Factors Associated with Perceived Insecurity in Burn Injuries: An Exploratory Study of Burn Survivors in Lahore : Perceived Insecurity in Burn Injuries

Abia Nazim; Komal Alvi; Elizabeth Schwaiger; Tauqeer Nazim; Ivan Suneel Samuel; Kiran Ishfaq

doi:10.54393/pbmj.v7i01.999

Authors

Abia Nazim Department of Psychology, Forman Christian College University, Lahore, Pakistan
Komal Alvi Department of Psychology, Forman Christian College University, Lahore, Pakistan
Elizabeth Schwaiger Department of Psychology, Forman Christian College University, Lahore, Pakistan
Tauqeer Nazim Department of Plastic Surgery, Sheikh Zayed Hospital, Lahore, Pakistan
Ivan Suneel Samuel Department of Psychology, Forman Christian College University, Lahore, Pakistan
Kiran Ishfaq Department of Psychiatry, Jinnah Hospital, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v7i01.999

Keywords:

Burn Injury, Psychological Difficulties, Perceived Insecurity, Burn Survivors

Abstract

Burn injuries identified as a serious public health concern with high morbidity and mortality rate every year. Burn injuries are usually linked with heightened economic, social and psychological burden for causing functional impairments, social stigma, rejection and decreased social integration along with high morbidity of psychological disorders. Researchers have found various psychological phenomena impacting the recovery and effectiveness of rehabilitation of burn survivors including perceived insecurity in burn survivors. Objective: Present study was extracted from a larger study and aimed to explore the perceived insecurity of burn survivors seeking treatment in Lahore and to identify factors associated with it. Methods: The study followed a cross sectional research design to study 150 burn survivors with mean age of 36 years and including both men (39%) and women (61%). Results: The results revealed that female gender, single relationship status, age and education were significantly correlated with perception of insecurity in burn injury survivors. Gender and burn injury type were associated with significantly different levels of perceived insecurity in the present sample of burn survivors. The findings were discussed in light of broader research context. Conclusions: Demographic variables and type of burn injury relate differently with perceived insecurity among burn survivors.

Author Biographies

Abia Nazim, Department of Psychology, Forman Christian College University, Lahore, Pakistan

Dr. Abia Nazim

Associate Professor, Department of Psychology, Forman Christian College University, Lahore

Elizabeth Schwaiger, Department of Psychology, Forman Christian College University, Lahore, Pakistan

Dr. Elizabeth Schwaiger (Associate Professor, Department of Psychology, Forman Christian College University, Lahore)

Tauqeer Nazim, Department of Plastic Surgery, Sheikh Zayed Hospital, Lahore, Pakistan

Dr. Tauqeer Nazim (Assistant Professor, Department of Plastic Surgery, Sheikh Zayed Hospital, Lahore).

Ivan Suneel Samuel, Department of Psychology, Forman Christian College University, Lahore, Pakistan

Prof. Dr. Ivan Suneel Samuel, Vice Rector, College Section, FCCU.

Chairperson Department of Psychology, Forman Christian College University, Lahore

Kiran Ishfaq, Department of Psychiatry, Jinnah Hospital, Lahore, Pakistan

Dr. Kiran Ishfaq (Principal Clinical Psychologist, Dept. of Psychiatry, Jinnah Hospital, Lahore)

References

World Health Organization. Burns: 2023 Facts Sheet on Burn. 2023. [Last cited: 18th Jan 2024]. Available at: https://www.who.int/news-room/fact-sheets/detail/burns.

Zakeri A, Amani F, Abbasi V. Epidemiological study of burns registered in Fatemi hospital in Ardabil, 2016. International Journal of Research in Medical Sciences. 2018 Jun; 6(7), 2200–4. doi: 10.18203/2320-6012.ijrms20182803. DOI: https://doi.org/10.18203/2320-6012.ijrms20182803

Darko DF, Wachtel TL, Ward HW, Frank HA. Analysis of 585 burn patients hospitalized over a 6-year period Part I: Demographic comparison with the population of origin. Burns. 1986 Aug; 12 (6); 384-90. doi: 10.1016/0305-4179(86)90032-X. DOI: https://doi.org/10.1016/0305-4179(86)90032-X

Siddiqui E, Zia N, Feroze A, Awan S, Ali A, Razzak J, et al. Burn injury characteristics: Findings from Pakistan national emergency department surveillance study. BMC Emergency Medicine. 2015 Dec; 15 (2): S5. doi: 10.1186/1471-227X-15-S2-S5. DOI: https://doi.org/10.1186/1471-227X-15-S2-S5

Zainab H, Rukhsana S, Fatima K. Perceptions and experiences of female burn survivors with facial disfigurement. Chinese Journal of Traumatology. 2021 Feb; 24(1): 53-6. doi: 10.1016/j.cjtee.2020.11.007. DOI: https://doi.org/10.1016/j.cjtee.2020.11.007

Riaz R, Riaz L, Khan J, Baloch M. Survey on knowledge of first aid management of burns against medical and non-medical students in Karachi, Pakistan: Need for an educational intervention? Cureus. 2020 Jan; 12 (1): e6674. doi: 10.7759/ cureus.6674. DOI: https://doi.org/10.7759/cureus.6674

Gorbani A, Rezaiee Moradali M, Shabanloei R. Relationship between self-esteem and perceived social support in burn patients in Sina Hospital of Tabriz. Nursing Open. 2021 May; 8(3): 1194-200. doi: 10.1002/nop2.734. DOI: https://doi.org/10.1002/nop2.734

Hoogewerf, CJ, Van-Baar ME, Middelkoop E, Van-Loey NE. Impact of facial burns: relationship between depressive symptoms, self-esteem and scar severity. General Hospital Psychiatry. 2014 Dec; 36 (3): 271-6. doi: 10.1016/j.genhosppsych.2013.12.001. DOI: https://doi.org/10.1016/j.genhosppsych.2013.12.001

Saavedra PAE, De Oliveira LJV, Areda CA, Galato D. The costs of burn victim hospital care around the World: A systematic review. Iranian Journal of Public Health. 2021 May; 50(5): 866-78. doi: 10.18502/ijph.v50i5.6104. DOI: https://doi.org/10.18502/ijph.v50i5.6104

Zamanzadeh V, Valizadeh L, Lotfi M, Salehi F. Preserving self-concept in the burn survivors: a qualitative study. Indian Journal of Palliative Care. 2015 May; 21(2): 182-91. doi: 10.4103/0973-1075.156492. DOI: https://doi.org/10.4103/0973-1075.156492

Tang D, Li-Tsang CW, Au RK, Shen X, Li KC, Yi XF, et al. Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China. Burns & Trauma. 2016 Dec; 4: s41038-016-0058-4. doi: 10.1186/s41038-016-0058-4. DOI: https://doi.org/10.1186/s41038-016-0058-4

Munster AM. Measurements of quality of life then and now. Burns. 1999 Feb; 25 (1): 25-28. doi: 10.1016/s0305-4179(98)00077-1. DOI: https://doi.org/10.1016/S0305-4179(98)00077-1

Pallua N, Künsebeck HW, Noah EM. Psychosocial adjustments 5 years after burn injury. Burns. 2003 Mar; 29 (2): 143-52. doi: 10.1016/s0305-4179(02)00238-3. DOI: https://doi.org/10.1016/S0305-4179(02)00238-3

Ghriwati NAI, Sutter M, Pierce BS, Perrin B, Wiechman SA, Schneider JC. Two-year gender differences in satisfaction with appearance after burn injury and prediction of five-year depression: A latent growth curve approach. Archives of Physical Medicine and Rehabilitation. 2017 Nov; 98 (11): 2274-9. doi: 10.1016/j.apmr.2017.04.011. DOI: https://doi.org/10.1016/j.apmr.2017.04.011

Ajoudani F, Jasemi M, Lotfi M. 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. 2018 Aug; 44 (5): 1141-50. doi: 10.1016/j.burns.2018.03.018. DOI: https://doi.org/10.1016/j.burns.2018.03.018

Thombs BD, Notes LD, Lawrence JW, Magyar-Russell G, Bresnick MG, Fauerbach JA. From survival to socialization: A longitudinal study of body image in survivors of severe burn injury. Journal of Psychosomatic Research. 2008 Feb; 64 (2): 205-12. doi: 10.1016/j.jpsychores.2007.09.003. DOI: https://doi.org/10.1016/j.jpsychores.2007.09.003

Mata-Greve F, Wiechman SA, McMullen K, Roaten K, Carrougher GJ, Gibran NS. The relation between satisfaction with appearance and race and ethnicity: A national institute on disability, independent living, and rehabilitation research burn model system study. Burns. 2022 Mar; 48 (2): 345-54. doi: 10.1016/j.burns.2021.11.003. DOI: https://doi.org/10.1016/j.burns.2021.11.003

Wiechman SA, McMullen K, Carrougher GJ, Fauerbach JA, Ryan CM, Herndon DN, et al. Reasons for distress among burn survivors at 6, 12, and 24 months postdischarge: A burn injury model system investigation. Archives of Physical Medicine and Rehabilitation. 2018 Jul; 99 (7): 1311-7.

doi: 10.1016/j.apmr.2017.11.007. DOI: https://doi.org/10.1016/j.apmr.2017.11.007

Ayhan H, Savsar A, Sahin SY, Iyigun E. Investigation of the relationship between social appearance anxiety and perceived social support in patients with burns. Burns. 2022 Jun; 48(4): 816-23. doi: 10.1016/j.burns.2021.08.020. DOI: https://doi.org/10.1016/j.burns.2021.08.020

Duarte DW, Neumann CR, Weber ES. Intentional injuries and patient survival of burns: A 10-year retrospective cohort in southern Brazil. Burns. 2015 Mar; 41 (2): 271-8. doi: 10.1016/j.burns.2014.07.019. DOI: https://doi.org/10.1016/j.burns.2014.07.019

Jain M, Khadilkar N, De Sousa A. Burn-related factors affecting anxiety, depression and self-esteem in burn patients: An exploratory study. Ann Burns Fire Disasters. 2017 Mar; 30(1): 30-34.

Nicolosi JT, Carvalho VF, Sabatés AL. A quantitative, Cross-sectional study of depression and self-esteem in teenage and young adult burn victims in rehabilitation. Ostomy Wound Management. 2013 Sep; 22-9.

Vetrichevvel TP, Randall SM, Wood FM, Rea S, Boyd JH, Duke JM. A population-based comparison study of the mental health of patients with intentional and unintentional burns. Burns Trauma. 2018 Nov; 6(6): 31. doi: 10.1186/s41038-018-0133-0. DOI: https://doi.org/10.1186/s41038-018-0133-0