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dc.contributor.authorRahtz, Een_US
dc.contributor.authorBhui, Ken_US
dc.contributor.authorHutchison, Ien_US
dc.contributor.authorKorszun, Aen_US
dc.date.accessioned2017-08-15T10:54:05Z
dc.date.available2017-08-09en_US
dc.date.issued2018-01en_US
dc.date.submitted2017-08-10T12:34:45.468Z
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/25240
dc.description.abstractFacial injuries are widely assumed to lead to stigma and significant psychosocial burden. Experimental studies of face perception support this idea, but there is very little empirical evidence to guide treatment. This study sought to address the gap. Data were collected from 193 patients admitted to hospital following facial or other trauma. Ninety (90) participants were successfully followed up 8 months later. Participants completed measures of appearance concern and psychological distress (post-traumatic stress symptoms (PTSS), depressive symptoms, anxiety symptoms). Participants were classified by site of injury (facial or non-facial injury). The overall levels of appearance concern were comparable to those of the general population, and there was no evidence of more appearance concern among people with facial injuries. Women and younger people were significantly more likely to experience appearance concern at baseline. Baseline and 8-month psychological distress, although common in the sample, did not differ according to the site of injury. Changes in appearance concern were, however, strongly associated with psychological distress at follow-up. We conclude that although appearance concern is severe among some people with facial injury, it is not especially different to those with non-facial injuries or the general public; changes in appearance concern, however, appear to correlate with psychological distress. We therefore suggest that interventions might focus on those with heightened appearance concern and should target cognitive bias and psychological distress.en_US
dc.description.sponsorshipThe Facial Surgery Research Foundation – Saving Faces.en_US
dc.format.extent62 - 71en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofJ Plast Reconstr Aesthet Surgen_US
dc.rightsThis is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Plastic, Reconstructive & Aesthetic Surgery following peer review. The version of record is available http://www.sciencedirect.com/science/article/pii/S1748681517303327
dc.subjectAnxietyen_US
dc.subjectAppearance concernen_US
dc.subjectDepressionen_US
dc.subjectFacial traumaen_US
dc.subjectOral and maxillofacial surgeryen_US
dc.subjectPTSDen_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectAgeden_US
dc.subjectAnxietyen_US
dc.subjectDepressionen_US
dc.subjectFacial Injuriesen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectInjury Severity Scoreen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectPsychiatric Status Rating Scalesen_US
dc.subjectStress Disorders, Post-Traumaticen_US
dc.titleAre facial injuries really different? An observational cohort study comparing appearance concern and psychological distress in facial trauma and non-facial trauma patients.en_US
dc.typeArticle
dc.rights.holder© 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.holderhttps://doi.org/10.1016/j.bjps.2017.08.006
dc.identifier.doi10.1016/j.bjps.2017.08.006en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28935194en_US
pubs.issue1en_US
pubs.notesNot knownen_US
pubs.publication-statusPublisheden_US
pubs.volume71en_US
dcterms.dateAccepted2017-08-06en_US


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