TREATMENT OF BODY IMAGE IN A DISFIGURED POPULATION

该项目的长期目标是发展心理学 干预措施，以减少身体形象干扰的影响， 被毁容的医疗人群 具体目标是评估 认知行为干预对体像影响 干扰毁容的人，并收集飞行员数据的第一次 该奖项专注于医疗人群中的身体形象治疗。 的 建议的重点是个人谁收到毁容烧伤 受伤 选择该人群是因为烧伤是离散的 事件和严重性的度量（例如，总体表面积） 随时可用。 此外，烧伤患者可能会相当 在他们发病前的身体形象变量，这个人口是 畸形的大小、程度和部位、性别和 种族 这项研究提出，烧伤幸存者，选择身体 图像障碍，接受8次认知行为组 干预（n=16）将报告减少的身体图像干扰， 避免和更好的调整相比，烧伤幸存者作为 等待列表对照（n=16）。 拟议的研究将有助于 残疾人士对身体形象、回避和残疾的理解 毁容 一旦开发出来，这种干预措施将与 一个积极的对照组，并将适用于其他医疗 毁容人群（例如，接受乳房切除术的妇女） 改善适应、减少残疾和增加 遵守医疗/手术干预措施。

The long range objective of this project is to develop psychological interventions for diminishing the impact of body image disturbance among disfigured medical populations. The specific aims are to assess the efficacy of a cognitive-behavioral intervention for body image disturbance on disfigured persons and to gather pilot data for a FIRST award focusing on body image treatment among medical populations. The proposal focuses on individuals who have received disfiguring burn injuries. This population was selected because burns are discrete events and measures of severity (e.g., total body surface area) are readily available. Further, burn patients are likely to be quite variable in their pre-morbid body image and this population is heterogenous in size, extent and site of disfigurement, gender, and ethnicity. The study proposes that burn survivors, selected for body image disturbance, receiving an 8 session cognitive-behavioral group intervention (n=16) will report decreased body image disturbance, avoidance and better adjustment compared to burn survivors serving as wait-list controls (n=16). The proposed research will contribute to the understanding of body image, avoidance and disability among persons with disfigurements. Once developed, this intervention will be compared to an active control group and will be applied to other medically disfigured populations (e.g., women who have undergone mastectomy) with the goal of improving adjustment, reducing disability, and increasing compliance with medical/surgical interventions.