title: Psychological and psychosocial functioning of children with burn scarring using cosmetic camouflage: a multi-centre prospective randomised controlled trial.
abstract: BACKGROUND
  Burns leave patients with long-term physical scarring. Children with scarring are required to face challenges of reintegration into their community, including acceptance of an altered appearance and acceptance by others. This can be difficult given society's preoccupation with physical appearance. Limited research exists investigating validity of cosmetic camouflage as a psychosocial intervention for children with scarring. This study investigated whether using cosmetic camouflage (Microskin™) had a positive impact on health-related quality of life, self-concept and psychopathology for children and adolescents (8-17 years) with burn scarring.
  
  
  METHODS
  A prospective multi-centre randomised controlled trial was conducted across Australian and New Zealand paediatric hospitals. 63 participants (49 females, mean age 12.7 ± 2.1 years) were enrolled. Data points were baseline (Time 1) and at 8 weeks (Time 2) using reliable and valid psychometric measures.
  
  
  RESULTS
  Findings indicate there were significant improvements in socialisation, school and appearance scales on the Paediatric Quality of Life Inventory and psychopathology scores particularly peer problems decreased. However self-concept remained stable from baseline throughout intervention use.
  
  
  CONCLUSIONS
  Cosmetic camouflage appears to have a positive impact on quality of life particularly socialisation. Cosmetic camouflage is a valid tool to assist children with scarring to actively participate socially within their communities.
authors.affiliation: The Centre for Children's Burns and Trauma Research, Queensland Children's Medical Research Institute, The University of Queensland, Royal Children's Hospital, Brisbane, QLD 4029, Australia; School of Social Work and Human Services, The University of Queensland, Brisbane, QLD 4072, Australia. Electronic address: j.maskell@uqconnect.edu.au.
authors.forename: Jessica
authors.initials: J
authors.lastname: Maskell
authors.affiliation: School of Social Work and Human Services, The University of Queensland, Brisbane, QLD 4072, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Newcombe
authors.affiliation: Department of Child and Adolescent Psychiatry, The University of Queensland, Herston, QLD 4029, Australia.
authors.forename: Graham
authors.initials: G
authors.lastname: Martin
authors.affiliation: The Centre for Children's Burns and Trauma Research, Queensland Children's Medical Research Institute, The University of Queensland, Royal Children's Hospital, Brisbane, QLD 4029, Australia.
authors.forename: Roy
authors.initials: R
authors.lastname: Kimble
mesh_terms: D000293:Adolescent; D001315:Australia; D002056:Burns / Q000523:psychology*; D002648:Child; D002921:Cicatrix / Q000523:psychology*; D003358:Cosmetics; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009520:New Zealand; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D058992:Social Participation
chemical_list: D003358:Cosmetics
keywords: Burn; Child; Cosmetic camouflage; Quality of life; Scarring; Self-concept; Socialisation