Mothers' experiences of their sons' appearance-altering combat injuries: distressed and unsupported

Abstract: Emerging evidence indicates that combat injuries that change appearance, such as limb loss and physical scarring, can impact psychosocial wellbeing of injured military veterans. Parents of young children with a visibly different appearance may experience emotional distress and consequently have their own support needs, but less is known about the experiences of the parents of veterans with appearance-altering combat injuries. Using a qualitative individual interview design, this study aimed to understand the experiences and support needs of parents of military veterans who sustained appearance-altering combat injuries. Reflexive Thematic Analysis of interviews with six mothers identified two main themes 'The distress of my son’s appearance-altering injury' and 'I can’t express my distress'. The themes represent the emotional distress, guilt, and social difficulties experienced by the mothers following their sons’ appearance-altering injury, their experience of feeling they should supress their feelings of distress, the limited available support, and barriers to accessing support. This study highlights how the mothers of combat-injured veterans are often overlooked and provides emerging evidence that adjusting to a son’s changed appearance following combat-injury can create additional challenges for mothers, who could benefit from specific support.

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