{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:46:26Z","timestamp":1790005586541,"version":"4.0.1"},"reference-count":40,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Fonds de Recherche du Qu\u00e9bec \u2013 Sant\u00e9 (FRQS) Master\u2019s Training Scholarship and BDT by a Tier 1 Canada Research Chair"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Scleroderma and Related Disorders"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction\/Objective:<\/jats:title>\n                    <jats:p>Visible differences from medical conditions and injuries are associated with body image concerns, particularly among females and young adults. We compared dissatisfaction with appearance and social discomfort between people with systemic sclerosis and burn injury, since the extent and implications of appearance changes are well-established in burn injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched PubMed, PsycInfo, EMBASE, and CINAHL to 8 December 2024 for studies that used the Satisfaction with Appearance Scale among adults with burn injury or systemic sclerosis. We emailed study authors and requested Satisfaction with Appearance Scale Dissatisfaction with Appearance and Social Discomfort subscale means and standard deviations for subgroups defined by sex (female, male) and age (18\u201344 years, 45\u201364\u2009years, \u2a7e 65\u2009years). For each subgroup, we conducted a random-effects meta-analysis to estimate the difference between mean scores for people with burn injury and systemic sclerosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We identified 17 eligible studies from nine unique cohorts. We obtained subgroup results from two of three eligible burn cohorts (2658 participants, 98% of total eligible) and five of six eligible systemic sclerosis cohorts (3402 participants, 99% of total eligible participants). Dissatisfaction with Appearance subscale scores were higher among people with systemic sclerosis compared to burn injury by 2.2 to 5.7 points (standardized mean difference\u2009=\u20090.20 to 0.53) for females and males across all age groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05 for males aged 18\u201344 and 45\u201364\u2009years). For social discomfort, differences were close to zero (standardized mean difference\u2009&lt;\u20090.10) for females aged 18\u201344 and 45\u201364\u2009years. For females aged \u2a7e 65\u2009years and all male age groups, scores were higher in systemic sclerosis than burn injury (standardized mean difference = 0.22 to 0.45), although none were statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Dissatisfaction with appearance and social discomfort appear to be similar or greater among people with systemic sclerosis compared to people who have been hospitalized with a burn injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23971983251326746","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T04:54:38Z","timestamp":1742792078000},"page":"530-539","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of appearance dissatisfaction and appearance-related social discomfort among people with systemic sclerosis and burn injury"],"prefix":"10.1136","volume":"10","author":[{"given":"Julia","family":"Langleben","sequence":"first","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada"},{"name":"Department of Psychology, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Dal Santo","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada"},{"name":"Department of Psychiatry, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meira","family":"Golberg","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kexin","family":"Li","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-8432","authenticated-orcid":false,"given":"Brett D","family":"Thombs","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada"},{"name":"Department of Psychology, McGill University, Montreal, QC, Canada"},{"name":"Department of Psychiatry, McGill University, Montreal, QC, Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada"},{"name":"Department of Medicine, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(00)00056-8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.979574"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4439"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijwd.2017.09.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0033281"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2013.04.005"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/nop\/npy018"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2020.02.008"},{"issue":"12","key":"e_1_3_3_10_2","first-page":"1019","article-title":"Factors associated with risk of body image-related distress in patients with head and neck cancer","volume":"147","author":"Macias D","year":"2021","unstructured":"Macias D, Hand BN, Maurer S, et al. Factors associated with risk of body image-related distress in patients with head and neck cancer. 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Examination of the association of sex and race\/ethnicity with appearance concerns: a Scleroderma Patient-centered Intervention Network (SPIN) cohort study. Clin Exp Rheumatol 2016; 34(5): 92\u201399.","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.10.1.64"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2017.06.005"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002287"},{"key":"e_1_3_3_25_2","first-page":"25397","article-title":"Minimal detectable changes of the HAQ-DI, PROMIS-29v2.0 Domains, and PHQ-8 in systemic sclerosis: a SPIN cohort cross-sectional study","volume":"9","author":"Alkan A","year":"2024","unstructured":"Alkan A, Carrier ME, Henry RS, et al. Minimal detectable changes of the HAQ-DI, PROMIS-29v2.0 Domains, and PHQ-8 in systemic sclerosis: a SPIN cohort cross-sectional study. 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