A multi-centre prospective cohort study investigating the roles of psychological flexibility and self-compassion in appearance concerns after burn injuries

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2024-10-02 DOI:10.1111/bjhp.12754

Laura Shepherd, Fuschia M. Sirois, Diana Harcourt, Paul Norman, David Aaron, Kate Adkins, Anna Cartwright, Emma Hodgkinson, Nicola Murphy, Andrew R. Thompson

{"title":"A multi-centre prospective cohort study investigating the roles of psychological flexibility and self-compassion in appearance concerns after burn injuries","authors":"Laura Shepherd, Fuschia M. Sirois, Diana Harcourt, Paul Norman, David Aaron, Kate Adkins, Anna Cartwright, Emma Hodgkinson, Nicola Murphy, Andrew R. Thompson","doi":"10.1111/bjhp.12754","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Appearance concerns following burn injuries are common. Psychological factors are important in maintaining such concerns. However, there is a lack of longitudinal or prospective research investigating their development. This study investigated whether psychological flexibility and self-compassion at hospital admission predicted subsequent appearance concerns.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A multi-centre prospective cohort study across six burn services.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Adults (<i>n</i> = 175; 67% male) in hospital following burn injuries were recruited. Questionnaires measuring appearance concerns, psychological flexibility, self-compassion, post-traumatic stress disorder symptoms and perceived noticeability were completed during hospital admission and two- and six-months later. Demographic and burn injury information was collected.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Correlational analyses showed that increased psychological flexibility and self-compassion at admission were associated with decreased appearance concerns cross-sectionally and prospectively at two- and six-month follow-up. These associations remained significant when controlling for key covariates (i.e. gender, age, ethnicity, percentage total body surface area burnt, perceived noticeability, PTSD symptoms). Multiple linear regression analyses revealed that psychological flexibility and self-compassion predicted appearance concerns during hospital admission. Although psychological flexibility significantly predicted appearance concerns over time, it became non-significant when controlling for baseline appearance concerns.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Psychological flexibility has a protective role against appearance concerns soon after burn injuries, although this protective role is reduced when accounting for baseline appearance concerns. Early interventions targeting psychological flexibility (i.e. acceptance and commitment therapy) may be beneficial after burns if adapted to address appearance-related concerns.</p>\n </section>\n </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 1","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjhp.12754","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12754","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Appearance concerns following burn injuries are common. Psychological factors are important in maintaining such concerns. However, there is a lack of longitudinal or prospective research investigating their development. This study investigated whether psychological flexibility and self-compassion at hospital admission predicted subsequent appearance concerns.

Design

A multi-centre prospective cohort study across six burn services.

Methods

Adults (n = 175; 67% male) in hospital following burn injuries were recruited. Questionnaires measuring appearance concerns, psychological flexibility, self-compassion, post-traumatic stress disorder symptoms and perceived noticeability were completed during hospital admission and two- and six-months later. Demographic and burn injury information was collected.

Results

Correlational analyses showed that increased psychological flexibility and self-compassion at admission were associated with decreased appearance concerns cross-sectionally and prospectively at two- and six-month follow-up. These associations remained significant when controlling for key covariates (i.e. gender, age, ethnicity, percentage total body surface area burnt, perceived noticeability, PTSD symptoms). Multiple linear regression analyses revealed that psychological flexibility and self-compassion predicted appearance concerns during hospital admission. Although psychological flexibility significantly predicted appearance concerns over time, it became non-significant when controlling for baseline appearance concerns.

Conclusions

Psychological flexibility has a protective role against appearance concerns soon after burn injuries, although this protective role is reduced when accounting for baseline appearance concerns. Early interventions targeting psychological flexibility (i.e. acceptance and commitment therapy) may be beneficial after burns if adapted to address appearance-related concerns.

Abstract Image

查看原文本刊更多论文

一项多中心前瞻性队列研究，调查心理灵活性和自我同情对烧伤后外貌问题的影响。

目的：烧伤后对外观的担忧很常见。心理因素是维持这种担忧的重要因素。然而，目前缺乏对其发展的纵向或前瞻性研究。本研究调查了入院时的心理灵活性和自我同情是否能预测随后的外貌问题：设计：一项跨越六家烧伤服务机构的多中心前瞻性队列研究：方法：招募烧伤后住院的成年人（n = 175；67%为男性）。在入院期间以及两个月和六个月后填写调查问卷，测量外貌问题、心理灵活性、自我同情、创伤后应激障碍症状和感知可注意性。此外，还收集了人口统计学和烧伤信息：相关分析表明，入院时心理灵活性和自我同情的增加与外观问题的减少有关。在控制了主要协变量（即性别、年龄、种族、烧伤体表总面积百分比、可感知性、创伤后应激障碍症状）后，这些相关性仍然很明显。多元线性回归分析表明，心理灵活性和自我同情可预测入院期间的外貌问题。虽然心理灵活性能显著预测随时间推移出现的外貌问题，但在控制了基线外貌问题后，心理灵活性变得不显著：结论：心理灵活性对烧伤后不久出现的外貌问题具有保护作用，但如果考虑到基线外貌问题，这种保护作用就会减弱。以心理灵活性为目标的早期干预（即接受和承诺疗法）如果能针对与外貌相关的问题进行调整，可能会对烧伤后的患者有益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.