Woolard Alix, Bullman Indijah, Allahham Amira, Long Treya, Milroy Helen, Wood Fiona, Martin Lisa
Telethon Kids Institute, Perth Children's Hospital, 15 Hospital Ave, Nedlands, WA 6009, Australia.
Burn Injury Research Unit, University of WA, 35 Stirling Highway, Crawley, WA 6009, Australia.
Eur Burn J. 2022 Feb 9;3(1):89-121. doi: 10.3390/ebj3010009.
Burn injuries are traumatic experiences that can detrimentally impact an individual's psychological and emotional wellbeing. Despite this, some survivors adapt to psychosocial challenges better than others despite similar characteristics relating to the burn. Positive adaptation is known as resilience or posttraumatic growth, depending on the trajectory and process. This review aimed to describe the constructs of resiliency and growth within the burn injury context, examine the risk factors that inhibit resilience or growth after burn (barriers), the factors that promote resilience or growth after burn (enablers), and finally to assess the impact of interventions that have been tested that may facilitate resilience or growth after burn. This review was performed according to the recently updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. An electronic search was conducted in November 2021 on the databases PubMed, Medline (1966-present), Embase (1974-present), PsycINFO for English-language peer-reviewed academic articles. There were 33 studies included in the review. Findings were mixed for most studies; however, there were factors related to demographic information (age, gender), burn-specific characteristics (TBSA, time since burn), person-specific factors (personality, coping style), psychopathology (depression, PTSD), and psychosocial factors (social support, spirituality/religion, life purpose) that were evidenced to be related to resilience and growth. One qualitative study evaluated an intervention, and this study showed that a social camp for burn patients can promote resilience. This study has presented a variety of factors that inhibit or encourage resilience and growth, such as demographic, individual, and social factors. We also present suggestions on interventions that may be used to promote growth following this adverse event, such as improving social support, coping styles and deliberate positive introspection.
烧伤是一种创伤性经历，会对个人的心理和情绪健康产生不利影响。尽管如此，一些幸存者在面对心理社会挑战时，比其他具有相似烧伤特征的人适应得更好。根据其轨迹和过程，积极的适应被称为复原力或创伤后成长。本综述旨在描述烧伤背景下的复原力和成长的构成要素，研究烧伤后抑制复原力或成长的风险因素（障碍）、促进烧伤后复原力或成长的因素（促进因素），最后评估已测试的可能促进烧伤后复原力或成长的干预措施的影响。本综述是根据最近更新的系统评价和Meta分析的首选报告项目（PRISMA）指南进行的。2021年11月在PubMed、Medline（1966年至今）、Embase（1974年至今）、PsycINFO等数据库中进行了电子检索，以查找英文同行评审学术文章。该综述纳入了33项研究。大多数研究的结果参差不齐；然而，有证据表明，与人口统计学信息（年龄、性别）、烧伤特定特征（烧伤总面积、烧伤时间）、个人特定因素（个性、应对方式）、精神病理学（抑郁症、创伤后应激障碍）以及心理社会因素（社会支持、精神/宗教、生活目标）相关的因素与复原力和成长有关。一项定性研究评估了一项干预措施，该研究表明，为烧伤患者举办的社交营可以促进复原力。本研究提出了多种抑制或鼓励复原力和成长的因素，如人口统计学、个人和社会因素。我们还就可能用于促进这一不良事件后成长的干预措施提出了建议，如改善社会支持、应对方式和有意识的积极内省。
