Cornelis Johannes Hoogewerf1, Margriet Elisabeth van Baar2, Esther Middelkoop3, Nancy Elisa van Loey4. 1. Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, the Netherlands; Department of Plastic, Reconstructive and Hand Surgery, MOVE Research Institute, VU University Medical Centre, Amsterdam, the Netherlands. Electronic address: hoogewerfc@maasstadziekenhuis.nl. 2. Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, the Netherlands; Department of Public Health, Erasmus Medical Center, Rotterdam, the Netherlands. 3. Department of Plastic, Reconstructive and Hand Surgery, MOVE Research Institute, VU University Medical Centre, Amsterdam, the Netherlands; Association of Dutch Burn Centres, Red Cross Hospital, Beverwijk, the Netherlands. 4. Association of Dutch Burn Centres, Red Cross Hospital, Beverwijk, the Netherlands; Department of Clinical and Health Psychology, Utrecht University, Utrecht, the Netherlands.
Abstract
OBJECTIVE: This study assessed the role of self-reported facial scar severity as a possible influencing factor on self-esteem and depressive symptoms in patients with facial burns. METHOD: A prospective multicentre cohort study with a 6 months follow-up was conducted including 132 patients with facial burns. Patients completed the Patient and Observer Scar Assessment Scale, the Rosenberg Self-esteem Scale and the Hospital Anxiety and Depression Scale. Structural Equation Modeling was used to assess the relations between depressive symptoms, self-esteem and scar severity. RESULTS: The model showed that patient-rated facial scar severity was not predictive for self-esteem and depressive symptoms six months post-burn. There was, however, a significant relationship between early depressive symptoms and both patient-rated facial scar severity and subsequent self-esteem. The variables in the model accounted for 37% of the variance in depressive symptoms six months post-burn and the model provided a moderately well-fitting representation of the data. CONCLUSION: The study suggests that self-esteem and depressive symptoms were not affected by self-reported facial scar severity but that earlier depressive symptoms were indicative for a more severe self-reported facial scar rating. Therefore, routine psychological screening during hospitalisation is recommended in order to identify patients at risk and to optimise their treatment.
OBJECTIVE: This study assessed the role of self-reported facial scar severity as a possible influencing factor on self-esteem and depressive symptoms in patients with facial burns. METHOD: A prospective multicentre cohort study with a 6 months follow-up was conducted including 132 patients with facial burns. Patients completed the Patient and Observer Scar Assessment Scale, the Rosenberg Self-esteem Scale and the Hospital Anxiety and Depression Scale. Structural Equation Modeling was used to assess the relations between depressive symptoms, self-esteem and scar severity. RESULTS: The model showed that patient-rated facial scar severity was not predictive for self-esteem and depressive symptoms six months post-burn. There was, however, a significant relationship between early depressive symptoms and both patient-rated facial scar severity and subsequent self-esteem. The variables in the model accounted for 37% of the variance in depressive symptoms six months post-burn and the model provided a moderately well-fitting representation of the data. CONCLUSION: The study suggests that self-esteem and depressive symptoms were not affected by self-reported facial scar severity but that earlier depressive symptoms were indicative for a more severe self-reported facial scar rating. Therefore, routine psychological screening during hospitalisation is recommended in order to identify patients at risk and to optimise their treatment.
Authors: Janine M Duke; Sean M Randall; Thirthar P Vetrichevvel; Sarah McGarry; James H Boyd; Suzanne Rea; Fiona M Wood Journal: Burns Trauma Date: 2018-11-13
Authors: Inge Spronk; Dale W Edgar; Margriet E van Baar; Fiona M Wood; Nancy E E Van Loey; Esther Middelkoop; Babette Renneberg; Caisa Öster; Lotti Orwelius; Asgjerd L Moi; Marianne Nieuwenhuis; Cornelis H van der Vlies; Suzanne Polinder; Juanita A Haagsma Journal: BMC Public Health Date: 2020-01-29 Impact factor: 3.295
Authors: Inge Spronk; Nancy E E Van Loey; Charlie Sewalt; Daan Nieboer; Babette Renneberg; Asgjerd Litleré Moi; Caisa Oster; Lotti Orwelius; Margriet E van Baar; Suzanne Polinder Journal: PLoS One Date: 2020-01-10 Impact factor: 3.240