We examined the prospective impact of injury severity, functional impairment, and pain on participation in the community and subsequently on life satisfaction and self-rated health of 260 burn survivors 5 years post-discharge. Predictor variables include injury severity and total body surface area burned (assessed during acute care), functional independence (assessed at 12 months post-discharge), pain (assessed at the 24th month), and participation (assessed at the 48th month). Participation predicted life satisfaction and self-rated health. Functional independence and injury severity had significant indirect influences on adjustment via their influence on participation. Pain predicted both outcome variables. Clinical and research implications are discussed.
ChooBUmrawNGomezM. (2006) The utility of the functional independence measure (FIM) in discharge planning for burn patients. Burns32(1): 20–23.
2.
Committee on Injury Scaling (1985) The Abbreviated Injury Scale-1985 Revision. Morton Grove, IL: American Association of Automotive Medicine.
3.
CorryNPruzinskyTRumseyN (2009) Quality of life and psychosocial adjustment to burn injury: Social functioning, body image, and health policy perspectives. International Journal of Psychiatry21(6): 539–548.
4.
CromesGFHolavanahalliRKowalskeK. (2002) Predictors of quality of life as measured by the burn specific health scale in persons with major burn injury. Journal of Burn Care & Rehabilitation23(3): 229–234.
5.
CukorJWykaKLeahyN. (2014) The treatment of posttraumatic stress disorder and related psychosocial consequences of burn injury: A pilot study. Journal of Burn Care & Rehabilitation. Epub ahead of print 18November. DOI: 10.1097/BCR.0000000000000177.
6.
Dyster-AasJKildalMWillebrandM (2007) Return to work and health-related quality of life after burn injury. Journal of Rehabilitation Medicine39(1): 49–55.
7.
ElliottTWarrenAM (2007) Why psychological issues are important. In: KennedyP (ed.) Psychological Management of Physical Disabilities: A Practitioner’s Guide. London: Brunner-Routledge Press, pp. 16–39.
8.
ErosaNABerryJWElliottTR. (2014) Predicting quality of life five years after medical discharge for traumatic spinal cord injury. British Journal of Health Psychology19(4): 688–700.
9.
FalderSBrowneAEdgarD. (2009) Core outcomes for adult burn survivors: A clinical overview. Burns35(5): 618–641.
GerrardPGoldsteinRDivitaMA. (2013) Validity and reliability of the FIM instrument in the inpatient burn rehabilitation population. Archives of Physical Medicine and Rehabilitation94(8): 1521–1526.
12.
KalpinskiRWilliamsonMLCElliottTR. (2013) Modeling the prospective relationships of impairment, injury severity and participation to quality of life following traumatic brain injury. BioMed Research International2013: 102570 (9 pp.). Available at: http://dx.doi.org/10.1155/2013/102570
13.
KeithRAGrangerCVHamiltonBB. (1987) The functional independence measure: A new tool for rehabilitation. Advances in Clinical Rehabilitation1: 6–18.
14.
KlineRB (2011) Principles and Practices of Structural Equation Modeling. New York: Guilford Press.
15.
LinacreJM (2003) A User’s Guide to Winsteps/Ministep: Rasch-Model Computer Programs. Chicago, IL: University of Chicago.
16.
LyubomirskySSheldonKMSchkadeD (2005) Pursuing happiness: The architecture of sustainable change. Review of General Psychology9(2): 111–131.
17.
McCordCElliottTRBerryJW. (in press) Trajectories of happiness over the first five years following medical discharge for traumatic disability. Journal of Happiness Studies.
18.
McDowellI (2006) Measuring Health: A Guide to Rating Scales and Questionnaires (3rd edn). New York: Oxford University Press.
19.
MausbachBTChattillionEAMooreRC. (2011) Activity restriction and depression in medical patients and their caregivers: A meta-analysis. Clinical Psychology Review31(6): 900–908.
20.
MazzucchelliTKaneRReesC (2009) Behavioral activation treatments for depression in adults: A meta-analysis and review. Clinical Psychology: Science and Practice16(4): 383–411.
21.
MoiALNilsenRM (2012) Pathways leading to self-perceived general health and overall quality of life in burned adults. Burns38(8): 1157–1164.
NeugartenBLHavighurstRJTobinSS (1961) The measurement of life satisfaction. Journals of Gerontology16(2): 134–143.
24.
ÖsterCWillebrandMEkseliusL (2011) Health-related quality of life 2 years to 7 years after burn injury. Journal of Trauma71(5): 1435–1441.
25.
PreacherKJCoffmanDL (2006) Computing power and minimum sample size for RMSEA (computer software). Available at: http://quantpsy.org/
26.
PreacherKJHayesAF (2008) Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods40(3): 879–891.
27.
ReedGMLuxJBBufkaLF. (2005) Operationalizing the international classification of functioning, disability and health in clinical settings. Rehabilitation Psychology50(2): 122–131.
28.
Reyes-GibbyCCAdayLCleelandC (2002) Impact of pain on self-rated health in the community-dwelling older adults. Pain95(1–2): 75–82.
29.
SpeakeDLCowartMEPelletK (1989) Health perceptions and lifestyles of the elderly. Research in Nursing and Health12(2): 3–9.
30.
StavrouDWeissmanOTessoneA. (2014) Health related quality of life in burn patients—A review of the literature. Burns40(5): 788–796.
31.
TanakaJS (1987) How big is big enough? Sample size and goodness of fit in structural equation models with latent variables. Child Development58(1): 134–146.
32.
WalkerNMellickDBrooksCA. (2003) Measuring participation across impairment groups using the Craig handicap assessment reporting technique. American Journal of Physical Medicine & Rehabilitation82(12): 937–941.
33.
WhiteneckGGCharlifueSWGerhartKA. (1992) Quantifying handicap: A new measure of long-term rehabilitation outcomes. Archives of Physical Medicine and Rehabilitation73(6): 519–526.
34.
WiechmanSA (2011) Psychosocial recovery, pain, and itch after burn injuries. Physical Medicine and Rehabilitation Clinics of North America22(2): 327–345.
35.
WillebrandMAnderssonGEkseliusL (2004) Prediction of psychological health after an accidental burn. Journal of Trauma57(2): 367–374.
36.
World Health Organization (2001) International Classification of Functioning, Disability and Health. Geneva: World Health Organization.
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