The Reported Pain Coping Strategies of Pediatric Burn Survivors—Does a Correlation Exist Between Coping Style and Development of Anxiety Disorder?
| Autor: | R. Curt Bay, R B Rimmer, Ian J. Sadler, Daniel M. Caruso, Now Bahar Alam, Kevin N Foster |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Coping (psychology) Generalized anxiety disorder Adolescent Critical Illness Child Welfare Poison control Intensive Care Units Pediatric Suicide prevention Cohort Studies Surveys and Questionnaires Adaptation Psychological medicine Humans Survivors Child Psychiatry business.industry Panic disorder Rehabilitation medicine.disease Adaptation Physiological Anxiety Disorders Mental health Self Concept Emergency Medicine Anxiety Female Surgery medicine.symptom Burns business Anxiety disorder Clinical psychology |
| Zdroj: | Journal of Burn Care & Research. 36:336-343 |
| ISSN: | 1559-047X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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