Blakeney P, Portman S, Rutan R
Shriners Burns Institute, Galveston, TX 77550.
J Burn Care Rehabil. 1990 Sep-Oct;11(5):472-5. doi: 10.1097/00004630-199009000-00018.
This study replicates earlier findings that children who survive severe burn injury do make positive psychological adjustment. Family support and a family value of autonomy were predicted to be critical variables in promotion of psychological adjustment. In addition, the study presents the hypothesis that length of time after burn injury and level of intelligence are contributing factors in psychological adjustment. Forty-four adolescents with a mean of 60% total body surface area (TBSA) full-thickness burns were studied. Half of the subjects scored within the normal range on a measure of psychological adjustment. Familial value patterns were critical in the prediction of psychological adjustment. Positive psychological adjustment was predicted by greater family cohesion, independence, and more open expressiveness within the family. Level of intelligence did not contribute to adjustment. Length of time after injury, if it is important to psychological healing, appears to be a factor only during the initial 2 years after burn injury.
本研究重复了早期的研究结果，即严重烧伤后存活下来的儿童确实能做出积极的心理调适。家庭支持和家庭自主价值观被认为是促进心理调适的关键变量。此外，该研究提出了一个假设，即烧伤后的时间长度和智力水平是心理调适的影响因素。对44名平均全身表面积（TBSA）达60%的全层烧伤青少年进行了研究。一半受试者在心理调适测量中得分在正常范围内。家庭价值模式在心理调适的预测中至关重要。家庭凝聚力更强、独立性更高以及家庭内部更开放的表达预示着积极的心理调适。智力水平对调适没有影响。受伤后的时间长度，如果对心理康复很重要的话，似乎只是在烧伤后的最初两年才是一个因素。
