Masking effects of social desirability response set on relations between psychosocial factors and sport injuries : a methodological note

Méthodologie de l'enquête par questionnaire en psychologie sociale : problèmes d'interprétation des questionnaires d'athlètes confrontés à une blessure sportive : les réponses, notamment sur les façons de gérer sa blessure, peuvent être conditionnées par la perception qu'ont les athlètes d'une attente sociale

Using a Biopsychosocial Model to Understand Long-Term Outcomes in Persons With Burn Injuries.

ObjectiveTo determine the importance of preburn adjustment, injury-related variables, and selection of coping style in various outcome measures using a biopsychosocial model.DesignLongitudinal study.SettingOutpatient burn clinics.ParticipantsBurn survivors (N=231) who participated in this study as part of a larger burn model system study of 645 patients with major burn injuries.InterventionsNot applicable.Main outcome measuresThe 36-Item Short-Form Health Survey was used to assess preburn adjustment. Other outcome measures entered into the model included the Ways of Coping Checklist Revised, the Brief Symptom Inventory, the Beck Depression Inventory-II, and the Davidson Trauma Scale.ResultsCorrelational and mediational analyses revealed that preburn emotional health predicted better adjustment at year 1 and more posttraumatic stress disorder symptoms at year 2. Better preburn emotional health was also related to less use of avoidance coping strategies, which was found to be a mediator of the effect of preburn emotional health and posttraumatic stress disorder symptoms. Burn injury characteristics were not significantly associated with psychological adjustment at either year 1 or year 2.ConclusionsThe results indicate that there is a complex relation between premorbid mental health and the selection of coping strategies that affect long-term adjustment in persons recovering from a burn injury. This relation seems to have greater effect on long-term outcomes than does preburn emotional or physical health alone or the severity of the burn

Using a Biopsychosocial Model to Understand Long-Term Outcomes in Persons With Burn Injuries

ObjectiveTo determine the importance of preburn adjustment, injury-related variables, and selection of coping style in various outcome measures using a biopsychosocial model.DesignLongitudinal study.SettingOutpatient burn clinics.ParticipantsBurn survivors (N=231) who participated in this study as part of a larger burn model system study of 645 patients with major burn injuries.InterventionsNot applicable.Main outcome measuresThe 36-Item Short-Form Health Survey was used to assess preburn adjustment. Other outcome measures entered into the model included the Ways of Coping Checklist Revised, the Brief Symptom Inventory, the Beck Depression Inventory-II, and the Davidson Trauma Scale.ResultsCorrelational and mediational analyses revealed that preburn emotional health predicted better adjustment at year 1 and more posttraumatic stress disorder symptoms at year 2. Better preburn emotional health was also related to less use of avoidance coping strategies, which was found to be a mediator of the effect of preburn emotional health and posttraumatic stress disorder symptoms. Burn injury characteristics were not significantly associated with psychological adjustment at either year 1 or year 2.ConclusionsThe results indicate that there is a complex relation between premorbid mental health and the selection of coping strategies that affect long-term adjustment in persons recovering from a burn injury. This relation seems to have greater effect on long-term outcomes than does preburn emotional or physical health alone or the severity of the burn