Inmaculada Moreno García

Psychological Effects Observed in Child Burn Patients During the Acute Phase of Hospitalization and Comparison With Pediatric Patients Awaiting Surgery

The main aim of this article is to examine, first, the emotional and behavioral reactions in children who have suffered burns, during their first days of hospitalization (N = 103) (ages, 1–17 years and average TBSA%, 12.84). In addition, in relationship to this question, the article compares a group of 33 of these children hospitalized for burns, with children awaiting surgery (N = 36), taking into account that all were awaiting surgery and all were from the same age group (6–14 years). The authors used the State-Trait Anxiety Inventory for Children (STAIC) and the Child Behavior Checklist (CBCL). For the population of 103 burn patients, the authors also used the Scale for Anxiety Behavior Observation during Hospitalization for the parents. The majority of children who suffer from burns are younger than 5 years. All present high levels of state anxiety and lower than average levels in trait anxiety. The older children suffer flame burns, which are greater in gravity and pain, require greater hospitalization time, and cause greater emotional and behavioral effects. The results of the comparison group show that the group awaiting minor surgery registered higher state anxiety (STAIC) levels and somatic complaints (CBCL). Where behavior is concerned, the children suffering from burns showed problems of attention and behavior (CBCL). The authors may conclude that the differences with respect to anxiety among child patients suffering from burns and those awaiting minor surgery are linked to the reason for hospital admission.

Psychological impact of burns on children treated in a severe burns unit

The aims of this study were to analyse the types of incident which cause childrens burns, to investigate emotional reactions and associated behaviour afterward and to ascertain post-admission sequelae. A total of 83 young people took part, aged 1-17 years, with a mean 12% (range 1.5-47%, S.D. 8.0) total body surface area burned. According to the results from the psychometric scales and questionnaire used, most burns were the result of domestic incidents. Older children scored higher in anxiety. The most common behavioural reactions observed (attachment, wish to go back home) reflect the particularity of these patients compared with other samples of children in hospital. With respect to post-admission sequelae, no relevant results were obtained.