Development and Validation of the Satisfaction With Appearance Scale: Assessing Body Image Among Burn-Injured Patients (original) (raw)
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Correlation between body image disturbance and psychological distress among burn patients
The Professional Medical Journal
Objective: To evaluate relationship between body image disturbance and psychological distress in burn patients of Jinnah Burn and Reconstructive Surgery Center. Study Design: Cross Sectional study. Study Setting: Jinnah Burn and Reconstructive Surgery Center, Lahore. Period: July 2022 to January, 2023. Material & Methods: Correlation research design was used in the study to check the relation between the variables. Purposive sampling was used. The population of research was burn patients. Appearance Anxiety Inventory (AAI) and Kessler Psychological Distress Scale (K-10) were used to access the Body image disturbance and Psychological distress. Descriptive of demographic, reliability analyses, Pearson’s product moment correlation analysis, regression analysis, t-test and ANOVA analysis were conducted. Results: Among 150 subjects mean age was 28.532+ 12.345. 117 (78.0%) were females and 33 (22.0%) male. A positive correlation exits between Body image disturbance and Psychological dist...
Research in Nursing & Health, 2013
The aims of this study were to adapt the Body Image Quality of Life Inventory (BIQLI) into Brazilian Portuguese (BP) and to assess the psychometric properties of the adapted version. Construct validity was assessed by correlating the BIQLI-BP scores with the Rosenberg's Self-Esteem Scale, with Burns Specific Health Scale-Revised (BSHS-R), and with gender, total body surface area burned, and visibility of the scars. Participants were 77 adult burn patients. Cronbach's alpha for the adapted version was .90 and moderate linear correlations were found between body image and self-esteem and between BIQLI-BP scores and two domains of the BSHS-R: affect and body image and interpersonal relationships. The BIQLI-BP showed acceptable levels of reliability and validity for Brazilian burn patients.ß
Sexuality, body image and relationships following burns: Analysis of BSHS-B outcome measures
Sexuality Body image Relationships Burns Specific Health Scale-Brief a b s t r a c t Background: The Burns Specific Health Scale -Brief (BSHS-B) was analyzed to investigate the longitudinal impact of burns on sexuality and body image. Four sub-domains of the BSHS-B domains were of particular interest: sexuality, body image, affect and relationships, and as such were investigated for correlation between all of the sub-scales of the BSHS-B. Methods: A total of 1846 observations from 865 Western Australian burn patient BSHS-B questionnaires were analyzed. Descriptive statistical methods included dichotomous and ordinal scale variables and medians, as well at the range for continuous variables. Inferential statistical methods used longitudinal linear mixed-effects models and random effects models with the BSHS-B total and its sub-scales as dependent variables. Results: The four BSHS-B domains of interest all showed no significant change over time, indicating that the psychological and psychosocial impact of burns does not significantly improve for burn survivors, regardless of good physical and functional recovery.
The Effect of Short-Term Training Course by Nurses on Body Image in Patients with Burn Injuries
World Journal of Plastic Surgery, 2019
BACKGROUND Burn is the fourth most common cause of trauma worldwide and is the fourth among the injuries and surgeries requiring medical care. This study was designed to determine the effect of a short-term training course by nurses on body image in patients with burn injuries. METHODS This study was a semi-experimental single-group survey assessing before and after interventions. Totally, 130 subjects (65 women and 65 men) were enrolled. The training course was held in 3 sessions of two hours. The contents of the group training course (a group of 5 people) were in relation to the body image and the factors affecting it, and the ways to improve the body image. The data collection instrument was the satisfaction with appearance scale (SWAP). RESULTS The mean scores of the body image of patients before and after the intervention were 49.44±11.39 and 41.63±11.89, respectively. There was a significant difference between the mean scores of body image before and after educational interven...
Psychological evaluation of adult burn survivors: a pilot study
International Surgery Journal, 2019
Burn injuries are among the most devastating of all injuries and is a distressing trauma accompanying longlasting effects manifested in psychological, physical, economic and social areas along with burn-related disfigurements and disabilities. Problems with interacting in social settings and social life along with psychological difficulties because of scarring are among the major problems faced by burns patients. These impediments are often linked to demographics and individual variables. 1 In addition, delayed reintegration into society and decreased quality of life resulting after burn injuries are the most important challenges in burn rehabilitation. 2 The difficulties faced by disfigured patients in their everyday life compared to a more attractive individual is often ABSTRACT Background: Survivors of disfiguring burn injury often become social handicaps. Therefore, it is of utmost importance to understand their perception of body image, their coping skills, their appraisals about social support and self-monitoring behaviour in social situations and explore the factors that can promote better psychological adjustment. Methods: Using a single group cohort design, a sample of 18 individuals with burn injury, were recruited through purposive sampling. Personal data sheet, self-monitoring scale (SMS) and satisfaction with appearance scale (SWAP) were administered when the patients were admitted post-injury. Social support appraisal scale (SSA), coping with burns questionnaire along with SMS and SWAP were administered at one-month post-discharge. Results: The findings indicated that gender and education played a significant role in body image, coping, social support appraisal and self-monitoring behaviours. Further, higher scores on coping strategies were associated with better body satisfaction. Conclusions: The findings indicate the need to look into the variables of coping, body image, social support, selfmonitoring behaviours of burns patients and the need to develop interventions for improving their quality of life. A mixed-method study design for better understanding of the psychosocial factors impacting adjustment post-burn injury would be beneficial. Although a larger cohort needs to be studied for understanding the impact of these factors, one may already notice definite indicators that are risk factors that may lead to poorer psycho-social wellbeing of burn victims and potential areas where interventions may be effective.
Burns, 2014
Many burns heal spontaneously, but for many patients, lifelong scarring, often located to the face, neck and upper arms, is common [1]. These areas are sensitive, both from a functional and a cosmetic point of view [1]. There is a major risk that post-burn body image dissatisfaction will have a negative effect on quality of life early in the adjustment period [2], but it is also an important predictor of long-term psychosocial functioning for patients with burns [3]. Several studies have pointed out the role of body image in adjustment to disfigurement in adult burn survivors in short-term [2-7] but only few studies assess changes over time [3,8]. Identified predictors of increased body image dissatisfaction are female gender [3,9], focus attention on physical appearance [7] and having extensive burns [2]. There are also indications that visible scarring may lead to greater distress, especially in the interaction with non-family members [6].
European Burn Journal
Burn survivors are at risk for dissatisfaction with body image, relationships, and sexuality due to disfiguring changes secondary to the injury. This review compares available global data on BSHS-B psychosocial scores. Twenty-four studies were included in the final analysis encompassing 14 countries; significant differences were found in scores across all BSHS-B psychological sub-sections of affect, body image, interpersonal relationships, and sexuality. On the whole, psychological well-being after burn injury was lower in Asian and South Asian countries compared to Europe or the United States. This study provides information for providers in burn centers caring for patients from a variety of cultural contexts and begins to steer initiatives to remedy psychological inequities in global burn care.
Burns Open, 2019
Background: Although the incidence of burn cases was high, there was no validated instrument to assess the satisfaction with body image in Urdu for use in the Pakistani population. Hence, the aim of this study was to assess the validity and reliability of an Urdu version of SWAP (SWAP-U) in a sample of Pakistani burn victims. Methods: In the adaptation process of SWAP-U, the original English version was translated into Urdu, reviewed by an expert committee, back translated into English, and then re-reviewed by the committee. Then the preliminary SWAP-U version was cross-culturally adapted in a pre-test on 31 burn patients and the final version was psychometrically evaluated on 103 burn patients. Reliability was assessed using Cronbach's a, Guttman split-half coefficient, and test-retest reliability. Convergence validity was assessed by examining the correlations with RSES, BIAQ and SF-36. Results: After the translation process, the cross-cultural adaptation of the preliminary questionnaire resulted in minor changes in the terms used before the final version was tested for its psychometric properties. The adapted version showed a high level of internal consistency (Cronbach's a = 0.83) and, moderate to strong item-total correlations (r = 0.26-0.66). The Guttman split-half reliability score was 0.86 and test-retest reliability was r = 0.90. The construct validity analysis of the SWAP-U showed that it was positively and moderately correlated with and BIAQ (r = 0.47, p < 0.05), but negatively correlated with RSES (r = À0.35, p < 0.05), Short-Form Health Survey (r = À0.23, p < 0.05) and physical and mental dimensions of SF-36 (r = À0.36, and r = À0.49, p < 0.05). Conclusion: The study showed that the adapted version of the SWAP-U has a good psychometric quality and could be used as a reliable and valid measure to assess the satisfaction with appearance in burn patients of Pakistani population.