Coming to terms with it all: adult burn survivors’ ‘lived experience’ of acknowledgement and acceptance during rehabilitation
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Although studies have explored the 'lived experience' of burn survivors, little is known about their experiences encountered during rehabilitation. A descriptive phenomenological study was conducted to gain an in-depth insight into burn survivors' experiences' of acknowledgement and acceptance of their injury and the challenges experienced during their rehabilitation journey. A descriptive phenomenological methodology was used to construct themes depicting how burn survivors endeavoured to acknowledge and accept their injury and subsequent altered body image. Twenty men and one woman up to eight years after-burn within Australia were selected through purposeful sampling, and data were collected through in-depth individual interviews conducted in 2011 (N = 21). Interviews were analysed using Colaizzi's method of data analysis. The emergent theme acknowledgement identified four cluster themes that represented how burn survivors came to terms with their injury and an altered body image: (1) reasoning (2) humour (3) the challenge of acceptance (4) self-awareness. Coming to terms with a severe burn is a challenging experience. Reasoning and humour are strategies utilised by burn survivors that facilitate with acknowledgement and acceptance. Understanding these concepts through the burn survivors' perspective will, potentially, facilitate a better understanding of how to best provide for this cohort of patients.
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People who survive burn injuries are known to experience appearance anxiety due to the unexpected and sudden change in appearance due to scarring, as well as other psychological difficulties.
“People who survive burn injuries are known to experience appearance anxiety. This is due to the unexpected and sudden change in appearance due to scarring from such injuries, as well as other psychological difficulties such as those aforementioned [23,37-38].”
From The role of psychological flexibility in appearance anxiety in people who have experienced a visible burn injury. (2019) · cites this paper as [23]
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Coghlan, N., Copley, J., Aplin, T., & Strong, J. (2019) · Burns · doi:10.1016/j.burns.2018.08.014 · Cited by 10 · see citing works
Dukes, K., Baldwin, S., Hagedorn, J., Ruba, E., Christel, K. N., Assimacopoulos, E. M., Grieve, B., & Wibbenmeyer, L. A. (2021) · Journal of Burn Care & Research · doi:10.1093/jbcr/irab062 · Cited by 10 · see citing works
Kittrick, A. M., & Gustafsson, L. A. (2021) · Journal of Burn Care & Research · doi:10.1093/jbcr/irab086 · Cited by 9 · see citing works
Surgical treatment and management of the severely burn patient: Review and update
Gacto-Sánchez, P. (2017) · Medicina Intensiva (English Edition) · doi:10.1016/j.medine.2017.02.015 · Cited by 8 · see citing works
Karaaziz, M., Razzaghi, P., Keskindag, B., & Güney, H. (2024) · Current Psychology · doi:10.1007/s12144-023-04693-z · Cited by 6 · see citing works
A tiered approach to inpatient psychosocial screening in an adult UK burns service
Shepherd, L., & Beveridge, A. (2021) · Burns · doi:10.1016/j.burns.2021.05.017 · Cited by 6 · see citing works
Shervington, L., Wimalasundera, N., & Delany, C. M. (2019) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.14706 · Cited by 7 · see citing works
Tyerman, C., Shepherd, L., Boos, D. D., & Tickle, A. (2021) · Burns · doi:10.1016/j.burns.2021.08.019 · Cited by 5 · see citing works
Weed, V. F., Canenguez, K., Romo, S., Wang, S. L., Kazis, L., Lee, A., Herndon, D., Palmieri, T., Warner, P., Haile, H., et al. (2018) · Journal of Burn Care & Research · doi:10.1093/jbcr/iry054 · Cited by 4 · see citing works
Tolstov, A. V., Novikov, I. V., Подсевалова, И. В., Voronin, A. V., Dydykin, S. S., & Алипов, В. В. (2020) · Science and Innovations in Medicine · doi:10.35693/2500-1388-2020-5-4-283-287 · Cited by 3 · see citing works
Psychosocial Screening in Adult Burns Inpatients within a Scottish Burns Unit
Lindsay, D., Kirkwood, K., & Crawford, R. (2023) · European Burn Journal · doi:10.3390/ebj4020018 · Cited by 3 · see citing works
Kornhaber, R. A., Wiechula, R., & McLean, L. (2015) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2015-1597 · Cited by 3 · see citing works
Winanda, R. A., Kusumadewi, I., Wardhana, A., Wiguna, T., & Raharjanti, N. W. (2018) · Jurnal Plastik Rekonstruksi · doi:10.14228/jpr.v4i2.235 · Cited by 2 · see citing works
Aviv, U., Beylin, D., Biroš, E., Levi, Y., Kornhaber, R. A., Cleary, M. L., Shoham, Y., Haik, J., & Harats, M. (2024) · Burns · doi:10.1016/j.burns.2024.02.002 · Cited by 1 · see citing works
Plaza, A., Mulliss, B., Adsett, J. A., Kittrick, A. M., Hill, A., McRae, P., & Mudge, A. (2025) · Burns · doi:10.1016/j.burns.2025.107479 · Cited by 1 · see citing works
Psychological evaluation of adult burn survivors: a pilot study
Kurian, S., Padickaparambil, S., Thomas, J., Sreekumar, N. C., & James, A. R. (2019) · International Surgery Journal · doi:10.18203/2349-2902.isj20195407 · Cited by 1 · see citing works
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Failure in suicide risk assessment among burn survivors:An important yet overlooked issue
Eftekhari, B., Golamkaboudi, A. B., Roshani, K. B., & Khalili, A. (2023) · Burns · doi:10.1016/j.burns.2022.12.019
Treatment and Rehabilitation of the Patient with a Scar
Martin, L. J., & Wood, F. M. (2024) · Springer eBooks · doi:10.1007/978-3-031-24137-6_17
Shaukat, A., Rashid, S., & Ahmed, M. A. (2026) · Psychology Health & Medicine · doi:10.1080/13548506.2025.2606182
Caregiver Perceptions of a Psychosocially Orientated Resilience-Themed Multimedia Burn Intervention
van Tonder, W., Ahmed, R., Basadien, T., Faroa, B. D., & van Niekerk, A. (2026) · Clinical Practice in Pediatric Psychology · doi:10.1177/21694826261441518
- Authors
- Kornhaber, R., Wilson, A., Abu-Qamar, M. Z., & McLean, L.
- Affiliations
- Royal North Shore Hospital (AU)
- Flinders University (AU)
- The University of Sydney (AU)
- Corresponding author
- Kornhaber, R.
- Venue
- Burns
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 40
- Issue
- 4
- Pages
- 589-597
- ISSN
- 0305-4179 (ISSN-L)
- OpenAlex
- W2051403167
- Cited by
- 65
- References
- 67
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 7 · 2018: 9 · 2017: 8 · 2016: 9 · 2015: 9 · 2014: 2
- FWCI
- 4.86
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Burns (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Research Online (Edith Cowan University) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Epidemiology › Burn Injury Management and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- burn survivors, lived experience, burn rehabilitation, altered body image, humour, coping strategies, self-awareness, reasoning
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Australia, Behavior, Burns, Female, Humans, Male, Middle Aged, Wit and Humor as Topic, Survivors, Qualitative Research, Young Adult
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