Results: Female sex (P<.05), total body surface area burned (P<.01), and importance of appearance (P<.01) predicted body image dissatisfaction. From hospitalization to 12 months postdischarge, body image dissatisfaction increased for women (P<.01) and individuals with larger burns (P<.01) compared, respectively, to men and individuals with smaller burns. In the path analysis, body image dissatisfaction was the most salient predictor of psychosocial function at 12 months (β=.53, P<.01) and mediated the relationship between preburn and 12-month psychosocial function. Conclusion: Findings from this study suggest the importance of routine psychological screening for body image distress during hospitalization and after discharge.
KW - Body image
KW - Burn injury
KW - Disfigurement
KW - Distress
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U2 - 10.1016/j.jpsychores.2007.09.003
DO - 10.1016/j.jpsychores.2007.09.003
M3 - Article
C2 - 18222134
AN - SCOPUS:38349127392
SN - 0022-3999
VL - 64
SP - 205
EP - 212
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
IS - 2
ER -