{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T03:26:35Z","timestamp":1785295595344,"version":"3.55.0"},"reference-count":78,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"NIHR","doi-asserted-by":"publisher","award":["NIHR300282"],"award-info":[{"award-number":["NIHR300282"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Body Image"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.bodyim.2026.102049","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T22:31:29Z","timestamp":1770935489000},"page":"102049","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["A mixed-methods study investigating the acceptability of an early acceptance and commitment therapy (ACT) intervention to aid adjustment to appearance changes after burns"],"prefix":"10.1016","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0205-6596","authenticated-orcid":false,"given":"Laura","family":"Shepherd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuschia","family":"Sirois","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Harcourt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Norman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lance M.","family":"McCracken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.bodyim.2026.102049_bib1","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1177\/1359105317718924","article-title":"The body compassion scale: Development and initial validation","volume":"25","author":"Altman","year":"2017","journal-title":"Journal of Health Psychology"},{"issue":"7","key":"10.1016\/j.bodyim.2026.102049_bib2","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/j.burns.2015.02.020","article-title":"Psychosocial adjustment following burns: An integrative literature review","volume":"41","author":"Attoe","year":"2015","journal-title":"Burns"},{"key":"10.1016\/j.bodyim.2026.102049_bib3","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/S0305-4179(01)00065-1","article-title":"Body image of patients with burns sequellae: evaluation through the critical incident technique","volume":"28","author":"Bergamasco","year":"2002","journal-title":"Burns"},{"key":"10.1016\/j.bodyim.2026.102049_bib4","series-title":"Grounding psychotherapy in self-compassion","first-page":"297","article-title":"Integrating self-compassion into acceptance and commitment therapy and other third-wave cognitive-behavioral therapies","author":"Bernstein","year":"2025"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib5","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.bodyim.2007.04.005","article-title":"Evaluating the effectiveness of psychosocial interventions for individuals with visible differences: A systematic review of the empirical literature","volume":"4","author":"Bessell","year":"2007","journal-title":"Body Image"},{"key":"10.1016\/j.bodyim.2026.102049_bib6","doi-asserted-by":"crossref","unstructured":"Bhaskar, R. (2010). Reclaiming reality: A critical introduction to contemporary philosophy (first edition). Routledge. https:\/\/doi.org\/10.4324\/9780203843314.","DOI":"10.4324\/9780203843314"},{"issue":"6","key":"10.1016\/j.bodyim.2026.102049_bib7","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1097\/01.bcr.0000185455.81677.a2","article-title":"Efficacy of a short-term, intensive social skills training program for burned adolescents","volume":"26","author":"Blakeney","year":"2005","journal-title":"Journal of Burn Care Rehabilitation"},{"key":"10.1016\/j.bodyim.2026.102049_bib8","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.jcbs.2021.02.004","article-title":"An experimental investigation of the effects of perspective-taking on emotional discomfort, cognitive fusion and self-compassion","volume":"20","author":"Boland","year":"2021","journal-title":"Journal of Contextual Behavioral Science"},{"key":"10.1016\/j.bodyim.2026.102049_bib9","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"issue":"4","key":"10.1016\/j.bodyim.2026.102049_bib10","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis","volume":"11","author":"Braun","year":"2019","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"key":"10.1016\/j.bodyim.2026.102049_bib11","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1023\/A:1018703901116","article-title":"Therapist skill and patient variables in homework compliance: Controlling an uncontrolled variable in cognitive therapy outcome research","volume":"23","author":"Bryant","year":"1999","journal-title":"Cognitive Therapy and Research"},{"key":"10.1016\/j.bodyim.2026.102049_bib12","series-title":"CBT for appearance anxiety: Psychosocial interventions for anxiety due to visible difference","author":"Clarke","year":"2014"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib13","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1111\/bjhp.12421","article-title":"Depression in people with skin conditions: The effects of disgust and self-compassion","volume":"25","author":"Clarke","year":"2020","journal-title":"British Journal of Health Psychology"},{"key":"10.1016\/j.bodyim.2026.102049_bib14","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.bodyim.2020.02.008","article-title":"A quantitative systematic review assessing the impact of burn injuries on body image","volume":"33","author":"Cleary","year":"2020","journal-title":"Body Image"},{"key":"10.1016\/j.bodyim.2026.102049_bib15","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A power primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychological Bulletin"},{"issue":"5","key":"10.1016\/j.bodyim.2026.102049_bib16","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/BCR.0b013e31827819bf","article-title":"Sexuality following burn injuries: A preliminary study","volume":"34","author":"Connell","year":"2013","journal-title":"Journal of Burn Care Research"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib17","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/0305-4179(95)00067-4","article-title":"Three years of an adult burns support group: an analysis","volume":"22","author":"Cooper","year":"1996","journal-title":"Burns"},{"key":"10.1016\/j.bodyim.2026.102049_bib18","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/BCR.0000000000000177","article-title":"The treatment of posttraumatic stress disorder and related psychosocial consequences of burn injury: A pilot study","volume":"36","author":"Cukor","year":"2015","journal-title":"Journal of Burn Care Research"},{"key":"10.1016\/j.bodyim.2026.102049_bib19","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.jcbs.2021.03.003","article-title":"Single-session acceptance and commitment therapy (ACT) interventions for patients with chronic physical health conditions: A systematic review and meta-analysis","volume":"20","author":"Dochat","year":"2021","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"10","key":"10.1016\/j.bodyim.2026.102049_bib20","doi-asserted-by":"crossref","first-page":"892","DOI":"10.3109\/09638288.2014.948129","article-title":"The experience of acute burns of the hand \u2013 patients perspectives","volume":"37","author":"Dunpath","year":"2015","journal-title":"Disability and Rehabilitation"},{"issue":"9","key":"10.1016\/j.bodyim.2026.102049_bib21","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1016\/S0005-7967(01)00079-1","article-title":"Coping with the stress of a painful medical procedure","volume":"40","author":"Fauerbach","year":"2002","journal-title":"Behaviour Research and Therapy"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib22","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1037\/a0031669","article-title":"Response shifts in mental health interventions: An illustration of longitudinal measurement invariance","volume":"25","author":"Fokemma","year":"2013","journal-title":"Psychological Assessment"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib23","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.jcbs.2016.05.003","article-title":"The development and validation of the Comprehensive Assessment of Acceptance and Commitment Therapy processes (CompACT)","volume":"5","author":"Francis","year":"2016","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"6","key":"10.1016\/j.bodyim.2026.102049_bib24","doi-asserted-by":"crossref","first-page":"e413","DOI":"10.1097\/BCR.0000000000000030","article-title":"The trauma bubble: patient and family experience of serious burn injury","volume":"35","author":"Gullick","year":"2014","journal-title":"Journal of Burn Care Research"},{"key":"10.1016\/j.bodyim.2026.102049_bib25","series-title":"ACT made simple: an easy-to-read primer on acceptance and commitment therapy","author":"Harris","year":"2009"},{"key":"10.1016\/j.bodyim.2026.102049_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.jcbs.2024.100809","article-title":"Acceptance and commitment therapy: What the history of ACT and the first 1,000 randomized controlled trials reveal","volume":"33","author":"Hayes","year":"2024","journal-title":"Journal of Contextual Behavioral Science"},{"key":"10.1016\/j.bodyim.2026.102049_bib27","series-title":"Acceptance and Commitment Therapy: An experiential approach to behavior change","author":"Hayes","year":"1999"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib28","doi-asserted-by":"crossref","DOI":"10.1207\/S15324796ABM2301_7","article-title":"Brief cognitive interventions for burn pain","volume":"23","author":"Haythornthwaite","year":"2001","journal-title":"Annals of Behavioral Medicine"},{"issue":"9","key":"10.1016\/j.bodyim.2026.102049_bib29","doi-asserted-by":"crossref","first-page":"3356","DOI":"10.1016\/j.bjps.2022.04.022","article-title":"Evaluating the effectiveness and acceptability of information and therapy guides for improving the psychosocial well-being of people with facial palsy","volume":"75","author":"Hotton","year":"2022","journal-title":"Journal of Plastic, Reconstructive Aesthetic Surgery"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib30","first-page":"111","article-title":"Effectiveness of social skills trainings for the adult burn patients in Korea","volume":"40","author":"Hwang","year":"2019","journal-title":"Journal of Burn Care Research"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib31","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0305022","article-title":"Body image and appearance distress among military veterans and civilians with an injury-related difference: A comparison study","volume":"20","author":"Keeling","year":"2025","journal-title":"PLoS One"},{"key":"10.1016\/j.bodyim.2026.102049_bib32","series-title":"Template analysis for business and management students","article-title":"London","author":"King","year":"2017"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib33","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.bodyim.2006.01.003","article-title":"A test of the moderating role of importance of appearance in the relationship between perceived scar severity and body-esteem among adult burn survivors","volume":"3","author":"Lawrence","year":"2006","journal-title":"Body Image"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib34","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/j.2044-8260.1988.tb00758.x","article-title":"Client perceptions of significant events in prescriptive and exploratory periods of individual therapy","volume":"27","author":"Llewelyn","year":"1988","journal-title":"British Journal of Clinical Psychology"},{"issue":"9280","key":"10.1016\/j.bodyim.2026.102049_bib35","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/S0140-6736(01)05627-6","article-title":"Qualitative research: Standards, challenges, and guidelines","volume":"358","author":"Malterud","year":"2001","journal-title":"The Lancet"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib36","doi-asserted-by":"crossref","first-page":"303","DOI":"10.3390\/ebj4030028","article-title":"Understanding the barriers and enablers for seeking psychological support following a burn injury","volume":"4","author":"McDermott","year":"2023","journal-title":"European Burn Journal"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib37","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.amjsurg.2021.07.041","article-title":"Gender- based disparities in burn injuries, care and outcomes: A World Health Organization (WHO) Global Burn Registry cohort study","volume":"223","author":"Mehta","year":"2022","journal-title":"American Journal of Surgery"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib38","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1207\/S15327752JPA7601_6","article-title":"Body-esteem scale for adolescents and adults","volume":"76","author":"Mendelson","year":"2001","journal-title":"Journal of Personality Assessment"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib39","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.bodyim.2005.03.004","article-title":"The relationships between objective and subjective ratings of disfigurement severity, and psychological adjustment","volume":"2","author":"Moss","year":"2005","journal-title":"Body Image"},{"issue":"4","key":"10.1016\/j.bodyim.2026.102049_bib40","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.bodyim.2013.07.005","article-title":"A systematic review of self-help for disfigurement: Effectiveness, usability, and acceptability","volume":"10","author":"Muftin","year":"2013","journal-title":"Body Image"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib41","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/15298860309032","article-title":"Self-compassion: An alternative conceptualisation of a healthy attitude toward oneself","volume":"2","author":"Neff","year":"2003","journal-title":"Self and Identity"},{"key":"10.1016\/j.bodyim.2026.102049_bib42","series-title":"Mindfulness, acceptance, and positive psychology: The seven foundations of well-being","first-page":"78","article-title":"Self-compassion and ACT","author":"Neff","year":"2013"},{"key":"10.1016\/j.bodyim.2026.102049_bib43","article-title":"Psychosocial interventions for adults with visible differences: A systematic review","volume":"4","author":"Norman","year":"2015","journal-title":"Peer Journal"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib44","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/08870449608400259","article-title":"The interpretation of change in verbal reports: Implications for health psychology","volume":"11","author":"Norman","year":"1996","journal-title":"Psychology Health"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib45","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1080\/03073289.1991.10805734","article-title":"When an ounce is worth a pound\u201d: alpha, beta and gamma change in health promotion initiatives","volume":"29","author":"Norman","year":"1991","journal-title":"Journal of the Institute of Health Education"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib46","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1080\/0142159X.2022.2057287","article-title":"A practical guide to reflexivity in qualitative research: AMEE Guide No. 149","volume":"45","author":"Olmos-Vega","year":"2023","journal-title":"Medical Teacher"},{"key":"10.1016\/j.bodyim.2026.102049_bib47","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.jcbs.2019.02.007","article-title":"A review of AAQ variants and other context-specific measures of psychological flexibility","volume":"12","author":"Ong","year":"2019","journal-title":"Journal of Contextual Behavioral Science"},{"key":"10.1016\/j.bodyim.2026.102049_bib48","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jcbs.2020.08.007","article-title":"A psychometric comparison of psychological inflexibility measures: Discriminant validity and item performance","volume":"18","author":"Ong","year":"2020","journal-title":"Journal of Contextual Behavioral Science"},{"key":"10.1016\/j.bodyim.2026.102049_bib49","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/2059513118822954","article-title":"The development of a self-help intervention to build social confidence in people living with visible skin conditions or scars: a think-aloud study","volume":"5","author":"Pasterfield","year":"2019","journal-title":"Scars, Burns Healing"},{"key":"10.1016\/j.bodyim.2026.102049_bib50","series-title":"Measurement and Piaget","article-title":"The theory of stages in cognitive development","author":"Piaget","year":"1971"},{"key":"10.1016\/j.bodyim.2026.102049_bib51","doi-asserted-by":"crossref","unstructured":"Policardo, G.R., Nerini, A., Di Gesto, C., & Matera, C. (2024). The associations between positive body image, well-being and psychological flexibility in breast cancer survivors. Psychology, Health & Medicine, 1\u201316. Advance online publication. https:\/\/doi.org\/10.1080\/13548506.2024.2417441.","DOI":"10.1080\/13548506.2024.2417441"},{"key":"10.1016\/j.bodyim.2026.102049_bib52","doi-asserted-by":"crossref","DOI":"10.1016\/j.bodyim.2023.101637","article-title":"An ACT self-help intervention for adults with a visible difference in appearance: A pilot feasibility and acceptability randomized controlled study","volume":"47","author":"Powell","year":"2023","journal-title":"Body Image"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib53","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1002\/cpp.702","article-title":"Construction and factorial validation of a short form of the Self-Compassion Scale","volume":"18","author":"Raes","year":"2011","journal-title":"Clinical Psychology Psychotherapy"},{"key":"10.1016\/j.bodyim.2026.102049_bib54","series-title":"Psychology: A study of a science. Vol. 3: Formulations of the person and the social context","first-page":"184","article-title":"A theory of therapy, personality and interpersonal relationships as developed in the client-centred framework","author":"Rogers","year":"1959"},{"key":"10.1016\/j.bodyim.2026.102049_bib55","series-title":"The Oxford Handbook of the Psychology of Appearance","author":"Rumsey","year":"2012"},{"key":"10.1016\/j.bodyim.2026.102049_bib56","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2022.979574","article-title":"The psychosocial burden of visible disfigurement following traumatic injury","volume":"13","author":"Sarwer","year":"2022","journal-title":"Frontiers in Psychology"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib57","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.burns.2014.07.006","article-title":"Efficacy of a burn-specific cognitive-behavioural group training","volume":"41","author":"Seehausen","year":"2015","journal-title":"Burns"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib58","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12913-017-2031-8","article-title":"Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework","volume":"17","author":"Sekhon","year":"2017","journal-title":"BMC Health Services Research"},{"issue":"4","key":"10.1016\/j.bodyim.2026.102049_bib59","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1016\/j.burns.2018.11.015","article-title":"The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury","volume":"45","author":"Shepherd","year":"2019","journal-title":"Burns"},{"issue":"8","key":"10.1016\/j.bodyim.2026.102049_bib60","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.1016\/j.burns.2017.04.018","article-title":"A comparison of two psychological screening methods currently used for inpatients in a UK burns service","volume":"43","author":"Shepherd","year":"2017","journal-title":"Burns"},{"issue":"6","key":"10.1016\/j.bodyim.2026.102049_bib61","first-page":"1","article-title":"Acceptance and commitment therapy for appearance anxiety: three case studies","volume":"10","author":"Shepherd","year":"2020","journal-title":"Scars, Burns and Healing"},{"key":"10.1016\/j.bodyim.2026.102049_bib62","doi-asserted-by":"crossref","DOI":"10.1016\/j.bodyim.2024.101797","article-title":"Early appearance concerns after burns: Exploring the roles of psychological flexibility and self-compassion","volume":"51","author":"Shepherd","year":"2024","journal-title":"Body Image"},{"issue":"8","key":"10.1016\/j.bodyim.2026.102049_bib63","doi-asserted-by":"crossref","first-page":"2103","DOI":"10.1016\/j.burns.2024.07.038","article-title":"The acceptability of early psychological interventions for adults with appearance concerns after burns","volume":"50","author":"Shepherd","year":"2024","journal-title":"Burns"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib64","doi-asserted-by":"crossref","DOI":"10.1111\/bjhp.12754","article-title":"A multi-centre prospective study investigating the roles of psychological flexibility and self-compassion in appearance concerns after burn injuries","volume":"30","author":"Shepherd","year":"2025","journal-title":"British Journal of Health Psychology"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib65","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1002\/pon.4138","article-title":"Body image and psychological distress in nipple-sparing mastectomy: the roles of self-compassion and appearance investment","volume":"26","author":"Sherman","year":"2017","journal-title":"Psycho-Oncology"},{"issue":"4","key":"10.1016\/j.bodyim.2026.102049_bib66","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.cbpra.2022.03.005","article-title":"A novel psychological group intervention targeting appearance-related distress among people with a visible disfigurement (Inside Out): A case study","volume":"30","author":"Siemann","year":"2023","journal-title":"Cognitive and Behavioral Practice"},{"key":"10.1016\/j.bodyim.2026.102049_bib67","doi-asserted-by":"crossref","first-page":"n2061","DOI":"10.1136\/bmj.n2061","article-title":"A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance","volume":"374","author":"Skivington","year":"2021","journal-title":"British Medical Journal"},{"key":"10.1016\/j.bodyim.2026.102049_bib68","series-title":"Qualitative research methods in mental health and psychotherapy: A guide for students and practitioners","article-title":"In pursuit of quality","author":"Spencer","year":"2012"},{"issue":"2","key":"10.1016\/j.bodyim.2026.102049_bib69","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2014-006184","article-title":"A review of the international Burn Injury Database (iBID) for England and Wales: descriptive analysis of burn injuries 2003-2011","volume":"5","author":"Stylianou","year":"2015","journal-title":"BMJ Open"},{"key":"10.1016\/j.bodyim.2026.102049_bib70","series-title":"The ACT Practitioner's Guide to the Science of Compassion: Tools for Fostering Psychological Flexibility","author":"Tirch","year":"2014"},{"issue":"10","key":"10.1016\/j.bodyim.2026.102049_bib71","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1002\/pon.5187","article-title":"Self-compassion and hope in the context of body image disturbance and distress in breast cancer survivors","volume":"28","author":"Todorov","year":"2019","journal-title":"Psycho-Oncology"},{"key":"10.1016\/j.bodyim.2026.102049_bib72","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2023.1075672","article-title":"A network analysis of psychological flexibility, coping, and stigma in dermatology patients","volume":"10","author":"Vasiliou","year":"2023","journal-title":"Frontiers in Medicine"},{"key":"10.1016\/j.bodyim.2026.102049_bib73","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/wps.20238","article-title":"How important are the common factors in psychotherapy: An update","volume":"14","author":"Wampold","year":"2015","journal-title":"World Psychiatry"},{"issue":"6","key":"10.1016\/j.bodyim.2026.102049_bib74","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1037\/0022-3514.54.6.1063","article-title":"Development and validation of brief measures of positive and negative affect: The PANAS scales","volume":"54","author":"Watson","year":"1988","journal-title":"Journal of Personality and Social Psychology"},{"issue":"4","key":"10.1016\/j.bodyim.2026.102049_bib75","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.jcbs.2014.09.002","article-title":"Using acceptance and commitment therapy to increase self-compassion: A randomized controlled trial","volume":"3","author":"Yadavaia","year":"2014","journal-title":"Journal of Contextual Behavioral Science"},{"issue":"1","key":"10.1016\/j.bodyim.2026.102049_bib76","first-page":"29","article-title":"Patients\u2019 experiences of an acceptance and commitment therapy-based approach for psychosocial difficulties relating to an appearance-affecting condition","volume":"9","author":"Zucchelli","year":"2020","journal-title":"The European Journal of Counselling Psychology"},{"key":"10.1016\/j.bodyim.2026.102049_bib77","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.bodyim.2019.12.002","article-title":"Experiential avoidance and cognitive fusion mediate the relationship between body evaluation and unhelpful body image coping strategies in individuals with visible differences","volume":"32","author":"Zucchelli","year":"2020","journal-title":"Body Image"},{"issue":"3","key":"10.1016\/j.bodyim.2026.102049_bib78","doi-asserted-by":"crossref","DOI":"10.2196\/26355","article-title":"Designing an mHealth intervention for people with visible differences based on acceptance and commitment therapy: Participatory study gaining stakeholders\u2019 input","volume":"5","author":"Zucchelli","year":"2021","journal-title":"JMIR Formative Research"}],"updated-by":[{"DOI":"10.1016\/j.bodyim.2026.102080","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000}},{"DOI":"10.1016\/j.bodyim.2026.102080","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000}}],"container-title":["Body Image"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1740144526000203?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1740144526000203?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T19:45:21Z","timestamp":1779997521000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1740144526000203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":78,"alternative-id":["S1740144526000203"],"URL":"https:\/\/doi.org\/10.1016\/j.bodyim.2026.102049","relation":{},"ISSN":["1740-1445"],"issn-type":[{"value":"1740-1445","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A mixed-methods study investigating the acceptability of an early acceptance and commitment therapy (ACT) intervention to aid adjustment to appearance changes after burns","name":"articletitle","label":"Article Title"},{"value":"Body Image","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bodyim.2026.102049","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"102049"}}