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创伤后疤痕对心理健康影响的心理计量评估量表的实际效用。

The practical utility of psychometric scales for the assessment of the impact of posttraumatic scars on mental health.

机构信息

Faculty of Medicine and Pharmacy, University of Oradea, Oradea, Romania.

Department VII, Internal Medicine II, University of Medicine and Pharmacy "Victor Babes" Timisoara, Timisoara, Romania.

出版信息

Front Public Health. 2023 Apr 5;11:1103714. doi: 10.3389/fpubh.2023.1103714. eCollection 2023.

Abstract

BACKGROUND

Scars are a natural consequence of the healing process, but with an impact on the psychological and social level for the individual, which can even lead to withdrawal and social stigmatization. We aimed to analyze the psychosocial impact determined by post-traumatic scars, using psychometric scales, to assess the effectiveness of the Mekereș' Psychosocial Internalization Scale (MPIS), and to identify relevant predictors of traumatic and surgical scar internalization.

METHODS

Our cohort included 293 participants, 149 women and 144 men, aged 18-64 years who were screened for scar characteristics and completed a set of psychological scales. We compared the results obtained in two subgroups: 153 subjects with posttraumatic scars and 140 with surgical scars.

RESULTS

Relevant predictors for posttraumatic scar internalization (  = 0.721) are adaptation time, age of the occurrence and subjective appraisal, while for the depression, and hopelessness relevant predictors are the subjective appraisal of the scars and the posttraumatic quality of life.

CONCLUSION

The psychological and social reporting of the aftermath of trauma, that has been followed by scar-ring, is an indicator of how a person will react and could indicate the susceptibility to psycho-pathology.

摘要

背景

疤痕是愈合过程的自然结果,但会对个人的心理和社会层面产生影响,甚至导致退缩和社会污名化。我们旨在使用心理计量学量表分析创伤后疤痕所决定的心理社会影响,评估 Mekereș 心理内化量表(MPIS)的有效性,并确定创伤性和手术性疤痕内化的相关预测因素。

方法

我们的队列包括 293 名参与者,年龄在 18-64 岁之间,其中 149 名女性和 144 名男性,他们接受了疤痕特征筛查,并完成了一系列心理量表。我们比较了两个亚组的结果:153 名创伤后疤痕患者和 140 名手术疤痕患者。

结果

创伤后疤痕内化的相关预测因素(  = 0.721)是适应时间、发生年龄和主观评估,而对抑郁和绝望的相关预测因素是对疤痕的主观评估和创伤后生活质量。

结论

创伤后出现疤痕的心理和社会报告是一个人反应方式的指标,并可能表明易患精神病理学的倾向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/566d/10113612/53df0a69ed5e/fpubh-11-1103714-g001.jpg

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