{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T07:58:51Z","timestamp":1773993531020,"version":"3.50.1"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T00:00:00Z","timestamp":1727827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","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":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Appearance concerns following burn injuries are common. Psychological factors are important in maintaining such concerns. However, there is a lack of longitudinal or prospective research investigating their development. This study investigated whether psychological flexibility and self\u2010compassion at hospital admission predicted subsequent appearance concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multi\u2010centre prospective cohort study across six burn services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009175; 67% male) in hospital following burn injuries were recruited. Questionnaires measuring appearance concerns, psychological flexibility, self\u2010compassion, post\u2010traumatic stress disorder symptoms and perceived noticeability were completed during hospital admission and two\u2010 and six\u2010months later. Demographic and burn injury information was collected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Correlational analyses showed that increased psychological flexibility and self\u2010compassion at admission were associated with decreased appearance concerns cross\u2010sectionally and prospectively at two\u2010 and six\u2010month follow\u2010up. These associations remained significant when controlling for key covariates (i.e. gender, age, ethnicity, percentage total body surface area burnt, perceived noticeability, PTSD symptoms). Multiple linear regression analyses revealed that psychological flexibility and self\u2010compassion predicted appearance concerns during hospital admission. Although psychological flexibility significantly predicted appearance concerns over time, it became non\u2010significant when controlling for baseline appearance concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychological flexibility has a protective role against appearance concerns soon after burn injuries, although this protective role is reduced when accounting for baseline appearance concerns. Early interventions targeting psychological flexibility (i.e. acceptance and commitment therapy) may be beneficial after burns if adapted to address appearance\u2010related concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.12754","type":"journal-article","created":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:00:18Z","timestamp":1727913618000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A multi\u2010centre prospective cohort study investigating the roles of psychological flexibility and self\u2010compassion in appearance concerns after burn injuries"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0205-6596","authenticated-orcid":false,"given":"Laura","family":"Shepherd","sequence":"first","affiliation":[{"name":"Nottingham University Hospitals NHS Trust  Nottingham UK"},{"name":"University of Sheffield  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0927-277X","authenticated-orcid":false,"given":"Fuschia M.","family":"Sirois","sequence":"additional","affiliation":[{"name":"Durham University  Durham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Harcourt","sequence":"additional","affiliation":[{"name":"University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Norman","sequence":"additional","affiliation":[{"name":"University of Sheffield  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Aaron","sequence":"additional","affiliation":[{"name":"The Mid Yorkshire Teaching NHS Trust  Wakefield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Adkins","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Foundation Trust  Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Cartwright","sequence":"additional","affiliation":[{"name":"Buckinghamshire Healthcare NHS Trust  Aylesbury UK"},{"name":"Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Hodgkinson","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust  Newcastle UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Murphy","sequence":"additional","affiliation":[{"name":"Swansea Bay University Health Board  Swansea UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6788-7222","authenticated-orcid":false,"given":"Andrew R.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Cardiff and Vale University Health Board and Cardiff University  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,2]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278\u20106133.19.6.586"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/bcr.0b013e318217f97a"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2015.02.020"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121\u2010008\u20100099\u20104"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.03.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.101973"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.974816"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12421"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2020.02.008"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.112.1.155"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.09.009"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671\u2010020\u201001563\u20108"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0278\u20106133.21.2.115"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12043"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1348\/147608310X526511"},{"key":"e_1_2_11_17_1","volume-title":"ACT made simple: An easy\u2010to\u2010read primer on acceptance and commitment therapy","author":"Harris R.","year":"2009"},{"key":"e_1_2_11_18_1","volume-title":"Acceptance and commitment therapy: An experiential approach to behavior change","author":"Hayes S. 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