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Arch Phys Med Rehabil. 2017 Nov;98(11):2274-2279. doi: 10.1016/j.apmr.2017.04.011. Epub 2017 May 5.

Two-Year Gender Differences in Satisfaction With Appearance After Burn Injury and Prediction of Five-Year Depression: A Latent Growth Curve Approach.

Author information

1
Department of Psychology, Virginia Commonwealth University, Richmond, VA.
2
Department of Psychology, Virginia Commonwealth University, Richmond, VA. Electronic address: pperrin@vcu.edu.
3
Department of Rehabilitation Medicine, University of Washington, Seattle, WA.
4
Spaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA.

Abstract

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.

KEYWORDS:

Body image; Burns; Depression; Rehabilitation

PMID:
28483656
DOI:
10.1016/j.apmr.2017.04.011
[Indexed for MEDLINE]

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