Resilience and Posttraumatic Growth after Burn: A Review of Barriers, Enablers, and Interventions to Improve Psychological Recovery

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-02-09 DOI:10.3390/ebj3010009

A. Woolard, Indijah Bullman, A. Allahham, Treya M Long, H. Milroy, Fiona Wood, Lisa Martin

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引用次数: 3

Abstract

Burn injuries are traumatic experiences that can detrimentally impact an individual’s psychological and emotional wellbeing. Despite this, some survivors adapt to psychosocial challenges better than others despite similar characteristics relating to the burn. Positive adaptation is known as resilience or posttraumatic growth, depending on the trajectory and process. This review aimed to describe the constructs of resiliency and growth within the burn injury context, examine the risk factors that inhibit resilience or growth after burn (barriers), the factors that promote resilience or growth after burn (enablers), and finally to assess the impact of interventions that have been tested that may facilitate resilience or growth after burn. This review was performed according to the recently updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. An electronic search was conducted in November 2021 on the databases PubMed, Medline (1966-present), Embase (1974-present), PsycINFO for English-language peer-reviewed academic articles. There were 33 studies included in the review. Findings were mixed for most studies; however, there were factors related to demographic information (age, gender), burn-specific characteristics (TBSA, time since burn), person-specific factors (personality, coping style), psychopathology (depression, PTSD), and psychosocial factors (social support, spirituality/religion, life purpose) that were evidenced to be related to resilience and growth. One qualitative study evaluated an intervention, and this study showed that a social camp for burn patients can promote resilience. This study has presented a variety of factors that inhibit or encourage resilience and growth, such as demographic, individual, and social factors. We also present suggestions on interventions that may be used to promote growth following this adverse event, such as improving social support, coping styles and deliberate positive introspection.

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烧伤后的恢复力和创伤后生长:改善心理恢复的障碍、促进因素和干预措施综述

烧伤是一种创伤性经历，会对个人的心理和情感健康产生不利影响。尽管如此，尽管与烧伤有关的特征相似，但一些幸存者比其他人更好地适应社会心理挑战。积极适应被称为复原力或创伤后成长，取决于轨迹和过程。本综述旨在描述烧伤背景下恢复力和生长的结构，检查抑制恢复力或烧伤后生长的风险因素(障碍)，促进恢复力或烧伤后生长的因素(使能因素)，最后评估已测试的可能促进恢复力或烧伤后生长的干预措施的影响。本综述根据最近更新的系统评价和荟萃分析(PRISMA)指南的首选报告项目进行。我们于2021年11月对PubMed、Medline(1966年至今)、Embase(1974年至今)、PsycINFO等数据库进行了一次电子检索，以检索同行评议的英文学术文章。该综述纳入了33项研究。大多数研究的结果好坏参半;然而，人口统计学信息(年龄、性别)、烧伤特异性特征(TBSA、烧伤时间)、个人特异性因素(个性、应对方式)、精神病理(抑郁、创伤后应激障碍)和社会心理因素(社会支持、精神/宗教、生活目的)被证明与恢复力和成长有关。一项定性研究评估了一项干预措施，该研究表明，烧伤患者的社会营地可以促进恢复力。本研究提出了多种抑制或促进弹性和成长的因素，如人口、个人和社会因素。我们还提出了一些干预建议，可以用来促进这种不良事件后的成长，如改善社会支持，应对方式和有意识的积极反省。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.