{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T21:59:02Z","timestamp":1786571942472,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T00:00:00Z","timestamp":1574726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the long\u2010term psychological reactions and resilient process of the young survivors after a large\u2010scale burn disaster of the Formosa Color Dust Explosion in Taiwan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Longitudinal study with follow\u2010up interviews using standardized questionnaire during November 2015\u2013June 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The burn survivors received structured assessment in the four\u2010wave interviews including the five\u2010item Brief Symptom Rating Scale, nine\u2010item Concise Mental Health Checklist, and two\u2010item Patient Health Questionnaire for depressive symptoms and suicide risk assessment. Post\u2010traumatic psychological symptoms were assessed through the four\u2010item Startle, Physiological Arousal, Anger, and Numbness Scale, and six\u2010item Impact of Event Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The response rates were 65.1%, 74.2%, 76.9%, and 78.5% across the four\u2010wave interviews among 484 burn survivors. The participants were mean\u2010aged 23.1\u00a0years with just over half having 40% or more burn wounds in total body surface area. The respondents at each wave were similar in gender, age, and per cent of total body surface area burned. In the first 2 years of recovery, the respondents showed resilience in coping with stress of trauma under family and social support. While there was a decreasing trend of psychological symptoms over the first 2\u00a0years, hypnotic use and alcohol consumption remained at about 10% in the final interview, which were accompanied by psychological symptom recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Young burn survivors recovered both psychologically and physically under supportive care and personal resilience in 2\u00a0years after the burn event, yet post\u2010traumatic mental distress and coping efforts after 2\u00a0years during community reintegration should be detected and managed. Early prevention and detection of mental health deterioration is needed even after 2\u00a0years of burn disasters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The study demonstrated post\u2010burn longitudinal changes on psychological reactions. Nursing staffs may help young burn survivors identify mental distress and stress management needs in the long\u2010term psychological adaptation process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14248","type":"journal-article","created":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T02:45:35Z","timestamp":1572230735000},"page":"514-525","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["A longitudinal study on psychological reactions and resilience among young survivors of a burn disaster in Taiwan 2015\u20132018"],"prefix":"10.1111","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1756-557X","authenticated-orcid":false,"given":"Chia\u2010Yi","family":"Wu","sequence":"first","affiliation":[{"name":"School of Nursing National Taiwan University College of Medicine Taipei Taiwan"},{"name":"Department of Nursing National Taiwan University Hospital Taipei Taiwan"},{"name":"Taiwanese Society of Suicidology &amp; Taiwan Suicide Prevention Center Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010Been","family":"Lee","sequence":"additional","affiliation":[{"name":"Taiwanese Society of Suicidology &amp; Taiwan Suicide Prevention Center Taipei Taiwan"},{"name":"Department of Psychiatry National Taiwan University Hospital Taipei Taiwan"},{"name":"Department of Psychiatry Shin Kong Memorial Wu Ho\u2010Su Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi\u2010Hung","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Microbiology and Immunology National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu\u2010Chen","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Health New Taipei City Government Banqiao Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Chieh","family":"Tu","sequence":"additional","affiliation":[{"name":"Department of Health New Taipei City Government Banqiao Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia\u2010Ming","family":"Chang","sequence":"additional","affiliation":[{"name":"Taiwanese Society of Suicidology &amp; Taiwan Suicide Prevention Center Taipei Taiwan"},{"name":"Department of Psychiatry Chang\u2010Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,26]]},"reference":[{"issue":"1","key":"e_1_2_10_2_1","first-page":"S169","article-title":"Resilience theory in psychosocial burn research: A qualitative analysis","volume":"36","author":"Abrams T. 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