Does participation mediate the prospective relationships of impairment, injury severity, and pain to quality of life following burn injury?

J Health Psychol. 2016 Oct;21(10):2398-408. doi: 10.1177/1359105315577686. Epub 2015 Apr 13.

Abstract

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.

Keywords: burns; functional impairment; life satisfaction; pain; participation; quality of life; self-rated health.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Burns / pathology
  • Burns / physiopathology
  • Burns / psychology*
  • Female
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Pain / psychology*
  • Personal Satisfaction*
  • Prospective Studies
  • Quality of Life / psychology*
  • Severity of Illness Index*
  • Social Participation / psychology*
  • Survivors / psychology*
  • Young Adult