title: Does participation mediate the prospective relationships of impairment, injury severity, and pain to quality of life following burn injury?
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.
authors: Texas A&M University, USA telliott@tamu.edu.
authors: Timothy R
authors: TR
authors: Elliott
authors: Samford University, USA.
authors: Jack W
authors: JW
authors: Berry
authors: Texas A&M University, USA.
authors: Huynh Mai
authors: HM
authors: Nguyen
authors: Texas A&M University, USA.
authors: Meredith Lc
authors: ML
authors: Williamson
authors: Texas A&M University, USA.
authors: Ryan J
authors: RJ
authors: Kalpinski
authors: The University of Alabama at Birmingham, USA.
authors: Andrea T
authors: AT
authors: Underhill
authors: The University of Alabama at Birmingham, USA.
authors: Philip R
authors: PR
authors: Fine
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000473:pathology / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000523:psychology*; D010549:Personal Satisfaction; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D012720:Severity of Illness Index; D058992:Social Participation / Q000523:psychology*; D017741:Survivors / Q000523:psychology*; D055815:Young Adult
keywords: burns; functional impairment; life satisfaction; pain; participation; quality of life; self-rated health