Short Title:Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):17, 98, 11, 2274-2279
Study used 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. Data on the Satisfaction With Appearance Scale and Patient Health Questionnaire-9 (depression) were collected at discharge from burn injury hospitalization and at 6 months, 1 year, 2 years, and 5 years after discharge. The sample consisted of 720 adults who were hospitalized for a burn injury, enrolled in the Burn Model Systems database, and completed measures at least once throughout the 5-year study duration. 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 post-discharge 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. 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.