@article{ref1,
title="From survival to socialization: a longitudinal study of body image in survivors of severe burn injury",
journal="Journal of psychosomatic research",
year="2008",
author="Thombs, Brett D. and Notes, Lisa D. and Lawrence, John W. and Magyar-Russell, Gina and Bresnick, Melissa G. and Fauerbach, James A.",
volume="64",
number="2",
pages="205-212",
abstract="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 (beta=.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.<p /><p>Language: en</p>",
language="en",
issn="0022-3999",
doi="10.1016/j.jpsychores.2007.09.003",
url="http://dx.doi.org/10.1016/j.jpsychores.2007.09.003"
}