{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T08:32:17Z","timestamp":1770798737644,"version":"3.50.0"},"reference-count":71,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Despite growing interest in understanding mental health issues among burn survivors, limited research has explored potential factors explaining these challenges. This study explored the role of emotion reactivity, emotion regulation, and burn wound severity in depressive, anxiety, and posttraumatic stress disorder (PTSD) symptoms among burn survivors. Participants were severe burn survivors (\n                    <jats:italic>N<\/jats:italic>\n                    = 146,\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>age<\/jats:sub>\n                    = 42.11 years) hospitalized at the National Burn Hospital in Vietnam who completed a battery of self\u2010report measures. Results from hierarchical linear regression indicated that heightened emotion reactivity was associated with higher depressive,\n                    <jats:italic>B<\/jats:italic>\n                    = 0.16, \u03b2 =\u00a0.58; anxiety,\n                    <jats:italic>B<\/jats:italic>\n                    = 0.15, \u03b2 =\u00a0.56; and PTSD symptoms,\n                    <jats:italic>B<\/jats:italic>\n                    = 0.17, \u03b2 =\u00a0.52, among participants. Emotion regulation strategies, such as cognitive reappraisal and expressive suppression, did not moderate the association between emotion reactivity and mental health outcomes. Furthermore, no significant association between total burn surface area and psychological symptoms was found, though deeper burns were linked to increased symptom levels. Specifically, survivors with mixed second\u2010 and third\u2010degree burns reported higher levels of depressive,\n                    <jats:italic>B<\/jats:italic>\n                    = 1.93, \u03b2 =\u00a0.32, and anxiety symptoms,\n                    <jats:italic>B<\/jats:italic>\n                    = 2.10, \u03b2 =\u00a0.36, compared to those with second\u2010degree burns only. Future research should further explore factors that moderate the associations among emotion reactivity, burn severity, and mental health, particularly those that influence the effectiveness of emotion regulation strategies. In addition to identifying factors that contribute to mental health problems, these findings could inform health care policies that emphasize pain management and emotional support for burn survivors.\n                  <\/jats:p>","DOI":"10.1002\/jts.70022","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:29:43Z","timestamp":1761762583000},"page":"98-109","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When the burn goes deep: Emotion reactivity and psychological distress among burn survivors"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4173-3994","authenticated-orcid":false,"given":"Dung Ngoc","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Psychology Catholic University of Leuven  Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1523-4582","authenticated-orcid":false,"given":"Yen Hai Thi","family":"Ha","sequence":"additional","affiliation":[{"name":"Department of Psychology Vietnam National University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6282-8239","authenticated-orcid":false,"given":"Quynh Diem Thi","family":"Phi","sequence":"additional","affiliation":[{"name":"Department of English Studies FPT University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9711-5119","authenticated-orcid":false,"given":"Trang Mai","family":"Truong","sequence":"additional","affiliation":[{"name":"Department of Psychology Vietnam National University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thuong Xuan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Psychology Vietnam National University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phuong Mai Thi","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy &amp; Rehabilitation National Burn Hospital  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chung Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy &amp; Rehabilitation National Burn Hospital  Hanoi Vietnam"},{"name":"Burn Surgery, Department of General Surgery Military Medical University  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2012.07.007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2007.10.001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0021662"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnsys.2014.00175"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016909"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2005.03.001"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bcr.0000150216.87940.ac"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2016.01.026"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0963721419827526"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2014.07.028"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2022.112008"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/1089\u20102680.2.3.271"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0048577201393198"},{"key":"e_1_2_7_16_1","first-page":"3","volume-title":"Handbook of emotion regulation","author":"Gross J. 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