{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:41:21Z","timestamp":1780605681143,"version":"3.54.1"},"reference-count":45,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009157","name":"National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Burns"],"published-print":{"date-parts":[[2022,6]]},"DOI":"10.1016\/j.burns.2021.11.024","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T11:26:28Z","timestamp":1638962788000},"page":"932-940","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Mediators and moderators of the relationship between body image and community integration among burn survivors"],"prefix":"10.1016","volume":"48","author":[{"given":"Amelia E.","family":"Mercado","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepanjli","family":"Donthula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob E.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Ring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Trust","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom J.","family":"Crijns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.burns.2021.11.024_bib1","doi-asserted-by":"crossref","DOI":"10.1097\/BCR.0000000000000519","article-title":"Examination of the life expectancy of patients with burns over 20% of their total body surface area in comparison to the rest of the population","author":"Weissman","year":"2017","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.burns.2021.11.024_bib2","doi-asserted-by":"crossref","DOI":"10.1097\/00000658-199705000-00012","article-title":"Mortality determinants in massive pediatric burns","author":"Wolf","year":"1997","journal-title":"Ann Surg"},{"key":"10.1016\/j.burns.2021.11.024_bib3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.pmr.2018.08.004","article-title":"Rehabilitation of burn injuries: an update","volume":"30","author":"Young","year":"2019","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"10.1016\/j.burns.2021.11.024_bib4","doi-asserted-by":"crossref","DOI":"10.1097\/01.BCR.0000245477.10083.BC","article-title":"Quality of life of young adults who survived pediatric burns","author":"Rosenberg","year":"2006","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.burns.2021.11.024_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.burns.2011.09.003","article-title":"Evaluation of long term health-related quality of life in extensive burns: a 12-year experience in a burn center","author":"Xie","year":"2012","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpsychores.2007.09.003","article-title":"From survival to socialization: a longitudinal study of body image in survivors of severe burn injury","author":"Thombs","year":"2008","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.burns.2021.11.024_bib7","doi-asserted-by":"crossref","DOI":"10.1093\/jbcr\/iry007","article-title":"The associations of gender with social participation of burn survivors: a life impact burn recovery evaluation profile study","author":"Levi","year":"2018","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.burns.2021.11.024_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/S0305-4179(02)00100-6","article-title":"Post-traumatic stress disorder in burned patients","author":"El hamaoui","year":"2002","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/S0006-3223(00)00933-1","article-title":"A second look at comorbidity in victims of trauma: The posttraumatic stress disorder-major depression connection","author":"Breslau","year":"2000","journal-title":"Biol Psychiatry"},{"key":"10.1016\/j.burns.2021.11.024_bib10","first-page":"158","article-title":"Body image and body image distortion","author":"\u00c1brah\u00e1m","year":"2017","journal-title":"Orv Hetil"},{"key":"10.1016\/j.burns.2021.11.024_bib11","first-page":"41","article-title":"Developing a comprehensive framework of community integration for people with acquired brain injury: a conceptual analysis","author":"Shaikh","year":"2019","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.burns.2021.11.024_bib12","doi-asserted-by":"crossref","DOI":"10.1016\/j.burns.2014.04.007","article-title":"Post-traumatic growth in adults following a burn","author":"Baillie","year":"2014","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib13","first-page":"29","article-title":"Depression in burn reconstruction patients: symptom prevalence and association with body image dissatisfaction and physical function","author":"Thombs","year":"2007","journal-title":"Gen Hosp Psychiatry"},{"key":"10.1016\/j.burns.2021.11.024_bib14","first-page":"44","article-title":"Physical, functional, and psychosocial recovery from burn injury are related and their relationship changes over time: a burn model system study","author":"McAleavey","year":"2018","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib15","article-title":"Body image, physical activity, quality of life, and community reintegration of individuals with acquired mobility disability in a Nigerian population","author":"Okoye","year":"2020","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.burns.2021.11.024_bib16","first-page":"74","article-title":"Body image in patients with mental disorders: characteristics, associations with diagnosis and treatment outcome","author":"Scheffers","year":"2017","journal-title":"Compr Psychiatry"},{"key":"10.1016\/j.burns.2021.11.024_bib17","doi-asserted-by":"crossref","DOI":"10.1097\/BCR.0b013e31817de275","article-title":"Positive change after severe burn injuries","author":"Rosenbach","year":"2008","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.burns.2021.11.024_bib18","first-page":"17","article-title":"Posttraumatic growth in parents and pediatric patients","author":"Picoraro","year":"2014","journal-title":"J Palliat Med"},{"key":"10.1016\/j.burns.2021.11.024_bib19","first-page":"47","article-title":"Burn severity and long-term psychosocial adjustment after burn injury: the mediating role of body image dissatisfaction","author":"Huang","year":"2021","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib20","first-page":"274","article-title":"PTSD, depression and posttraumatic growth in young adult burn survivors: three-year follow-up of the 2015 Formosa fun coast water park explosion in Taiwan","author":"Su","year":"2020","journal-title":"J Affect Disord"},{"key":"10.1016\/j.burns.2021.11.024_bib21","first-page":"10","article-title":"Body image, self-esteem, and depression in burn-injured adolescents and young adults","author":"Orr","year":"1989","journal-title":"J Burn Care Rehabil"},{"key":"10.1016\/j.burns.2021.11.024_bib22","first-page":"22","article-title":"Community integration outcome after burn injury","author":"Esselman","year":"2011","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"10.1016\/j.burns.2021.11.024_bib23","article-title":"Community integration questionnaire (CIQ)","author":"Tate","year":"2020","journal-title":"A Compend Tests Scales Quest"},{"key":"10.1016\/j.burns.2021.11.024_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.apmr.2011.01.025","article-title":"The neurology quality-of-life measurement initiative","author":"Cella","year":"2011","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.burns.2021.11.024_bib25","doi-asserted-by":"crossref","DOI":"10.1212\/WNL.0b013e318258f744","article-title":"Neuro-QOL: brief measures of health-related quality of life for clinical research in neurology","author":"Cella","year":"2012","journal-title":"Neurology"},{"key":"10.1016\/j.burns.2021.11.024_bib26","doi-asserted-by":"crossref","DOI":"10.1007\/s11136-014-0786-5","article-title":"Spanish translation and linguistic validation of the quality of life in neurological disorders (Neuro-QoL) measurement system","author":"Correia","year":"2015","journal-title":"Qual Life Res"},{"key":"10.1016\/j.burns.2021.11.024_bib27","first-page":"789","article-title":"Validation and reliability study of the turkish version of the neuroquality of life (Neuro-qol)-stigma scale for neurological disorders","volume":"49","author":"Kar\u015fida\u011f","year":"2019","journal-title":"Turk J Med Sci"},{"key":"10.1016\/j.burns.2021.11.024_bib28","doi-asserted-by":"crossref","DOI":"10.1037\/0022-006X.66.3.586","article-title":"Posttraumatic stress disorder after treatment for breast cancer: Prevalence of diagnosis and use of the PTSD Checklist - Civilian Version (PCL-C) as a screening instrument","author":"Andrykowski","year":"1998","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.burns.2021.11.024_bib29","unstructured":"Weathers FW, Litz BT, Herman DS, Huska J.a., Keane TM. The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Pap Present Annu Meet Int Soc Trauma Stress Stud San Antonio, TX, October, 1993 1993."},{"key":"10.1016\/j.burns.2021.11.024_bib30","doi-asserted-by":"crossref","DOI":"10.1002\/jts.2490090305","article-title":"The posttraumatic growth inventory: measuring the positive legacy of trauma","author":"Tedeschi","year":"1996","journal-title":"J Trauma Stress"},{"key":"10.1016\/j.burns.2021.11.024_bib31","article-title":"Clinical applications of posttraumatic growth","author":"Tedeschi","year":"2015","journal-title":"Posit Psychol Pract Promot Hum Flourishing Work Heal Educ Everyday Life Second Ed"},{"key":"10.1016\/j.burns.2021.11.024_bib32","article-title":"Reliability generalization of scores on the post-traumatic growth inventory","author":"Lenz","year":"2020","journal-title":"Meas Eval Couns Dev"},{"key":"10.1016\/j.burns.2021.11.024_bib33","first-page":"37","article-title":"Using the Burn Specific Health Scale-Brief as a measure of quality of life after a burn - what score should clinicians expect?","author":"Kvannli","year":"2011","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib34","doi-asserted-by":"crossref","DOI":"10.1097\/01.BCR.0000238085.87863.81","article-title":"Profile of patients lost to follow-up in the burn injury rehabilitation model systems\u2019 longitudinal database","author":"Holavanahalli","year":"2006","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.burns.2021.11.024_bib35","first-page":"15","article-title":"Recovery of health-related quality of life after burn injuries: an individual participant data meta-analysis","author":"Spronk","year":"2020","journal-title":"PLoS One"},{"key":"10.1016\/j.burns.2021.11.024_bib36","first-page":"42","article-title":"Predictors of moderate to severe fatigue 12 months following admission to hospital for burn: results from the Burns Registry of Australia and New Zealand (BRANZ) long term outcomes project","author":"Gabbe","year":"2016","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib37","doi-asserted-by":"crossref","DOI":"10.1016\/j.apmr.2007.09.011","article-title":"Assets and Liabilities of the burn model system data model: a comparison with the national burn registry","author":"Lezotte","year":"2007","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.burns.2021.11.024_bib38","first-page":"88","article-title":"Impact of socio-economic development, contact and peer counselling on stigma against persons affected by leprosy in Cirebon, Indonesia - a randomised controlled trial","author":"Dadun","year":"2017","journal-title":"Lepr Rev"},{"key":"10.1016\/j.burns.2021.11.024_bib39","first-page":"246","article-title":"Stigma reduction interventions for children and adolescents in low- and middle-income countries: systematic review of intervention strategies","author":"Hartog","year":"2020","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.burns.2021.11.024_bib40","doi-asserted-by":"crossref","DOI":"10.1097\/BCR.0000000000000177","article-title":"The treatment of posttraumatic stress disorder and related psychosocial consequences of burn injury: a pilot study","author":"Cukor","year":"2015","journal-title":"J Burn Care Res"},{"key":"10.1016\/j.burns.2021.11.024_bib41","doi-asserted-by":"crossref","DOI":"10.1016\/j.burns.2016.09.012","article-title":"Early assessment and identification of posttraumatic stress disorder, satisfaction with appearance and coping in patients with burns","author":"Dahl","year":"2016","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib42","first-page":"44","article-title":"Social support, dysfunctional coping, and community reintegration as predictors of ptsd among human trafficking survivors","author":"Okech","year":"2018","journal-title":"Behav Med"},{"key":"10.1016\/j.burns.2021.11.024_bib43","first-page":"43","article-title":"Quality of life and posttraumatic growth after adult burn: a prospective, longitudinal study","author":"Martin","year":"2017","journal-title":"Burns"},{"key":"10.1016\/j.burns.2021.11.024_bib44","first-page":"29","article-title":"Post-traumatic growth and related factors among 1221 Chinese cancer survivors","author":"Zhang","year":"2020","journal-title":"Psychooncology"},{"key":"10.1016\/j.burns.2021.11.024_bib45","first-page":"78","article-title":"Time and other considerations in mediation design","author":"Cain","year":"2018","journal-title":"Educ Psychol Meas"}],"container-title":["Burns"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0305417921003466?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0305417921003466?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T08:18:49Z","timestamp":1759652329000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0305417921003466"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":45,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["S0305417921003466"],"URL":"https:\/\/doi.org\/10.1016\/j.burns.2021.11.024","relation":{},"ISSN":["0305-4179"],"issn-type":[{"value":"0305-4179","type":"print"}],"subject":[],"published":{"date-parts":[[2022,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mediators and moderators of the relationship between body image and community integration among burn survivors","name":"articletitle","label":"Article Title"},{"value":"Burns","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.burns.2021.11.024","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Ltd and ISBI. All rights reserved.","name":"copyright","label":"Copyright"}]}}