Prolonged adjustment difficulties among those with acute posttrauma distress following burn injury

James A Fauerbach, John W. Lawrence, Andrew M. Munster, Debra A. Palombo, Daniel Richter

Research output: Contribution to journalArticle

Abstract

This study examined the impact of mild to moderate symptoms of in- hospital posttrauma distress (PTD) following severe burn injury on quality of life (QOL) at 2-month follow-up after controlling for preburn QOL, injury severity, and state Negative Affectivity (depression, body image dissatisfaction) and dispositional optimism-pessimism. Participants' (n = 86) self-report established PTD and non-PTD groups (median split on Davidson Trauma Scale). After covarying preburn level of psychosocial QOL, PTD groups differed on psychosocial functioning at follow-up. This effect remained after covarying injury severity, state NA, dispositional optimism-pessimism, and preburn Mental domain QOL. PTD groups also differed significantly on physical functioning at follow-up after covarying preburn physical functional status. This effect was removed by controlling preburn Physical domain QOL and either injury severity or state NA and dispositional optimism-pessimism. Therefore, PTD is related to significant impairments in the physical and psychosocial adjustment of survivors of severe burns regardless of pretrauma level of adjustment. Injury severity and state NA and dispositional optimism-pessimism moderate the impact of PTD on physical but not psychosocial adjustment.

Original languageEnglish (US)
Pages (from-to)359-378
Number of pages20
JournalJournal of Behavioral Medicine
Volume22
Issue number4
DOIs
StatePublished - 1999

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Social Adjustment
Quality of Life
Wounds and Injuries
Body Image
Burns
Self Report
Survivors
Depression
Optimism
Pessimism

Keywords

  • Burns
  • Distress
  • Injury
  • PTSD
  • Quality of life
  • Trauma

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

Prolonged adjustment difficulties among those with acute posttrauma distress following burn injury. / Fauerbach, James A; Lawrence, John W.; Munster, Andrew M.; Palombo, Debra A.; Richter, Daniel.

In: Journal of Behavioral Medicine, Vol. 22, No. 4, 1999, p. 359-378.

Research output: Contribution to journalArticle

Fauerbach, James A ; Lawrence, John W. ; Munster, Andrew M. ; Palombo, Debra A. ; Richter, Daniel. / Prolonged adjustment difficulties among those with acute posttrauma distress following burn injury. In: Journal of Behavioral Medicine. 1999 ; Vol. 22, No. 4. pp. 359-378.
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