Does participation mediate the prospective relationships of impairment, injury severity, and pain to quality of life following burn injury?. (October 2016)

• Record Type: Journal Article
• Authors: Elliott, Timothy R; Berry, Jack W; Nguyen, Huynh Mai; Williamson, Meredith LC; Kalpinski, Ryan J; Underhill, Andrea T; Fine, Philip R
• Is Part Of: Journal of health psychology. Volume 21:Number 10(2016:Oct.)
• Page Start: 2398
• Page End: 2408
• Publication Date: 2016-10
• Subjects: burns -- functional impairment -- life satisfaction -- pain -- participation -- quality of life -- self-rated health; Clinical health psychology -- Periodicals; 613.019
• DOI: 10.1177/1359105315577686
• Languages: English
• ISSNs: 1359-1053

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.