Longitudinal changes in parental psychosocial adjustment and burn-related outcomes in pediatric burn patients: The mediating role of family functioning.
Martim Santos, Susana Faria, Maria Garcia, M Graça Pereira
{"title":"Longitudinal changes in parental psychosocial adjustment and burn-related outcomes in pediatric burn patients: The mediating role of family functioning.","authors":"Martim Santos, Susana Faria, Maria Garcia, M Graça Pereira","doi":"10.1037/hea0001519","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Burn injuries are a leading cause of preventable childhood trauma that threatens family functioning and well-being. This study aimed to analyze changes over time in parental psychosocial adjustment and child's burn-related outcomes, specifically burn scar quality and health-related quality of life (HRQoL), as well as the mediating role of family functioning.</p><p><strong>Method: </strong>Data were collected at four different assessment moments: during the hospital stay (T0), 1 month (T1), 3 months (T2), and 6 months (T3) postdischarge. Parental coping and distress symptoms (anxiety, depression, and traumatic stress), family functioning, the child's burn scar quality and HRQoL were assessed.</p><p><strong>Results: </strong>A total of 100 parents and their preschool-aged children were included. The results showed significant changes in all variables. In general, parental distress symptoms decreased over time, parental coping significantly increased from T1 to T2, and family functioning significantly decreased at all assessment moments compared to T0. The child's burn scar quality and HRQoL improved over time. In addition, family functioning fully mediated the relationship between parental distress and burn scar quality. The results suggested the importance of family functioning in the relationship between parental psychosocial adjustment and the child's physical recovery.</p><p><strong>Conclusion: </strong>Implementing an integrated care approach, including family-centered empowerment care and routine psychosocial screening for parents, is highly recommended. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":55066,"journal":{"name":"Health Psychology","volume":" ","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/hea0001519","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: Burn injuries are a leading cause of preventable childhood trauma that threatens family functioning and well-being. This study aimed to analyze changes over time in parental psychosocial adjustment and child's burn-related outcomes, specifically burn scar quality and health-related quality of life (HRQoL), as well as the mediating role of family functioning.
Method: Data were collected at four different assessment moments: during the hospital stay (T0), 1 month (T1), 3 months (T2), and 6 months (T3) postdischarge. Parental coping and distress symptoms (anxiety, depression, and traumatic stress), family functioning, the child's burn scar quality and HRQoL were assessed.
Results: A total of 100 parents and their preschool-aged children were included. The results showed significant changes in all variables. In general, parental distress symptoms decreased over time, parental coping significantly increased from T1 to T2, and family functioning significantly decreased at all assessment moments compared to T0. The child's burn scar quality and HRQoL improved over time. In addition, family functioning fully mediated the relationship between parental distress and burn scar quality. The results suggested the importance of family functioning in the relationship between parental psychosocial adjustment and the child's physical recovery.
Conclusion: Implementing an integrated care approach, including family-centered empowerment care and routine psychosocial screening for parents, is highly recommended. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍：
Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
