Community Integration after Burn Injuries

Esselman, Peter C.; Ptacek, J. T.; Kowalske, Karen; Cromes, G. F.; deLateur, Barbara J.; Engrav, Loren H.

doi:10.1097/00004630-200105000-00007

Cited by 59 publications

(14 citation statements)

References 18 publications

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“…Adult burn injury survivors have been found to have impairments in productivity and return to work (Esselman et al 2001; Esselman, Thombs, Magyar-Russell, & Fauerbach 2006; Dyster-Aas, Kildal, & Willebrand 2007). Also, adult burn injury survivors have diminished health-related quality of life (HRQOL) (Esselman, Thombs, Magyar-Russell, & Fauerbach 2006; Dyster-Aas, Kildal, & Willebrand 2007).…”

Section: Functional Impairments In Survivors Of Burns Trauma and Icumentioning

confidence: 99%

Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: A review of the literature

Davydow

Katon

Zatzick

2009

International Review of Psychiatry

122

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Severe burns, traumatic injuries and other critical illnesses are a substantial source of morbidity in the United States. As more patients survive these conditions, there has been increasing interest in psychiatric and functional outcomes of these individuals. In this article, we reviewed the literature on the prevalence of psychiatric conditions, with particular emphasis on posttraumatic stress disorder (PTSD) and depression, as well as functional impairments, in adult and pediatric survivors of burns, trauma and intensive care unit stays for other critical illnesses. We found that PTSD and depressive symptoms are quite prevalent in these patient groups. We also examined potential risk factors for psychiatric morbidity and impaired function in all three patient groups, and conclude that patient-specific and acute care factors, in addition to early post-acute care psychiatric symptoms, may convey risk for subsequent psychopathology and diminished function. Finally, we discussed limitations in the literature as well as possible directions for future research, particularly in clarifying risk factors for psychiatric disorders as well as potential preventative and treatment interventions that may improve outcomes.

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Section: Functional Impairments In Survivors Of Burns Trauma and Icumentioning

confidence: 99%

Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: A review of the literature

Davydow

Katon

Zatzick

2009

International Review of Psychiatry

122

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“…One study found that nearly half of the pediatric patients sampled were reported by their own parents as lacking the skills they needed for satisfactorily participating in community activities. 13,14 A lack of social skills can result in peer rejection, which then limits the prospect of enhancing social skills. When behavior problems were also considered, it was estimated that 40 to 50% of any sample might be expected to have high behavior problem scores and low competency scores.…”

mentioning

confidence: 99%

Burn-Injured Adolescents Report Gaining Multiple Developmental Benefits and Improved Life Skills as a Result of Burn Camp Attendance

Rimmer

Pressman

Takach

et al. 2012

Journal of Burn Care & Research

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Anecdotally, burn camp has been reported to be a positive developmental and rehabilitative experience for attendees; there is little empirical data to support this belief. This study sought to explore whether burn camp either directly or indirectly elicits positive development outcomes in pediatric burn survivors or increases their psychosocial well-being and achievement. The Youth Experience Survey 2.0, a 66-item self-report inventory designed to measure developmental experiences in an organized youth activity, was administered to children aged 11 to 18 years attending summer burn camp. One hundred and ten burn-injured youth, 58 male and 52 female, reported that burn camp had positively impacted their lives through improved identity exploration, goal-setting and problem-solving abilities, increased physical activity, communication, emotional regulation, and time management skills (P < .0001). Participants reported more positive experiences than the norm group and higher mean scores on 90% (48) of the 53 positive items. Attendance at burn camp for more than 5 years resulted in greater improvement. Study results support the burn camp experience as a far-reaching and positive developmental activity. Participants credited the camp experience with helping them with identity formation and reflection, improved social interactions, and increased initiative; all positive developmental outcomes for youth. Results suggest that burn camp participation not only helps burn-injured youth to deal with their burns but also assists them in the development of social and basic life skills, which will allow them to navigate the transition from youth to adulthood, more effectively and successfully.

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“…For example, following stop rules, a person may terminate a functional activity as soon as he or she no longer enjoys the task, perhaps due to pain perceptions. Understanding associations between pain, depression, and physical functioning is critical because burn survivors have considerable difficulties in returning to personal, social, and community roles after their injuries have healed (Costa et al, 2003; Esselman et al, 2001). …”

mentioning

confidence: 99%

Pain, depression, and physical functioning following burn injury.

Ullrich

Askay

Patterson

2009

Rehabilitation Psychology

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Objective-Little is known about how pain and depression after burn injury may influence longterm outcomes such as physical functioning. This prospective study examined associations between pain, depression, and physical functioning in a sample of burn injury survivors.Design and Participants-Questionnaires assessing pain, depression, and physical functioning were completed by 64 (52% of original sample) adult burn survivors shortly after discharge from burn care and at 1-and 2-year follow-ups.Results-Pain and physical functioning improved over the 2 years of the study, whereas depression levels were stable. Pain and depression were associated with poorer physical functioning over time, but associations varied according to the time span under consideration. Also, the association between pain and physical functioning was strongest among persons with higher depression scores.Conclusions-Pain and depression may contribute independently to compromises in physical functioning. The co-occurrence of pain and depression represents even greater risk for reduced physical functioning over time among burn survivors. Keywordspain; depression; burn injury; functioning; quality of life Advances in emergency services and acute burn care in recent decades have led to extraordinary improvements in survival rates following burn injury. Nearly 95% of the approximately 40,000 persons who are hospitalized for burn injuries annually in United States will survive (American Burn Association, 2007) Much greater variability is found when outcomes beyond surviv ability are considered. For example, depression is well recognized as a significant problem following burn injury Patterson et al., 1993). For most burn survivors, average scores on depression indices fall within the mild to moderate range (Choniere, Melzack, Rondeau, Girard, & Paquin, 1989;Thombs, Haines, Bresnick, Magyar-Russell, Fauerbach, & Spence, 2007;Wiechman et al., 2001). However, moderate to severe symptoms of depression have been found in 18% to 45% of burn survivors years after their physical injuries have healed (Pallua, Künsebeck, & Noah, 2003;Wiechman et al., 2001).Pain is another serious problem for burn survivors, particularly during the early phases of burn care when open wounds are being subjected to debridement and movement therapies (Summer, Puntillo, Miaskowski, Green, & Levine, 2007). In addition, pain remain a concern for years after burn injury wounds have closed Choniere and colleagues (1989) found ongoing pain concerns 35% of a sample of burn survivors who were at least 1 year after injury. Similarly, Dauber, Osgood, Breslau, Vernon, and Carr (2002) an average of 10 years after injury reported the presence of pain. Of those with pain, 45% reported that pain interfered with their daily lives (Dauber et al., 2002). Malenfant and colleagues (1996) found pain in over 36% of their sample and demonstrated that pain prevalence, did not vary greatly between 1 and 4 years after injury. Although noting that the average severity of pain was mild (3.4 on a ...

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Community Integration after Burn Injuries

Cited by 59 publications

References 18 publications

Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: A review of the literature

Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: A review of the literature

Burn-Injured Adolescents Report Gaining Multiple Developmental Benefits and Improved Life Skills as a Result of Burn Camp Attendance

Pain, depression, and physical functioning following burn injury.

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