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Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept

Pediatric burn survivors experience increased risk for bullying, stigmatization, body image concerns, and problematic social functioning. Although coping behaviors are associated with engagement in social supports and positive self-concept in multiple pediatric illness populations, their relation ha...

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Autores principales: Snider, Mira D. H., Young, Sarah, Enlow, Paul T., Ahrabi-Nejad, Corrine, Aballay, Ariel M., Duncan, Christina L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8695557/
https://www.ncbi.nlm.nih.gov/pubmed/34955941
http://dx.doi.org/10.3389/fpsyg.2021.695369
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author Snider, Mira D. H.
Young, Sarah
Enlow, Paul T.
Ahrabi-Nejad, Corrine
Aballay, Ariel M.
Duncan, Christina L.
author_facet Snider, Mira D. H.
Young, Sarah
Enlow, Paul T.
Ahrabi-Nejad, Corrine
Aballay, Ariel M.
Duncan, Christina L.
author_sort Snider, Mira D. H.
collection PubMed
description Pediatric burn survivors experience increased risk for bullying, stigmatization, body image concerns, and problematic social functioning. Although coping behaviors are associated with engagement in social supports and positive self-concept in multiple pediatric illness populations, their relation has not been examined in pediatric burns. This study examined coping in relation to social functioning and self-concept in 51 pediatric burn survivors aged 7–17years (M=12.54; SD=2.65). Survivors and their caregivers completed the Child Coping Strategies Checklist (CCSC; youth report); the Burn Injury Social Questionnaire (BISQ; parent and youth report); and the Piers-Harris Children’s Self-Concept Scale-2 (PH-2; youth report). Associations between coping, social functioning, self-concept, demographic features, and burn injury characteristics were examined via bivariate correlations. Hierarchical linear regressions examined whether coping strategies predicted social functioning and youth self-concept beyond burn injury and demographic variables. Social functioning concerns were positively correlated with total body surface area (TBSA; r=0.63 and 0.40, respectively). TBSA was the only significant predictor of parent-reported social concerns (β=0.65, p<0.001). Greater distraction coping predicted fewer youth-reported social concerns (β=−0.39, p=0.01). Greater active coping (B=0.67, p=0.002) and lower avoidance coping (B=−0.36, p=0.03) predicted better youth-reported self-concept. This study advances our understanding of coping as potentially protective for psychosocial adjustment. Clinicians working with child burn survivors should incorporate active coping interventions into treatment. Further research including larger and more diverse samples is needed to understand the role of coping approaches on psychological adjustment during burn healing.
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spelling pubmed-86955572021-12-24 Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept Snider, Mira D. H. Young, Sarah Enlow, Paul T. Ahrabi-Nejad, Corrine Aballay, Ariel M. Duncan, Christina L. Front Psychol Psychology Pediatric burn survivors experience increased risk for bullying, stigmatization, body image concerns, and problematic social functioning. Although coping behaviors are associated with engagement in social supports and positive self-concept in multiple pediatric illness populations, their relation has not been examined in pediatric burns. This study examined coping in relation to social functioning and self-concept in 51 pediatric burn survivors aged 7–17years (M=12.54; SD=2.65). Survivors and their caregivers completed the Child Coping Strategies Checklist (CCSC; youth report); the Burn Injury Social Questionnaire (BISQ; parent and youth report); and the Piers-Harris Children’s Self-Concept Scale-2 (PH-2; youth report). Associations between coping, social functioning, self-concept, demographic features, and burn injury characteristics were examined via bivariate correlations. Hierarchical linear regressions examined whether coping strategies predicted social functioning and youth self-concept beyond burn injury and demographic variables. Social functioning concerns were positively correlated with total body surface area (TBSA; r=0.63 and 0.40, respectively). TBSA was the only significant predictor of parent-reported social concerns (β=0.65, p<0.001). Greater distraction coping predicted fewer youth-reported social concerns (β=−0.39, p=0.01). Greater active coping (B=0.67, p=0.002) and lower avoidance coping (B=−0.36, p=0.03) predicted better youth-reported self-concept. This study advances our understanding of coping as potentially protective for psychosocial adjustment. Clinicians working with child burn survivors should incorporate active coping interventions into treatment. Further research including larger and more diverse samples is needed to understand the role of coping approaches on psychological adjustment during burn healing. Frontiers Media S.A. 2021-12-09 /pmc/articles/PMC8695557/ /pubmed/34955941 http://dx.doi.org/10.3389/fpsyg.2021.695369 Text en Copyright © 2021 Snider, Young, Enlow, Ahrabi-Nejad, Aballay and Duncan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Snider, Mira D. H.
Young, Sarah
Enlow, Paul T.
Ahrabi-Nejad, Corrine
Aballay, Ariel M.
Duncan, Christina L.
Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept
title Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept
title_full Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept
title_fullStr Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept
title_full_unstemmed Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept
title_short Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept
title_sort coping in pediatric burn survivors and its relation to social functioning and self-concept
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8695557/
https://www.ncbi.nlm.nih.gov/pubmed/34955941
http://dx.doi.org/10.3389/fpsyg.2021.695369
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