دورية أكاديمية
أعرض في EDS

Gender differences in relation to stigmatization and depressive symptoms after burns.

التفاصيل البيبلوغرافية
العنوان: Gender differences in relation to stigmatization and depressive symptoms after burns.
المؤلفون: Boersma-van Dam E; Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands; Association of Dutch Burn Centres, Beverwijk, the Netherlands. Electronic address: m.e.boersma-vandam@uu.nl., Spronk I; Association of Dutch Burn Centres, Beverwijk, the Netherlands; Dutch Burns Foundation, Beverwijk, the Netherlands; Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, the Netherlands., Hofland HWC; Burn Center Maasstad Hospital, Rotterdam, the Netherlands., Van Loey NEE; Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands.
المصدر: Burns : journal of the International Society for Burn Injuries [Burns] 2024 Aug; Vol. 50 (6), pp. 1662-1670. Date of Electronic Publication: 2024 Mar 16.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8913178 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1409 (Electronic) Linking ISSN: 03054179 NLM ISO Abbreviation: Burns Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Elsevier
Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1989-
مواضيع طبية MeSH: Burns*/psychology , Burns*/surgery , Depression*/psychology , Stereotyping*, Humans ; Female ; Male ; Adult ; Sex Factors ; Middle Aged ; Cross-Sectional Studies ; Longitudinal Studies ; Survivors/psychology ; Social Stigma ; Young Adult ; Aged ; Surgical Procedures, Operative/psychology
مستخلص: Objectives: The aim of this study was to investigate the moderating role of gender in the relationship between burn severity, perceived stigmatization and depressive symptoms at multiple time points postburn.
Materials and Methods: This multi-center study included data from two cohorts. Cohort 1 consisted of 215 burn survivors, participating in a longitudinal study with measures at 3 and 12 months postburn. Cohort 2 consisted of 180 burn survivors cross-sectionally assessed at 5 - 7 years postburn. Both cohorts completed self-reported measures of perceived stigmatization and depressive symptoms. The number of acute surgeries (i.e., no surgery, 1 surgery or 2 or more surgeries) was used as indicator of burn severity. Relations between number of surgeries, depressive symptoms, and perceived stigmatization, including possible indirect effects, were evaluated with gender-specific path models.
Results: In both men and women, number of surgical operations was related to higher levels of depressive symptoms and perceived stigmatization at 3 months after burn. In women, number of operations was still directly related to both constructs at 12 months after burn, which was cross-sectionally confirmed in the 5-7 years after burn cohort. In men, from 3 to 12 months after burn, depressive symptoms and perceived stigmatization were bidirectionally related, and, through these effects, number of surgeries was indirectly related to both outcomes. In the cross-sectional 5-7 years after burn cohort, number of operations was related to stigma but not to depressive symptoms of men.
Conclusion: Number of operations had a different effect on psychosocial adaptation of male and female burn survivors. In women, a persistent direct link from number of operations to both depressive symptoms and perceived stigmatization was found over time. In men, the effect of number of operations was most evident in the short-term, after which perceived stigmatization and depressive symptoms became interrelated. This indicates that burn severity remains a factor of significance in psychological adjustment in women, whereas in men, this significance seems to decrease over time.
(Copyright © 2024 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.)
فهرسة مساهمة: Keywords: Burn severity; Burns; Depressive symptoms; Gender differences; Perceived stigmatization
تواريخ الأحداث: Date Created: 20240418 Date Completed: 20240612 Latest Revision: 20240910
رمز التحديث: 20240910
DOI: 10.1016/j.burns.2024.03.022
PMID: 38637258
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1409
DOI:10.1016/j.burns.2024.03.022