K M Connell1, M Phillips2, R Coates3, M Doherty-Poirier3, F M Wood4. 1. School of Public Health, Sexology Department, Faculty of Health Sciences, Curtin University, Western Australia, Australia; Fiona Wood Foundation, Australia. Electronic address: k.connell@curtin.edu.au. 2. Royal Perth Hospital & Western Australian Institute for Medical Research, University of Western Australia, Perth, Western Australia, Australia. Electronic address: michael.phillips@waimr.uwa.edu.au. 3. School of Public Health, Sexology Department, Faculty of Health Sciences, Curtin University, Western Australia, Australia. 4. Fiona Wood Foundation, Australia; Burns Service of Western Australia, Royal Perth Hospital, Australia; Burn Injury Research Unit, University of Western Australia, Australia.
Abstract
BACKGROUND: The Burns Specific Health Scale - Brief (BSHS-B) was analyzed to investigate the longitudinal impact of burns on sexuality and body image. Four sub-domains of the BSHS-B domains were of particular interest: sexuality, body image, affect and relationships, and as such were investigated for correlation between all of the sub-scales of the BSHS-B. METHODS: A total of 1846 observations from 865 Western Australian burn patient BSHS-B questionnaires were analyzed. Descriptive statistical methods included dichotomous and ordinal scale variables and medians, as well at the range for continuous variables. Inferential statistical methods used longitudinal linear mixed-effects models and random effects models with the BSHS-B total and its sub-scales as dependent variables. RESULTS: The four BSHS-B domains of interest all showed no significant change over time, indicating that the psychological and psychosocial impact of burns does not significantly improve for burn survivors, regardless of good physical and functional recovery. CONCLUSIONS: Burn survivors experience sexuality, body image and relationship changes following a burn, which may affect their quality of life (QoL) over time. Rehabilitation services need to be aware of these issues and create rehabilitation programs that specifically and meaningfully address these issues for burn survivors.
BACKGROUND: The Burns Specific Health Scale - Brief (BSHS-B) was analyzed to investigate the longitudinal impact of burns on sexuality and body image. Four sub-domains of the BSHS-B domains were of particular interest: sexuality, body image, affect and relationships, and as such were investigated for correlation between all of the sub-scales of the BSHS-B. METHODS: A total of 1846 observations from 865 Western Australian burn patient BSHS-B questionnaires were analyzed. Descriptive statistical methods included dichotomous and ordinal scale variables and medians, as well at the range for continuous variables. Inferential statistical methods used longitudinal linear mixed-effects models and random effects models with the BSHS-B total and its sub-scales as dependent variables. RESULTS: The four BSHS-B domains of interest all showed no significant change over time, indicating that the psychological and psychosocial impact of burns does not significantly improve for burn survivors, regardless of good physical and functional recovery. CONCLUSIONS: Burn survivors experience sexuality, body image and relationship changes following a burn, which may affect their quality of life (QoL) over time. Rehabilitation services need to be aware of these issues and create rehabilitation programs that specifically and meaningfully address these issues for burn survivors.
Authors: Benjamin Levi; Casey T Kraft; Gabriel D Shapiro; Nhi-Ha T Trinh; Emily C Dore; James Jeng; Austin F Lee; Amy Acton; Molly Marino; Alan Jette; Elizabeth A Armstrong; Jeffrey C Schneider; Lewis E Kazis; Colleen M Ryan Journal: J Burn Care Res Date: 2018-10-23 Impact factor: 1.845
Authors: Emily A Ohrtman; Gabriel D Shapiro; Audrey E Wolfe; Nhi-Ha T Trinh; Pengsheng Ni; Amy Acton; Mary D Slavin; Colleen M Ryan; Lewis E Kazis; Jeffrey C Schneider Journal: Burns Date: 2020-09-15 Impact factor: 2.744
Authors: John Alexander Gerald Gibson; Jeremy Yarrow; Liz Brown; Janine Evans; Simon N Rogers; Sally Spencer; Kayvan Shokrollahi Journal: BMJ Open Date: 2019-12-30 Impact factor: 2.692