Long-Term Psychosocial Adjustment Following Burn Injury

Blakeney, Patricia; Herndon, David N.; Desai, M. H.; Beard, Sylvia A.; Wales-Scale, P.

doi:10.1097/00004630-198811000-00022

Cited by 68 publications

(14 citation statements)

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“…The importance of social support in the later stages of recovery (ie, the rehabilitation phase and postdischarge) has been established. 22,26,27 We believe our data suggest the importance of social support as early as the resuscitative stage.…”

Section: Discussionmentioning

confidence: 67%

Social Support Correlates with Survival in Patients with Massive Burn Injury

Muangman¹,

Sullivan²,

Wiechman³

et al. 2005

Journal of Burn Care & Rehabilitation

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Large burn size, inhalation injury, age, and associated trauma increase the rate of mortality after burns. However, not all patients with large burns and significant risk factors die. In this study, we wanted to determine other presenting factors that might indicate a survival benefit for burn patients with large burns. We reviewed charts of 36 patients with burns > or =60% TBSA that were aggressively resuscitated at the University of Washington Burn Center from 1990 to 2000 to determine whether survivors of large burns exhibit presenting variables that predict survival. Patients who had comfort care measures initiated at admission were excluded from this analysis. Survivors (n = 16) and nonsurvivors (n = 20) had no significant differences in age, total burn size, inhalation injury, or need for escharotomy. Full-thickness burn size was significantly smaller for survivors (58%) than for nonsurvivors (73%; P = .02). Survivors (81%) were more likely than nonsurvivors to have social support (35%; P = .007). A full-thickness burn > or =80 % TBSA was the only variable uniformly associated with mortality, suggesting that patients who survive large burns have a partial-thickness component that heals without surgery. The difference in degree of social support was one unique distinction that may impact patient survival and is worth further investigation.

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Section: Discussionmentioning

confidence: 67%

Social Support Correlates with Survival in Patients with Massive Burn Injury

Muangman¹,

Sullivan²,

Wiechman³

et al. 2005

Journal of Burn Care & Rehabilitation

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“…This hypothesis was based on results from previous research, which found burn survivors generally adapted well in their psychosocial functioning and daily living. [7][8][9]12 This hypothesis was not confirmed. Young adults from this study rated their overall quality of life lower than the norm.…”

Section: Discussionmentioning

confidence: 85%

“…7,12,19,20 This group scored similar to the reference group in several areas of interpersonal relations, which included marital relations, parent-child relations, and extended family relations. However, we were somewhat surprised to find that this sample group differed from the reference group in their ratings on extramarital relations (friendships) and rated them higher.…”

Section: Discussionmentioning

confidence: 89%

Quality of Life of Young Adults Who Survived Pediatric Burns

Rosenberg

Blakeney

Robert

et al. 2006

Journal of Burn Care & Research

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Ninety-five young adult pediatric burn survivors, ages 18 to 28, who were an average of 14 years after massive burn, were questioned about their quality of life. The Quality of Life Questionnaire (QLQ) by Evans and Cope was used to assess their long-term adjustment in diverse environmental settings. Results revealed burn survivors as a group rated their overall quality of life lower than the normal population. They also had differences from the normal population in some subdomains of the QLQ. When analyzed by sex, only one difference was seen with females rating their involvement in sports activities lower than males. Analysis of the effect of age showed that male burn survivors had improvements with their quality of life with age and the further they were after burn. In conclusion, the ability to detect distress among burn survivors will provide targets for related treatment and subsequent assessment of efficacy of intervention.

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“…Outcom e studies utilizing standardized instrum ents consistently report that only 20± 30% of each sam ple of pediatric burn patients experience m ild to m oderate dif® culties with psycho social adjustm ent (Blakeney et al, 1988;1993a;1993b;Browne et al, 1985;Byrne et al, 1986;Meyer et al, 1995a;Stoddard et al, 1989;Tarnowski & Rasnake, 1994;Tarnowski et al, 1989).…”

Section: Introductionmentioning

confidence: 99%

“…The factors associated with poor prognoses for psychosocial adjustm ent are social shyness or other im pedim ents to socialization such as phobias or anxiety disorders and fam ilies who foster dependence, creating a learned helplessness (Blakeney et al, 1988). A lack of fam ily cohesion and frequent, unresolved con¯ict within the fam ily are also correlated with poor adjustm ent (Blakeney et al, 1990;LeD oux et al, 1994).…”

Section: Introductionmentioning

confidence: 99%

Psychological and social recovery of children disfigured by physical trauma: elements of treatment supported by empirical data

Blakeney¹,

Robert²,

Meyer³

1998

International Review of Psychiatry

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S um m arySurvivors of physica lly dis® guring traum a experience a series of assaults on the m ind as well as on the body that present extraordina ry challenges to hum an resilience. The`traum a' for the survivor is com plex. The injurious event itself is traumatic; additiona l traum as can also occur from painful and frightening medical treatm ents. The physica l changes in the survivor' s body are permanent rem inders of the fear, horror, sadness and pain experienced. The reactions (real and im agined ) of others to their dis® gured bodies present survivors with the additional and ongoing traum a of feeling rejected , isolated, unworthy and humiliated.

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Long-Term Psychosocial Adjustment Following Burn Injury

Cited by 68 publications

References 0 publications

Social Support Correlates with Survival in Patients with Massive Burn Injury

Social Support Correlates with Survival in Patients with Massive Burn Injury

Quality of Life of Young Adults Who Survived Pediatric Burns

Psychological and social recovery of children disfigured by physical trauma: elements of treatment supported by empirical data

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