The psychological scars of burns in survivors and their partners

Abstract

A burn can be a traumatic experience for both the survivor and the partner. This thesis aims to enhance our understanding of the traumatic impact of burn injuries on the quality of life of burn survivors and the psychological symptoms experienced by their partners. The research is divided into two main parts. In the first part, the focus is on the development and trajectory of PTSD symptoms in partners of burn survivors, examining how the interpersonal behavior of both partners influences these symptoms over time. The second part investigates the impact of the survivor’s PTSD symptoms on their health-related quality of life (HRQL) and fatigue. Additionally, the study explores different recovery patterns to pre-burn HRQL levels and compares the perspectives of survivors and their partners on the survivor’s pre-burn HRQL. The findings reveal significant insights into the mental well-being of burn survivors and their partners during the 18 months following the injury. Both survivors and their partners may experience post-traumatic stress symptoms. The study highlights the importance of couple dynamics, showing that partners who are more involved in the mental well-being of burn survivors can help reduce the survivors' traumatic stress. Conversely, it is crucial for the partners' own well-being that they do not suppress their feelings out of a desire to protect the survivor. Furthermore, early signs of post-traumatic stress in burn survivors are strong predictors of persistent symptoms and a long-term decline in quality of life, and increased fatigue. These results underscore the importance of early detection and continuous monitoring of psychological symptoms, both in the hospital and throughout the aftercare phase. The significant impact of post-traumatic stress symptoms supports the implementation of trauma-informed care, emphasizing early symptom recognition and the need for care practices that are aligned with the psychological needs of both patients and their families.