Social challenges of visible scarring after severe burn: A qualitative analysis

© 2016 Elsevier Ltd and ISBI Introduction Visible scarring after burn causes social challenges which impact on interpersonal connection. These have health impacts which may worsen outcomes for burn patients and reduce the potential for posttraumatic growth (PTG). Aim The aim of the study was to inve...

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Main Authors: Martin, L., Byrnes, M., McGarry, Sarah, Rea, S., Wood, Fiona
Format: Journal Article
Published: Pergamon Press 2017
Online Access:http://hdl.handle.net/20.500.11937/71032
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author Martin, L.
Byrnes, M.
McGarry, Sarah
Rea, S.
Wood, Fiona
author_facet Martin, L.
Byrnes, M.
McGarry, Sarah
Rea, S.
Wood, Fiona
author_sort Martin, L.
building Curtin Institutional Repository
collection Online Access
description © 2016 Elsevier Ltd and ISBI Introduction Visible scarring after burn causes social challenges which impact on interpersonal connection. These have health impacts which may worsen outcomes for burn patients and reduce the potential for posttraumatic growth (PTG). Aim The aim of the study was to investigate adult burn survivors’ experiences of interpersonal relationships as potential barriers to posttraumatic recovery following hand or face burns. Method This qualitative study explored patient experiences of interpersonal situations. A purposive sample (n = 16) who had visible burn scarring were interviewed more than two years after their burn. Results Emotional barriers included the fear of rejection, feelings of self-consciousness, embarrassment and humiliation. Situational barriers included inquisitive questions, comments and behaviours of others. Responses depended on the relationship with the person, how they were asked and the social situation. Active coping strategies included positive reframing, humour, changing the self, and pre-empting questions. Avoidant coping strategies included avoidance of eye contact, closed body language, hiding scars, and learning to shut down conversations. Conclusion Emotional and situational barriers reduced social connection and avoidant coping strategies reduced the interaction of people with burns with others. Active coping strategies need to be taught to assist with social reintegration. This highlights the need for peer support, family support and education, and social skills training.
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spelling curtin-20.500.11937-710322018-12-13T09:34:31Z Social challenges of visible scarring after severe burn: A qualitative analysis Martin, L. Byrnes, M. McGarry, Sarah Rea, S. Wood, Fiona © 2016 Elsevier Ltd and ISBI Introduction Visible scarring after burn causes social challenges which impact on interpersonal connection. These have health impacts which may worsen outcomes for burn patients and reduce the potential for posttraumatic growth (PTG). Aim The aim of the study was to investigate adult burn survivors’ experiences of interpersonal relationships as potential barriers to posttraumatic recovery following hand or face burns. Method This qualitative study explored patient experiences of interpersonal situations. A purposive sample (n = 16) who had visible burn scarring were interviewed more than two years after their burn. Results Emotional barriers included the fear of rejection, feelings of self-consciousness, embarrassment and humiliation. Situational barriers included inquisitive questions, comments and behaviours of others. Responses depended on the relationship with the person, how they were asked and the social situation. Active coping strategies included positive reframing, humour, changing the self, and pre-empting questions. Avoidant coping strategies included avoidance of eye contact, closed body language, hiding scars, and learning to shut down conversations. Conclusion Emotional and situational barriers reduced social connection and avoidant coping strategies reduced the interaction of people with burns with others. Active coping strategies need to be taught to assist with social reintegration. This highlights the need for peer support, family support and education, and social skills training. 2017 Journal Article http://hdl.handle.net/20.500.11937/71032 10.1016/j.burns.2016.07.027 Pergamon Press restricted
spellingShingle Martin, L.
Byrnes, M.
McGarry, Sarah
Rea, S.
Wood, Fiona
Social challenges of visible scarring after severe burn: A qualitative analysis
title Social challenges of visible scarring after severe burn: A qualitative analysis
title_full Social challenges of visible scarring after severe burn: A qualitative analysis
title_fullStr Social challenges of visible scarring after severe burn: A qualitative analysis
title_full_unstemmed Social challenges of visible scarring after severe burn: A qualitative analysis
title_short Social challenges of visible scarring after severe burn: A qualitative analysis
title_sort social challenges of visible scarring after severe burn: a qualitative analysis
url http://hdl.handle.net/20.500.11937/71032