Zaman Noshi Iram, Zahra Kanwal, Yusuf Shazia, Khan Muhammad Aslam
Department of Professional Psychology, Bahria University, Islamabad, Pakistan.
Medicare Hospital, Attock City, Pakistan.
Burns. 2023 May;49(3):670-677. doi: 10.1016/j.burns.2022.05.001. Epub 2022 May 13.
Burn is one of the highly occurring injuries worldwide. In case of an acid attack, survivors are considered an embarrassing element for the family. In other words, survivors' dignity is judged by the scars on their faces and bodies. Burn survivors experience physical pain of wounds, along with unseen psychological agony. Here, resilience is the most captivating phenomenon that can lead the survivor to normalcy in life after experiencing such traumas. The current study is aimed to explore the role of resilience in the psychological distress of burn survivors.
160 burn survivors were selected with an age bracket of 18-78 years from indoor hospital settings. To explore resilience, Urdu translated version of the Connor-Davidson Resilience Scale (CD-RISC) by Naz (2011) was used and for symptoms of psychological distress, Urdu version of Depression Anxiety Stress Scale- 21 (DASS-21) by Aslam and Kamal (2017). was also used. The data were analyzed via SPSS 23.
Findings revealed that there is a significant negative relationship between resilience and psychological distress among burn survivors. Moreover, resilience predicted psychological distress. A significant difference was found between types of burn on depression and anxiety. Furthermore, the relationship between resilience to stress and depression is moderated by age of the burn survivor at the time of the incidence. A significant negative relationship between age with psychological distress among burn survivors was observed. The treatment period was associated positively with resilience and negatively with stress among burn survivors. Results also revealed no significant gender difference. However, a significant difference was found between types of burn on depression and anxiety.
The findings of current study would be helpful for the medical professionals, mental healthcare providers, and policymakers who can help to develop and implement rehabilitation programs and mental health demands for the said population and can initiate and plan resilience promoting programs that would help promote adaptive coping to deal with trauma.
烧伤是全球发生率较高的损伤之一。在遭遇酸攻击的情况下，幸存者被视为家庭中的尴尬成员。换句话说，幸存者的尊严由其脸上和身体上的伤疤来评判。烧伤幸存者不仅经历伤口的身体疼痛，还承受着无形的心理痛苦。在此，心理韧性是最引人注目的现象，它能引领幸存者在经历此类创伤后回归正常生活。本研究旨在探讨心理韧性在烧伤幸存者心理困扰中的作用。
从医院住院部选取160名年龄在18至78岁之间的烧伤幸存者。为探究心理韧性，使用了由纳兹（2011年）翻译的乌尔都语版康纳 - 戴维森心理韧性量表（CD - RISC），对于心理困扰症状，使用了由阿斯拉姆和卡迈勒（2017年）翻译的乌尔都语版抑郁焦虑压力量表 - 21（DASS - 21）。数据通过SPSS 23进行分析。
研究结果显示，烧伤幸存者的心理韧性与心理困扰之间存在显著的负相关关系。此外，心理韧性可预测心理困扰。在抑郁和焦虑方面，不同类型的烧伤之间存在显著差异。此外发生烧伤时幸存者的年龄调节了心理韧性与压力和抑郁之间的关系。观察到烧伤幸存者的年龄与心理困扰之间存在显著的负相关关系。治疗期与烧伤幸存者的心理韧性呈正相关，与压力呈负相关。结果还显示不存在显著的性别差异。然而，在抑郁和焦虑方面，不同类型的烧伤之间存在显著差异。
本研究结果将有助于医学专业人员、精神卫生保健提供者和政策制定者，他们可以帮助制定和实施针对上述人群的康复计划和心理健康需求，并启动和规划促进心理韧性的计划，这将有助于促进适应性应对以处理创伤。
