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Perceived Physical and Psychological Outcome After Severe Burn Injury
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

There is very little data on physical and psychological long-term outcome after severe burn injury. The aim of the present thesis was to improve current instruments for assessment of these issues, to assess long-term outcome in a cohort of patients with burn injuries, and to explore the contribution of the individual factors of personality and coping on perceived outcome.

Patients treated at the Burn Unit, Uppsala University Hospital, between 1980 and 1995 were included on a consecutive basis if they were 18 years of age or older at follow-up, had burn injuries of ten percent or more, or hospitalization times of seven days or more. A total of 350 patients fulfilled these inclusion criteria.

A factor analytic approach was used to derive a 40-item instrument called the Burn Specific Health Scale-Brief (BSHS-B), resulting in nine well-defined domains. Most burn patients reported a very good perceived outcome but a subgroup reported problems years after injury. On a group level most problems were related to Heat Sensitivity, Work and Body Image. The depth of injury, gender, marital status and living conditions were all related to outcome. Neurotic personality traits were related to perceived health, and were not confined only to psychological aspects of life but also included physical aspects. A 33-item burn-specific coping scale, the Coping with Burns Questionnaire (CBQ), with six clearly separated domains with acceptable internal consistencies was developed. Coping strategies were strongly related to outcome in the subgroup of patients reporting most problems in perceived health, and coping contributed more to psychosocial than physical health. Avoidant coping and Emotional support seeking had independent effects on outcome.

The observation that Neuroticism and Avoidant coping strategies are related to bad outcome after severe burn injury indicates that patients with such characteristics should be given special attention during rehabilitation.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2003. , p. 59
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1247
Keyword [en]
Surgery, Burns, Outcome Assessment, Health Status, Quality of Life, Personality, Rehabilitation, Wounds and Injuries, Accidents, Coping
Keyword [sv]
Kirurgi
National Category
Surgery
Research subject
Plastic Surgery
Identifiers
URN: urn:nbn:se:uu:diva-3386ISBN: 91-554-5590-5 (print)OAI: oai:DiVA.org:uu-3386DiVA, id: diva2:162606
Public defence
2003-05-17, Stora Aulan, Entrance 50, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Supervisors
Available from: 2003-04-22 Created: 2003-04-22Bibliographically approved
List of papers
1. Development of a Brief Version of the Burn Specific Health Scale (BSHS-B)
Open this publication in new window or tab >>Development of a Brief Version of the Burn Specific Health Scale (BSHS-B)
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2001 In: J Trauma, Vol. 51, p. 740-746Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90296 (URN)
Available from: 2003-04-22 Created: 2003-04-22 Last updated: 2015-03-17Bibliographically approved
2. Health status in Swedish burn patients:: Assessment utilising three variants of the Burn Specific Health Scale.
Open this publication in new window or tab >>Health status in Swedish burn patients:: Assessment utilising three variants of the Burn Specific Health Scale.
2002 In: Burns, Vol. 28, p. 639-645Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90297 (URN)
Available from: 2003-04-22 Created: 2003-04-22 Last updated: 2015-03-17Bibliographically approved
3. Personality characteristics and perceived health problems after burn injury
Open this publication in new window or tab >>Personality characteristics and perceived health problems after burn injury
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In: Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:uu:diva-90298 (URN)
Available from: 2003-04-22 Created: 2003-04-22 Last updated: 2016-01-19Bibliographically approved
4. Development of the coping with burns questionnaire
Open this publication in new window or tab >>Development of the coping with burns questionnaire
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2001 In: Personality and Individual Differences, Vol. 30, p. 1059-1072Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-90299 (URN)
Available from: 2003-04-22 Created: 2003-04-22 Last updated: 2016-01-19Bibliographically approved
5. Coping strategies, injury characteristics and long-term outcome after burn injury
Open this publication in new window or tab >>Coping strategies, injury characteristics and long-term outcome after burn injury
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In: Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:uu:diva-90300 (URN)
Available from: 2003-04-22 Created: 2003-04-22 Last updated: 2015-03-17Bibliographically approved

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