{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:17:34Z","timestamp":1791433054629,"version":"4.3.3"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T00:00:00Z","timestamp":1353456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2013,2]]},"abstract":"Background<\/jats:title>Patients with severe skin and soft tissue infection (SSTI<\/jats:styled-content>) requiring intensive care unit (ICU<\/jats:styled-content>) stay are commonly treated with antibiotics, surgery and in some centers also with hyperbaric oxygen therapy. Long\u2010term follow\u2010up of body image and psychological outcome has not been described despite extensive surgery, potentially altered body image and subsequent psychological problems. The aim was to describe perceived body image and its relation to anxiety, depression and post\u2010traumatic stress disorder (PTSD<\/jats:styled-content>)\u2010related symptoms in patients with severe SSTI<\/jats:styled-content> 1 year after ICU<\/jats:styled-content> stay. Specifically, we aimed to assess potential differences related to gender and anatomic site of infection.<\/jats:p><\/jats:sec>Methods<\/jats:title>Fifty patients treated for severe SSTI<\/jats:styled-content> in the G<\/jats:styled-content>eneral ICU<\/jats:styled-content>, K<\/jats:styled-content>arolinska U<\/jats:styled-content>niversity H<\/jats:styled-content>ospital 2008\u20132010 received the body image scale (BIS<\/jats:styled-content>), impact of event scale (IES<\/jats:styled-content>), and hospital anxiety and depression scale (HADS<\/jats:styled-content>) 1 year after ICU<\/jats:styled-content> discharge.<\/jats:p><\/jats:sec>Results<\/jats:title>Abdominoperineal SSTI<\/jats:styled-content> was associated with more body image problems than other anatomic sites of infection in both men and women. Generally, women reported higher BIS<\/jats:styled-content> scores than men (median 9.5 vs. 3.0 of total 30, P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.03) indicating more negative body image. A substantial number of patients reported scar dissatisfaction (63.9%), body dissatisfaction (51.1%) and body feeling less whole (51.0%). BIS<\/jats:styled-content> scores correlated with HADS<\/jats:styled-content> anxiety (r\u2009=\u20090.59, P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.01), depression (r\u2009=\u20090.60, P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.01) and IES<\/jats:styled-content> (r\u2009=\u20090.61, P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.01) scores.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>One year after severe SSTI<\/jats:styled-content> requiring intensive care, women and patients with abdominoperineal SSTI<\/jats:styled-content> reported significantly more body image problems. Negative body image was associated with anxiety, depression and PTSD<\/jats:styled-content>\u2010related symptoms. Specific follow\u2010up for SSTI<\/jats:styled-content> patients is warranted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12015","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T11:33:56Z","timestamp":1353497636000},"page":"220-228","source":"Crossref","is-referenced-by-count":6,"title":["Body image and psychological outcome after severe skin and soft tissue infection requiring intensive care"],"prefix":"10.1111","volume":"57","author":[{"given":"E. 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C.","family":"LARSSON","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Surgical Services and Intensive Care Medicine Karolinska University Hospital Solna Stockholm Sweden"},{"name":"Section for Anaesthesiology and Intensive Care Medicine Department of Physiology and Pharmacology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. R.","family":"SCHANDL","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Surgical Services and Intensive Care Medicine Karolinska University Hospital Solna Stockholm Sweden"},{"name":"Section for Anaesthesiology and Intensive Care Medicine Department of Physiology and Pharmacology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. 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