Article

OBJECTIVES: To use latent growth curve and longitudinal structural equation
modeling to examine the 2-year trajectory of satisfaction with appearance in
adults with burn injury, and that trajectory's effect on depression 5 years after
burn injury. DESIGN: Data were collected at discharge after burn injury
hospitalization and at 6 months, 1 year, 2 years, and 5 years postdischarge.
SETTING: The Burn Model Systems (BMS) program consisted of a data center and 5
participating burn centers. PARTICIPANTS: The sample consisted of adults (N=720)
who were hospitalized for a burn injury, enrolled in the BMS database, and
completed measures at least once throughout the 5-year study duration.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Satisfaction With
Appearance Scale and Patient Health Questionnaire-9 (depression). RESULTS: Women
with burn injury reported higher levels of dissatisfaction with their appearance
in comparison to their male counterparts over the 2 years after discharge.
Individuals with a larger total body surface area (TBSA) affected by a burn also
reported greater body dissatisfaction across the postdischarge 2-year period.
Results did not support significant gender or TBSA differences in the rate of
change of body dissatisfaction trajectories across these 2 years. Individuals
with greater body dissatisfaction at 6 months postdischarge tended to have higher
depressive symptoms at 5 years. Six month postdischarge, body dissatisfaction
scores also mediated the effects of gender and TBSA on depressive symptoms 5
years later. CONCLUSIONS: It is recommended that individuals with heightened body
image dissatisfaction after a burn, particularly women and those with larger
TBSA, participate in evidence-based psychosocial interventions to improve
long-term adjustment.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS