INVESTIGATION OF DISPOSITIONAL OPTIMISM, PSYCHOLOGICAL RESILIENCE, COPING STRATEGIES AND QUALITY OF LIFE AMONG BURN SURVIVORS

Main Article Content

Iram Batool
Ghazala Malik
Sana Fatima
Iram Manzoor

Abstract

OBJECTIVES:


1: To investigate the relationship among dispositional optimism, psychological resilience, coping strategies and quality of life (QoL) among burn survivors,


2: To find out the impact of dispositional optimism and coping on QoL among burn survivors.


METHODS: This cross-sectional study was conducted at Burn Unit of Pakistan Institute of Medical sciences (PIMS) Islamabad, Pakistan. Two hundred and thirty post-burn survivors, ranging in age from 18 to 64 years were selected using purposive sampling technique. Dispositional optimism scale, psychological resilience scale, QoL scale and coping strategies scales were used to measure variables.


RESULTS: Out of 230 patients 123 (53.5%) were males and 107 (46.5%) were females. About 54.3% (n=125) were married. Majority (n=126; 54.8%) had flame burn. Duration of burns was up to two months in 70.9% (n=163) cases. Results revealed highly significant positive correlations between psychological resilience and dispositional optimism (r=0.807), problem-focused coping (r=0.724) and supportive coping (r=0.598) but significantly negative correlation with emotion focused coping (r= -0.559) while emotion focused coping is negatively correlated with mental QoL (r=-0.378) and supportive coping (r=-0.138). Multiple regression analysis revealed that dispositional optimism, problem-focused and supportive coping have significant impact upon the QoL (p<0.01).


CONCLUSION: A significant positive relationship come out among dispositional optimism, psychological resilience and QoL in burns survivors. Dispositional optimism and coping strategies like “problem-focused” and “supportive coping” have an impact on QoL, and it could enhance the QoL in burn survivors.

Article Details

How to Cite
Batool, I., G. Malik, S. Fatima, and I. Manzoor. “INVESTIGATION OF DISPOSITIONAL OPTIMISM, PSYCHOLOGICAL RESILIENCE, COPING STRATEGIES AND QUALITY OF LIFE AMONG BURN SURVIVORS”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 12, no. 4, Dec. 2020, pp. 310-14, doi:10.35845/kmuj.2020.19794.
Section
Original Articles

References

Bosmans MW, Hofland HW, De Jong AE, Van Loey NE. Coping with burns: the role of coping self-efficacy in the recovery from traumatic stress following burn injuries. J Behav Med 2015 Aug 1;38(4):642-51. DOI: 10.1007/s10865-015-9638-1.

Carver CS, Scheier MF. Dispositional optimism. Trends Cogn Sci 2014 June;6(18):293-9. DOI: 10.1016/j.tics.2014.02.003.

Nes LS, Segerstrom SC. Dispositional optimism and coping: A meta-analytic review. Pers Soc Psychol Rev 2006 Aug;10(3):235-51. DOI: 10.1207/s15327957pspr1003_3.

Geers AL, Wellman JA, Helfer SG, Fowler SL, France CR. Dispositional optimism and thoughts of well-being determine sensitivity to an experimental pain task. Ann Behav Med 2008 Dec;36(3):304-13. DOI: 10.1007/s12160-008-9073-4.

Smith TW, MacKenzie J. Personality and risk of physical illness. Annu Rev Clin Psychol 2006 Apr; 2: 435-67. DOI: 10.1146/annurev.clinpsy.2.022305.095257.

Ronaldson A, Molloy GJ, Wikman A, Poole L, Kaski JC, Steptoe A. Optimism and recovery after acute coronary syndrome: a clinical cohort study. Psychosom Med 2015 Apr ;77(3):311-8. DOI: 10.1097/PSY.0000000000000155.

Ironson G, Hayward HS. Do positive psychosocial factors predict disease progression in HIV-1? A review of the evidence. Psychosom Med 2008 Jun;70(5):546-54. DOI: 10.1097/PSY.0b013e318177216c.

Brydon L, Walker C, Wawrzyniak AJ, Chart H, Steptoe A. Dispositional optimism and stress-induced changes in immunity and negative mood. Brain Behav Immun 2009 Aug; 23(6):810-6. DOI: 10.1016/j.bbi.2009.02.018.

Meredith LS, Sherbourne CD, Gaillot SJ, Hansell L, Ritschard HV, Parker AM, et al. Promoting Psychological Resilience in the US Military. Rand Health Q 2011 Jun;1(2):2.

Feder A, Nestler EJ, Charney DS. Psychobiology and molecular genetics of resilience. Nat Rev Neurosci 2009 Jun;10(6):446-58. DOI: 10.1038/nrn2649.

Perveen N, Batool I, Asghar M, Malik G. Quality of life, psychological stress and death anxiety among liver and renal transplant recipients. Isra Med J 2019;11(2):106-9.

Apidechkul T. Comparison of quality of life and mental health among elderly people in rural and suburban areas, Thailand. Southeast Asian J Trop Med Public Health 2011 Sep;42(5):1282-92.

Lee HS. The factors influencing health-related quality of life in the elderly: focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: Data from the Fifth Korea National Health and Nutrition Examination. Korean J Community Nutr 2014 Oct;19(5):479-89. DOI: 10.5720/kjcn.2014.19.5.479.

Poch FV, Carrasco MG, Moreno YG, Cerrato SM. Coping strategies and styles and their relationship to personal well-being in a sample of adolescents. Annu Psicol 2015; 31(1):226–33. DOI:10.6018/analesps.31.1.163681.

Schoenmakers E, van Tilburg T, Fokkema T. Problem-focused and emotion-focused coping options and loneliness: how are they related? Eur J Ageing 2015 Jun;12(2):153-61. DOI: 10.1007/s10433-015-0336-1.

Cicchetti D, Rogosch FA. Adaptive coping under conditions of extreme stress: Multilevel influences on the determinants of resilience in maltreated children. New Dir Child Adolesc Dev 2009;2009(124):47-59. DOI: 10.1002/cd.242.

Papakostas GI, Petersen T, Mahal Y, Mischoulon D, Nierenberg AA, Fava M. Quality of life assessments in major depressive disorder: a review of the literature. Gen Hosp Psychiatry 2004 Jan; 26(1):13-7.

He F, Zhou Q, Zhao Z, Zhang Y, Guan H. Effect of perceived social support and dispositional optimism on the depression of burn patients. J Health Psychol 2016 Jun; 21(6):1119-25.

Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med 2008 Sep; 15(3):194-200. DOI: 10.1080/10705500802222972.

Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the life orientation test. J Pers Soc Psychol 1994 Dec;67(6):1063-78.

Carver CS. You want to measure coping but your protocol'too long: consider the brief cope. Int J Behav Med 1997 Mar; 4(1):92-100. DOI: 10.1207/s15327558ijbm0401_6.

Hardt J. The Stark QoL- Measuring quality of life somewhat differently. Research 2014 Oct; 1:1065 DOI: 10.13070/rs.en.1.1065.

El-Anzi FO. Academic achievement and its relationship with anxiety, self-esteem, optimism, and pessimism in Kuwaiti students. J Soc Behav Pers 2005 Jan; 2;33(1):95-104. DOI: 10.2224/sbp.2005.33.1.95.

He F, Cao R, Feng Z, Guan H, Peng J. The impacts of dispositional optimism and psychological resilience on the subjective well-being of burn patients: A structural equation modelling analysis. PloS One 2013 Dec; 8(12): 1-4. DOI: 10.1371/journal.pone.0082939.

Bastianello MR, Pacico JC, Hutz CS. Optimism, self-esteem and personality: adaptation and validation of the Brazilian Version of the Revised Life Orientation Test (LOT-R). Psico-USF 2014 Dec; 19(3):523-31.

Frydenberg E. Coping competencies: what to teach and when. Theory Pract 2004 Feb; 43(1):14-22. DOI: 10.1207/s15430421tip4301_3.

Allison PJ, Guichard C, Gilain L. A prospective investigation of dispositional optimism as a predictor of health-related quality of life in head and neck cancer patients. Qual Life Res 2000 Sep; 9(8):951-60. DOI: 10.1023/A:1008931906253.