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Experiences of guilt, shame and blame in those affected by burns: A qualitative systematic review

Kornhaber, R ORCID: 0000-0001-6556-6775, Childs, C and Cleary, M ORCID: 0000-0002-1453-4850 2018 , 'Experiences of guilt, shame and blame in those affected by burns: A qualitative systematic review' , Burns , doi: 10.1016/j.burns.2017.11.012.

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Background: A significant burncan severely impactthe lives of survivors and their carers.Thissystematic review sought to incorporate the experiences of guilt, blame and shame acrossthe lifespan for burn survivors, their families as well as the experiences of the parents ofburned children.Methods: A systematic review of qualitative studies on the experiences and perspectives ofguilt, blame and shame by those affected by burn trauma across the lifespan. The databases,Pubmed, Scopus, EMBASE, CINAHL, PsychINFO were systematically searched. Authorsindependently rated the reporting of the qualitative studies included. Thematic synthesiswas used to analyse the data. The search identified 230 papers. Eighteen research papers metthe study inclusion criteria.Results: Guilt and ruminations of guilt, blame attribution and shame and body image were identifiedduring thematic analysis as pivotal factors across the lifespan for burn survivors, theirfamilies as well as the experiences of the parents of burn injured children. Accountspresented, suggest that the impact of burns on the lives of the survivor and family covers adiverse spectrum of impact; personal, cultural and societal.Conclusion: From the findings of the literature searches and the post-burn experiencesdescribed in this review there is a gap in the psychological care for burn survivors and theircaregivers. This is specifically relevant around issues of parental guilt and blame,ruminations of guilt and shame as well as body image. These findings may not be new toburns professionals but the key message is that management of these issues fall short ofdelivering comprehensive post trauma care. Identifying and highlighting the importance ofresidual psychosocial problems will ultimately influence positive outcomes for burnsurvivors.

Item Type: Article
Authors/Creators:Kornhaber, R and Childs, C and Cleary, M
Keywords: Burns Guilt Social support Attribution Qualitative Systematic review
Journal or Publication Title: Burns
Publisher: Elsevier Sci Ltd
ISSN: 0305-4179
DOI / ID Number: 10.1016/j.burns.2017.11.012
Copyright Information:

© 2017 Elsevier Ltd and ISBI. All rights reserved.

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