Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Burns. 2022 Jun;48(4):932-940. doi: 10.1016/j.burns.2021.11.024. Epub 2021 Dec 8.
Due to medical advances, care for patients that experience burns has shifted from saving life to improving quality of life. Reintegrating into the community and maintain body image satisfaction may be difficult after a severe burn. Several studies have analyzed these two variables independently, but none have addressed a potential interrelationship.
To investigate the indirect or direct relationship of body image and community integration, potentially mediated or moderated by social stigma, symptoms of depression, symptoms of post-traumatic stress disorder (PTSD), or posttraumatic growth.
Data from the Burn Models Systems (BMS) Database between the years 2014 and 2020, patients who were at least 18 years of age and who had completed questionnaires that measured body image satisfaction, attitudes of community integration, perceived social stigma, and symptoms of depression, symptoms of PTSD, and posttraumatic growth were used to analyze potential mediators and moderators of the relationship between body image and community integration using multivariable linear regression models and structural equation modeling.
Social stigma, symptoms of depression, and symptoms of PTSD were determined to completely mediate the association of body image and community integration. Posttraumatic growth did not mediate this association. Social stigma, symptoms of depression, symptoms of PTSD, and posttraumatic growth did not moderate the relationship between body image and community integration.
The finding that symptoms of distress and social stigma account for the relationship between body image satisfaction and community integration support the potential for interventions that ameliorate distress to improve community integration and quality of life in people recovering from burn injuries.
由于医学的进步，对烧伤患者的护理已从挽救生命转向提高生活质量。在经历严重烧伤后，重新融入社区并保持身体形象满意度可能较为困难。有几项研究分别分析了这两个变量，但都没有涉及潜在的相互关系。
调查身体形象和社区融入之间的间接或直接关系，这种关系可能受到社会耻辱感、抑郁症状、创伤后应激障碍（PTSD）症状或创伤后成长的潜在调节或中介作用。
使用了 2014 年至 2020 年期间的烧伤模型系统（BMS）数据库中的数据，纳入了年龄至少 18 岁且完成了身体形象满意度、社区融入态度、感知社会耻辱感以及抑郁症状、PTSD 症状和创伤后成长问卷的患者。采用多变量线性回归模型和结构方程模型分析身体形象和社区融入之间关系的潜在调节因素和中介因素。
社会耻辱感、抑郁症状和 PTSD 症状被确定为身体形象和社区融入之间关联的完全中介因素。创伤后成长并未介导这种关联。社会耻辱感、抑郁症状、PTSD 症状和创伤后成长并没有调节身体形象和社区融入之间的关系。
痛苦症状和社会耻辱感解释了身体形象满意度和社区融入之间的关系，这一发现支持了采取干预措施减轻痛苦以改善烧伤康复患者社区融入和生活质量的潜力。
