Physical and Psychologic Rehabilitation Outcomes for Young Adults Burned as Children

Christine Baker, William J. Russell, Walter Meyer, Patricia Blakeney

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Baker CP, Russell WJ, Meyer W III, Blakeney P. Physical and psychologic rehabilitation outcomes for young adults burned as children. Objective: To report physical and psychologic outcomes for young adult survivors of pediatric burns. Design: Prospective, correlational study. Setting: Acute and rehabilitation pediatric burn care facility. Participants: Eighty-three young adult survivors of pediatric burns, who were 18 to 28 years of age, with total body surface area (TBSA) burns of 30% or greater, and were at least 2 years postburn. Interventions: Not applicable. Main Outcome Measures: Physical outcomes were assessed by muscle strength tests, grip and pinch measurements, mobility levels, and self-care (activities of daily living) skills. Psychologic outcomes included behavioral problems, personality disorder, and incidence of psychiatric illness. An individually administered Structured Clinical Interview for Diagnosis, based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, for psychiatric diagnosis, was used to assess mental health, and behavioral problems were assessed with the Young Adult Self-Report. Participants reported educational achievement, employment status, state of transition from family of origin (home) to independent living, and pair bonding. The Short-Form 36-Item Health Survey and the Quality of Life Questionnaire were used to assess each participant's self-reported general health and quality of life. Results: The majority of subjects had physical and psychologic outcomes that were within the normal range when compared with age-mates who had not experienced burns. The areas that were most likely to be impaired involved peripheral strength (wrist and grip). These deficits affected some self-care skills and correlated with TBSA. Standardized diagnostic interviews showed that greater than 50% of subjects qualified for a psychiatric diagnosis, with anxiety disorders as the most frequently occurring diagnosis. There were few significant correlations of the physical measurements or self-care skills with the burn size, psychologic problems, or social outcomes, and none appeared to be clinically important. Conclusions: Most of the people in this sample were functioning physically and psychosocially within normal limits as they reached adulthood. Although they appeared to function well as measured by standardized assessments, there were indications of private suffering that suggested they may not be functioning at an optimal level. The findings suggest that rehabilitation professionals could improve outcomes by including programs to develop overall muscle strength in severely burned children and by addressing concerns related to anxiety and other symptoms of psychologic distress.

Original languageEnglish (US)
JournalArchives of Physical Medicine and Rehabilitation
Volume88
Issue number12 SUPPL. 2
DOIs
StatePublished - Dec 2007

Fingerprint

Burns
Young Adult
Self Care
Body Surface Area
Muscle Strength
Hand Strength
Pediatrics
Mental Disorders
Survivors
Rehabilitation
Quality of Life
Interviews
Independent Living
Educational Status
Social Problems
Personality Disorders
Activities of Daily Living
Health Surveys
Anxiety Disorders
Wrist

Keywords

  • Burns
  • Child psychiatry
  • Diagnosis
  • Outcomes research
  • Quality of life
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Physical and Psychologic Rehabilitation Outcomes for Young Adults Burned as Children. / Baker, Christine; Russell, William J.; Meyer, Walter; Blakeney, Patricia.

In: Archives of Physical Medicine and Rehabilitation, Vol. 88, No. 12 SUPPL. 2, 12.2007.

Research output: Contribution to journalArticle

Baker, Christine ; Russell, William J. ; Meyer, Walter ; Blakeney, Patricia. / Physical and Psychologic Rehabilitation Outcomes for Young Adults Burned as Children. In: Archives of Physical Medicine and Rehabilitation. 2007 ; Vol. 88, No. 12 SUPPL. 2.
@article{28a0cabd16a34a5a9a19c9e29da2a609,
title = "Physical and Psychologic Rehabilitation Outcomes for Young Adults Burned as Children",
abstract = "Baker CP, Russell WJ, Meyer W III, Blakeney P. Physical and psychologic rehabilitation outcomes for young adults burned as children. Objective: To report physical and psychologic outcomes for young adult survivors of pediatric burns. Design: Prospective, correlational study. Setting: Acute and rehabilitation pediatric burn care facility. Participants: Eighty-three young adult survivors of pediatric burns, who were 18 to 28 years of age, with total body surface area (TBSA) burns of 30{\%} or greater, and were at least 2 years postburn. Interventions: Not applicable. Main Outcome Measures: Physical outcomes were assessed by muscle strength tests, grip and pinch measurements, mobility levels, and self-care (activities of daily living) skills. Psychologic outcomes included behavioral problems, personality disorder, and incidence of psychiatric illness. An individually administered Structured Clinical Interview for Diagnosis, based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, for psychiatric diagnosis, was used to assess mental health, and behavioral problems were assessed with the Young Adult Self-Report. Participants reported educational achievement, employment status, state of transition from family of origin (home) to independent living, and pair bonding. The Short-Form 36-Item Health Survey and the Quality of Life Questionnaire were used to assess each participant's self-reported general health and quality of life. Results: The majority of subjects had physical and psychologic outcomes that were within the normal range when compared with age-mates who had not experienced burns. The areas that were most likely to be impaired involved peripheral strength (wrist and grip). These deficits affected some self-care skills and correlated with TBSA. Standardized diagnostic interviews showed that greater than 50{\%} of subjects qualified for a psychiatric diagnosis, with anxiety disorders as the most frequently occurring diagnosis. There were few significant correlations of the physical measurements or self-care skills with the burn size, psychologic problems, or social outcomes, and none appeared to be clinically important. Conclusions: Most of the people in this sample were functioning physically and psychosocially within normal limits as they reached adulthood. Although they appeared to function well as measured by standardized assessments, there were indications of private suffering that suggested they may not be functioning at an optimal level. The findings suggest that rehabilitation professionals could improve outcomes by including programs to develop overall muscle strength in severely burned children and by addressing concerns related to anxiety and other symptoms of psychologic distress.",
keywords = "Burns, Child psychiatry, Diagnosis, Outcomes research, Quality of life, Rehabilitation",
author = "Christine Baker and Russell, {William J.} and Walter Meyer and Patricia Blakeney",
year = "2007",
month = "12",
doi = "10.1016/j.apmr.2007.09.014",
language = "English (US)",
volume = "88",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "12 SUPPL. 2",

}

TY - JOUR

T1 - Physical and Psychologic Rehabilitation Outcomes for Young Adults Burned as Children

AU - Baker, Christine

AU - Russell, William J.

AU - Meyer, Walter

AU - Blakeney, Patricia

PY - 2007/12

Y1 - 2007/12

N2 - Baker CP, Russell WJ, Meyer W III, Blakeney P. Physical and psychologic rehabilitation outcomes for young adults burned as children. Objective: To report physical and psychologic outcomes for young adult survivors of pediatric burns. Design: Prospective, correlational study. Setting: Acute and rehabilitation pediatric burn care facility. Participants: Eighty-three young adult survivors of pediatric burns, who were 18 to 28 years of age, with total body surface area (TBSA) burns of 30% or greater, and were at least 2 years postburn. Interventions: Not applicable. Main Outcome Measures: Physical outcomes were assessed by muscle strength tests, grip and pinch measurements, mobility levels, and self-care (activities of daily living) skills. Psychologic outcomes included behavioral problems, personality disorder, and incidence of psychiatric illness. An individually administered Structured Clinical Interview for Diagnosis, based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, for psychiatric diagnosis, was used to assess mental health, and behavioral problems were assessed with the Young Adult Self-Report. Participants reported educational achievement, employment status, state of transition from family of origin (home) to independent living, and pair bonding. The Short-Form 36-Item Health Survey and the Quality of Life Questionnaire were used to assess each participant's self-reported general health and quality of life. Results: The majority of subjects had physical and psychologic outcomes that were within the normal range when compared with age-mates who had not experienced burns. The areas that were most likely to be impaired involved peripheral strength (wrist and grip). These deficits affected some self-care skills and correlated with TBSA. Standardized diagnostic interviews showed that greater than 50% of subjects qualified for a psychiatric diagnosis, with anxiety disorders as the most frequently occurring diagnosis. There were few significant correlations of the physical measurements or self-care skills with the burn size, psychologic problems, or social outcomes, and none appeared to be clinically important. Conclusions: Most of the people in this sample were functioning physically and psychosocially within normal limits as they reached adulthood. Although they appeared to function well as measured by standardized assessments, there were indications of private suffering that suggested they may not be functioning at an optimal level. The findings suggest that rehabilitation professionals could improve outcomes by including programs to develop overall muscle strength in severely burned children and by addressing concerns related to anxiety and other symptoms of psychologic distress.

AB - Baker CP, Russell WJ, Meyer W III, Blakeney P. Physical and psychologic rehabilitation outcomes for young adults burned as children. Objective: To report physical and psychologic outcomes for young adult survivors of pediatric burns. Design: Prospective, correlational study. Setting: Acute and rehabilitation pediatric burn care facility. Participants: Eighty-three young adult survivors of pediatric burns, who were 18 to 28 years of age, with total body surface area (TBSA) burns of 30% or greater, and were at least 2 years postburn. Interventions: Not applicable. Main Outcome Measures: Physical outcomes were assessed by muscle strength tests, grip and pinch measurements, mobility levels, and self-care (activities of daily living) skills. Psychologic outcomes included behavioral problems, personality disorder, and incidence of psychiatric illness. An individually administered Structured Clinical Interview for Diagnosis, based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, for psychiatric diagnosis, was used to assess mental health, and behavioral problems were assessed with the Young Adult Self-Report. Participants reported educational achievement, employment status, state of transition from family of origin (home) to independent living, and pair bonding. The Short-Form 36-Item Health Survey and the Quality of Life Questionnaire were used to assess each participant's self-reported general health and quality of life. Results: The majority of subjects had physical and psychologic outcomes that were within the normal range when compared with age-mates who had not experienced burns. The areas that were most likely to be impaired involved peripheral strength (wrist and grip). These deficits affected some self-care skills and correlated with TBSA. Standardized diagnostic interviews showed that greater than 50% of subjects qualified for a psychiatric diagnosis, with anxiety disorders as the most frequently occurring diagnosis. There were few significant correlations of the physical measurements or self-care skills with the burn size, psychologic problems, or social outcomes, and none appeared to be clinically important. Conclusions: Most of the people in this sample were functioning physically and psychosocially within normal limits as they reached adulthood. Although they appeared to function well as measured by standardized assessments, there were indications of private suffering that suggested they may not be functioning at an optimal level. The findings suggest that rehabilitation professionals could improve outcomes by including programs to develop overall muscle strength in severely burned children and by addressing concerns related to anxiety and other symptoms of psychologic distress.

KW - Burns

KW - Child psychiatry

KW - Diagnosis

KW - Outcomes research

KW - Quality of life

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=36248940833&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=36248940833&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2007.09.014

DO - 10.1016/j.apmr.2007.09.014

M3 - Article

C2 - 18036983

AN - SCOPUS:36248940833

VL - 88

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 12 SUPPL. 2

ER -