University of Maryland / R Adams Cowley Shock Trauma Center, Maryland, USA,
Psychiatr Danub. 2018 Nov;30(Suppl 7):633-638.
Scars can result from a range of causes: accidents, surgery, and even acne. The resultant change in appearance can negatively affect body image and self-confidence. Scarring is stigmatised in society because of the premium placed on beauty - disfigurement or unsightly features are still used to portray evil in horror films, comic strips, and fairy tales. Patients describe scars as living with the trauma and sufferers can feel devalued by society. Scars are inflexible and cause functional impairment which may prompt a change in career and have financial repercussions. Those with scars undergo a remodelling of their emotional state and are more prone to the development of depression and anxiety; feelings of shame and aggression can follow. This creates strain in social interactions, resulting in stunted communication, reduced intimacy, and avoidant behaviours. There is limited treatment available to address the psychological burden in this subset of patients. Additionally, doctors often lack training in recognition and management of psychosocial issues. Steps must be taken to relieve the physical, emotional, and psychological marks caused by scars.
事故、手术，甚至痤疮。外观的变化可能会对身体形象和自信心产生负面影响。疤痕在社会中被污名化，因为人们对美有很高的要求——在恐怖电影、漫画和童话中，毁容或难看的特征仍然被用来描绘邪恶。患者形容疤痕是带着创伤生活，患者会感到自己被社会贬低。疤痕是不灵活的，会导致功能障碍，这可能会促使患者改变职业，并产生财务影响。有疤痕的人会经历情绪状态的重塑，更容易患上抑郁和焦虑；随之而来的可能是羞耻感和攻击性。这会导致社交互动中的紧张，导致沟通不畅、亲密感降低和回避行为。目前针对这部分患者的心理负担，治疗方法有限。此外，医生通常缺乏识别和处理社会心理问题的培训。必须采取措施减轻疤痕造成的身体、情感和心理创伤。
