Two-Year Gender Differences in Satisfaction with Appearance after Burn Injury and Prediction of Five-Year Depression: A Latent Growth Curve Approach

Publication date: Available online 5 May 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Nour Al Ghriwati, Megan Sutter, Bradford S. Pierce, Paul B. Perrin, Shelley A. Wiechman, Jeffrey C. Schneider
ObjectiveTo use latent growth curve and longitudinal structural equation modeling to examine the two-year trajectory of satisfaction with appearance in adults with burn injury and that trajectory's effect on depression five years after burn injury.DesignData were collected at discharge after burn injury hospitalization, six months, one year, two years, and five years post-discharge.SettingThe Burn Model System (BMS) program consisted of a data center and five participating burn centers.ParticipantsThe sample consisted of 720 adults who were hospitalized for a burn injury, enrolled in the BMS database, and completed measures at least once throughout the five-year study duration.Interventionsn/aMain Outcome Measure(s)Satisfaction with Appearance Scale and Patient Health Questionnaire-9 (depression).ResultsWomen with burn injury reported higher levels of dissatisfaction with their appearance in comparison to their male counterparts over the two years following discharge. Individuals with a larger total burn surface area (TBSA) also reported greater body dissatisfaction across the post-discharge two-year period. Results did not support significant gender or TBSA differences in the rate of change of body dissatisfaction trajectories across these two years. Individuals with greater body dissatisfaction at six months post-discharge tended to have higher depressive symptoms at five years. Six month post-discharge body dissatisfaction scores also mediated the effects of gender and TBSA on depressive symptoms five years later.ConclusionsIt is recommended that individuals with heightened body image dissatisfaction after a burn, particularly women and those with larger TBSA, participate in evidence-based psychosocial interventions to improve long-term adjustment.



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