Injury-related fear-avoidance, neuroticism and burn-specific health

Burns : Journal of the International Society for Burn Injuries
Mimmie WillebrandLisa Ekselius

Abstract

Dysfunctional beliefs such as fear-avoidance (i.e. fear of re-injury) and personality traits such as neuroticism are risk factors for poor health. However, there is little information regarding associations with poor perceived health after severe burn and what level of fear-avoidance is associated with poor health. In this study, we investigated fear-avoidance and neuroticism regarding their associations with post-burn health. Participants were 86 recovered burn patients and data were collected by a postal survey. Post-burn health was assessed with the nine subscales of the Burn Specific Health Scale-Brief (BSHS-B). In logistic regressions, fear-avoidance was related to poorer health in six subscales assessing both physical and psychosocial problems. Neuroticism was associated with poorer health in three subscales assessing mainly psychosocial problems. Chi-square analyses showed that participants with a moderate or high level of fear-avoidance >or=1.0 (out of 4) were more likely to describe their health as poor and had a longer sick leave than those with a fear-avoidance level of <1.0. In summary, fear-avoidance was associated with poorer health even at moderate levels and was associated with several aspects of post-burn health.

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Citations

Jul 30, 2009·Critical Care : the Official Journal of the Critical Care Forum·Michael A FlierlKyros R Ipaktchi
Feb 11, 2014·Behaviour Research and Therapy·Linda JürisLisa Ekselius
Dec 18, 2013·Burns : Journal of the International Society for Burn Injuries·Natália GonçalvesLídia Aparecida Rossi
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Jul 13, 2016·Burns : Journal of the International Society for Burn Injuries·Kimberly VoonDale W Edgar
Jun 15, 2018·Critical Care : the Official Journal of the Critical Care Forum·Inge SpronkSuzanne Polinder
Dec 12, 2020·Burns : Journal of the International Society for Burn Injuries·Jade LangloisBernadette Nedelec
Aug 3, 2020·Burns : Journal of the International Society for Burn Injuries·E CroftonJ Strong

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