The acceptability of early psychological interventions for adults with appearance concerns after burns

Shepherd, Laura; Sirois, Fuschia; Harcourt, Diana; Norman, Paul; Thompson, Andrew R.

Abstract

Introduction
Appearance concerns are common following burns. However, there is a lack of research investigating early psychological interventions for appearance concerns. This qualitative study explored the acceptability of early psychological interventions for appearance concerns after burns.

Methods
Fifteen adults (nine female; 18–56 years) with appearance concerns were interviewed within three months post-burn to explore their views about the acceptability of early psychological interventions for appearance concerns. Interviews were audio-recorded and transcribed. Template analysis informed data collection and analysis.

Results
Three themes represented participants’ views about the acceptability of early psychological interventions for appearance concerns: (1) Early psychological interventions are absent; (2) Early psychological interventions are acceptable within a therapeutic relationship (to manage upsetting emotions and thoughts about appearance, with therapists who are experienced in supporting burns patients); and (3) Ambivalence and obstacles (e.g., difficulties accepting help, minimising injuries or concerns, and time restrictions following hospital discharge).

Conclusion
Early psychological interventions for appearance concerns following burns are likely to be acceptable for some patients. However, ambivalence and potential barriers remain to be addressed. Embedding early psychological interventions for appearance concerns into routine burn care could increase acceptability through normalisation.

• Journal Article Type: Article
• Acceptance Date: Jul 28, 2024
• Online Publication Date: Jul 31, 2024
• Publication Date: Nov 1, 2024
• Deposit Date: Aug 6, 2024
• Publicly Available Date: Aug 1, 2025
• Journal: Burns
• Print ISSN: 0305-4179
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 50
• Issue: 8
• Pages: 2103-2113
• DOI: https://doi.org/10.1016/j.burns.2024.07.038
• Keywords: Burns, psychological intervention, support
• Public URL: https://uwe-repository.worktribe.com/output/12772890