Long-term psychosocial adaptation of children who survive burns involving 80% or greater total body surface area

J Trauma. 1998 Apr;44(4):625-32; discussion 633-4. doi: 10.1097/00005373-199804000-00011.


Objective: To examine the psychosocial adjustment of survivors of massive pediatric burn injuries, the change in adjustment across time, and the impact on parents.

Background: Patients/parents were assessed at regular intervals postburn using standardized tests of adjustment. Patients who could not be included in standardized longitudinal assessments were administered questionnaires by mail/telephone.

Methods: The Child Behavior Checklist, the Teacher Report Form, the Youth Self Report Form, and the Parenting Stress Index were utilized to assess adjustment.

Results: On all objective measures, the group of survivors and their parents were within normal limits. Adjustment neither improved nor deteriorated over time.

Conclusion: Children who survive massive burn injuries can achieve positive psychosocial adaptation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Body Surface Area
  • Burns / pathology
  • Burns / psychology*
  • Child
  • Child Behavior
  • Child, Preschool
  • Female
  • Humans
  • Injury Severity Score
  • Longitudinal Studies
  • Male
  • Parents / psychology
  • Psychology, Child*
  • Stress, Psychological / psychology
  • Surveys and Questionnaires
  • Survivors / psychology*
  • Time Factors