Meyer W J, Blakeney P, Russell W, Thomas C, Robert R, Berniger F, Holzer C
Department of Psychiatry and Behavioral Science, University of Texas Medical Branch, Galveston, Texas 77550, USA.
J Burn Care Rehabil. 2004 Jan-Feb;25(1):98-106. doi: 10.1097/01.BCR.0000107203.48726.67.
This study assessed long-term psychosocial sequelae of young adult pediatric burn survivors. Subjects were 101 young adults (43 females and 58 males) between the ages of 18 and 28 years who were at least 2 years (average, 14 years) postburn at least 30% TBSA (mean = 54 +/- 20%). Educational status was 25% high school dropouts, 28% high school graduation only, 32% some college, and 5% completed college. Seventy-seven percent either worked or attended school; 28% had had a long-term partner. When assessed by Achenbach's Young Adult Self-Report (YASR) scale and compared with its published reference group, the males reported differences only in the somatic complaints, but the females endorsed significantly more externalizing and total problems, specifically withdrawn behaviors, somatic complaints, thought problems, aggressive behavior, and delinquent behavior. Despite these problems suffered by some female pediatric burn survivors, the overall outcome revealed that most pediatric burn survivors are making the transition into adulthood with minimal unexpected difficulty.
本研究评估了青少年期烧伤成年幸存者的长期心理社会后遗症。研究对象为101名年龄在18至28岁之间的年轻人（43名女性和58名男性），他们烧伤后至少已过去2年（平均14年），烧伤面积至少为30% TBSA（平均 = 54 ± 20%）。受教育状况为：25%为高中辍学者，28%仅高中毕业，32%上过一些大学课程，5%完成了大学学业。77%的人要么工作要么上学；28%有长期伴侣。当通过阿肯巴克青少年自评量表（YASR）进行评估并与已发表的参照组进行比较时，男性仅在躯体主诉方面存在差异，但女性认可的外化问题和总问题显著更多，特别是退缩行为、躯体主诉、思维问题、攻击行为和违纪行为。尽管一些女性青少年期烧伤幸存者存在这些问题，但总体结果显示，大多数青少年期烧伤幸存者正在以最小的意外困难过渡到成年期。
