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Journal Article

Citation

Brubaker Rimmer R, Bahar Alam N, Bay RC, Sadler IJ, Foster KN, Caruso DM. J. Burn Care Res. 2014; 36(2): 336-343.

Affiliation

From the *Department of Surgery, Arizona Burn Center at Maricopa Medical Center, Phoenix; †AT Still University; and ‡Parkland Hospital, Dallas, Texas.

Copyright

(Copyright © 2014, American Burn Association, Publisher Lippincott Williams and Wilkins)

DOI

10.1097/BCR.0000000000000109

PMID

25094014

Abstract

Unresolved pediatric pain, both acute and chronic, has been associated with negative short- and long-term physical and mental health outcomes. This study sought to determine whether an association existed between self-reported pain coping skills and anxiety levels in a cohort of pediatric burn patients, and whether gender would influence their responses. The sample comprised burn-injured children in attendance at one of three mature burn camp sites. The self-report measures utilized included the 41-item Screen for Child Anxiety Related Disorders Child Version and the 39-item Pain Coping Questionnaire. Parental consent was obtained. A psychologist administered the measures. Participants included 187 youth, mean age 12.4 ± 2.4 years, girls (n = 89) boys (n = 98) with 67% reporting visible burn scars. Among boys, the use of Internalizing Coping Strategies was moderately correlated with elevated scores on Panic Disorder symptoms (r =.42, P <.001). Among girls, the use of Internalizing Coping Strategies was associated with elevated Generalized Anxiety (r =.51, P <.001), Panic Disorder (r =.46, P <.001), and Total Anxiety Symptom Scores (r =.49, P <.001). Those children who reported using Behavioral Distraction Strategies did not have any elevated anxiety scores. These findings suggest that burn-injured children, who employ Internalization as their pain coping strategy, may be more vulnerable to the development of long-term anxiety disorder, which, if left untreated may result in a negative psycho/social outcome. Applicability to Practice: Assessment of in-patient pediatric patients with the Pain Coping Questionnaire may help to identify children who are more likely to experience long-term anxiety. Future studies should seek to confirm these findings and determine whether improved pain management and early treatment of anxiety can help to diminish the long-term implications of unhelpful pain strategies and increased anxiety in burn-injured children.


Language: en

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