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Psychological adjustments made by postburn injury patients: an integrative literature review
Author(s) -
Klinge Kerry,
Chamberlain Diane J.,
Redden Maurine,
King Lindy
Publication year - 2009
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.2009.05138.x
Subject(s) - psychosocial , coping (psychology) , burn injury , clinical psychology , medline , psychopathology , medicine , rehabilitation , psychology , psychiatry , physical therapy , surgery , political science , law
Title. Psychological adjustments made by postburn injury patients: an integrative literature review.Aim. This paper is a report of a review examining the variables that predispose individuals to significant psychological maladjustment following burn injury. Background. The psychological sequelae of burn injury are well documented; however, the variables that influence individuals’ adjustment following burn injury lack consideration. Data sources. MEDLINE, Cumulative Index of Nursing and Allied Health, and Psychological Abstracts were searched using the keywords burn injury, psychological, psychosocial, rehabilitation, premorbid psychopathology, adjustment, reintegration, body image, post‐traumatic stress disorder, depression, coping. Other sources were found from a manual search of nursing, medical and psychological literature and references of identified and related papers. The search strategy was limited to English‐language research published between 1997 and 2008. Review methods. An integrative review of the studies was conducted over a 6‐month time period during 2007–2008. Results. Burn patients are a heterogeneous group and typically have comorbidities. While preburn personality and coping strategies can influence long‐term psychological adjustment, the relationship between postburn adjustment and burn size and severity, and gender are poorly understood. Much of the literature focuses on the prevalence of psychological maladjustment rather than on identifying variables that influence psychological adjustment. Conclusion. The diversity and complexity that characterize burn patients lead to unique adjustment difficulties. Recognizing these difficulties is the first step to offering appropriate intervention and treatment for this unique patient group.