Psychological Well-Being Among Burn Survivors In India: A Descriptive Study Of Coping Strategies, Social Support, And Mindfulness.
DOI:
https://doi.org/10.69980/ajpr.v24i1-2.894Keywords:
Burn survivors; Psychological distress; Coping strategies; Social support; Mindfulness; RehabilitationAbstract
Background: Burn injuries are a major public health concern, particularly in low- and middle-income countries, and are often associated with significant psychological distress. Despite growing awareness, limited research has explored the combined role of coping strategies, social support, and mindfulness in improving psychological well-being among burn survivors. Methods: A descriptive correlational study was conducted among 224 burn survivors receiving care at Dr. B.R. Ambedkar Medical College & Hospital and Agni Raksha Trust, Bangalore, India. Participants completed standardized questionnaires assessing psychological distress, coping strategies, social support, and mindfulness. Multiple regression analysis was used to identify predictors of psychological well-being. Results: Participants reported high levels of psychological distress. Escape-avoidance coping was the most commonly used strategy, while acceptance of responsibility was least utilized. Regression analysis revealed that confrontive coping (β = −0.224, p < 0.01), social support (β = −0.212, p < 0.01), and mindfulness (β = −0.403, p < 0.01) were significantly associated with reduced psychological distress. Conclusions: Coping strategies, particularly confrontive coping, along with social support and mindfulness, play a critical role in improving psychological outcomes among burn survivors. Integrating these components into rehabilitation programs may enhance recovery and quality of life
References
1. M.D. Peck et al.Burns and fires from non-electric domestic appliances in low and middle income countries: Part I. The scope of the problem Burns(2008)
2. O.E. Elsherbiny et al. Quality of life of adult patients with severe burns. Burns(2011)
3. M.D. Peck Epidemiology of burns throughout the world: Part I. Distribution and risk factors. Burns(2011)
4. S. Falder et al. Core outcomes for adult burn survivors: a clinical overview .Burns(2009)
5. A. Rouquette et al. Moderators, mediators, and bidirectional relationships in the International Classification of Functioning, Disability and Health (ICF) framework: an empirical investigation using a longitudinal design and Structural Equation Modeling (SEM).Soc Sci Med(2015)
6. M. Suzuki et al. Factors related to self-efficacy for social participation of people with mental illness .Arch Psychiatry Nurse(2011)
7. A. Masood et al. Gender differences in resilience and psychological distress of patients with burns. Burns(2016)
8. M. Parto et al. Mindfulness psychological well-being and psychological distress in adolescents: assessing the mediating variables and mechanisms of autonomy and self-regulation Proc Soc Behav Sci(2011)
9. P.C. Esselman. Community integration outcome after burn injury Phys Med Rehabil Clin N Am(2011)
10. M. Kildal et al. Coping strategies, injury characteristics and long-term outcome after burn injury ..Injury(2005)
11. B.D. Thombs et al.Depression in burn reconstruction patients: symptom prevalence and association with body image dissatisfaction and physical function. Gen Hosp Psychiatry(2007)
12. L.E. Carlson et al.Validation of the Mindful Attention Awareness Scale in a cancer population J Psychosom Res(2005)
13. Mindfulness: a proposed operational
Definition Clin Psychol (New York)(2004)
14. K. Montgomery et al.The importance of mindfulness in psychosocial distress and quality of life in dermatology patients Br J Dermatol(2016)
15. R.A. Baer et al .Using self-report assessment methods to explore facets of mindfulness Assessment(2006)
16. P.C. Esselman Community integration outcome after burn injury Phys Med Rehabil Clin N Am(2011)
17. M. Kildal et al .Coping strategies, injury characteristics and long-term outcome after burn injury. Injury(2005)
18. B.D. Thombs et al.Depression in burn reconstruction patients: symptom prevalence and association with body image dissatisfaction and physical function Gen Hosp Psychiatry(2007)R. Kornhaber et al.Adult burn survivors’ personal experiences of rehabilitation: an integrative review
19. W.J. Meyer et al.Psychological problems reported by young adults who were burned as children J Burn Care Rehabil(2004)
20. M. Levasseur et al .Is social participation associated with quality of life of older adults with physical disabilities? Disabil Rehabil(2004)
21. S. Idrees et al.Psychological reactions, social support, and coping styles in Pakistani female burn survivors J Burn Care Res(2015)
22. Y.J. Su, Prevalence and predictors of posttraumatic stress disorder and depressive symptoms among burn survivors two years after the 2015 Formosa Fun Coast Water Park explosion in Taiwan Eur J Psychotraumatolgy(2015)
23. A. Gorbani et al. Relationship between self-esteem and. perceived social support in burn patients in Sina Hospital of Tabriz
24. Ajoudani, F., et al. (2016). Social participation, social support, and body image in the first year of rehabilitation in burn survivors: A longitudinal, three-wave cross-lagged panel analysis using structural equation modeling. Burns.
25. Baer, R. A., et al. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment.
26. Bishop, S. R., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice.
27. Carlson, L. E., et al. (2005). Validation of the Mindful Attention Awareness Scale in a cancer population. Journal of Psychosomatic Research.
28. Cozzolongo, R., et al. (2015). The role of alexithymia in quality of life impairment in patients with chronic hepatitis C during antiviral treatment. Comprehensive Psychiatry.
29. Elsherbiny, O. E., et al. (2011). Quality of life of adult patients with severe burns. Burns.
30. Esselman, P. C. (2011). Community integration outcome after burn injury. Physical Medicine and Rehabilitation Clinics of North America.
31. Falder, S., et al. (2009). Core outcomes for adult burn survivors: A clinical overview. Burns.
32. Kildal, M., et al. (2005). Coping strategies, injury characteristics, and long-term outcome after burn injury. Injury.
33. Klein, M. B., et al. (2008). Hospital costs associated with pediatric burn injury. Journal of Burn Care & Research.
34. Kornhaber, R., et al. (2014). Adult burn survivors’ personal experiences of rehabilitation: An integrative review. Burns.
35. Levasseur, M., et al. (2004). Is social participation associated with quality of life of older adults with disabilities? Disability and Rehabilitation.
36. Masood, A., et al. (2016). Gender differences in resilience and psychological distress of burn patients. Burns.
37. Meyer, W. J., et al. (2004). Psychological problems reported by young adults burned as children. Journal of Burn Care & Rehabilitation.
38. Montgomery, K., et al. (2016). The importance of mindfulness in psychosocial distress and quality of life in dermatology patients. British Journal of Dermatology.
39. Parto, M., et al. (2011). Mindfulness, psychological well-being, and distress in adolescents. Procedia - Social and Behavioral Sciences.
40. Peck, M. D. (2011). Epidemiology of burns throughout the world. Burns.
41. Peck, M. D., et al. (2008). Burns and fires from non-electric domestic appliances in low- and middle-income countries. Burns.
42. Rouquette, A., et al. (2015). Moderators and mediators in the ICF framework. Social Science & Medicine.
43. Ryan, R. M., et al. (2006). Self-regulation and human autonomy. Journal of Personality.
44. Suzuki, M., et al. (2011). Factors related to self-efficacy for social participation. Archives of Psychiatric Nursing.
45. Thombs, B. D., et al. (2007). Depression in burn reconstruction patients. General Hospital Psychiatry.
46. World Health Organization. (2015). World health statistics 2015.
47. World Health Organization. (n.d.). Burns.
48. Carlson, L. E., et al. (2005). Validation of the Mindful Attention Awareness Scale in a cancer population. Journal of Psychosomatic Reseah, 58(1), 29–33. https://doi.org/10.1016/j.jpsychores.2004.04.366
49. Montgomery, K., et al. (2016). The importance of mindfulness in psychosocial distress and quality of life in dermatology patients. British Journal of Dermatology, 175(5), 930–936. https://doi.org/10.1111/bjd.14719
50. Thombs, B. D., et al. (2007). Depression in burn reconstruction patients. General Hospital Psychiatry, 29(1), 14–20. https://doi.org/10.1016/j.genhosppsych.2006.10.002
51. Peck, M. D. (2011). Epidemiology of burns throughout the world. Burns, 37(7), 1087–1100. https://doi.org/10.1016/j.burns.2011.06.017
Downloads
Published
Issue
Section
License
Copyright (c) 2021 American Journal of Psychiatric Rehabilitation
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.
This work is licensed under a 
