Abstract

The current study assessed the prevalence of appearance concerns, psychosocial difficulty, and use of an appearance-focused social and psychological support resource (Young Person’s Face IT; YPF) within a population of teens (12–17 year-olds) receiving outpatient burn care with the goal to assess the feasibility of routine use of the resource in outpatient burn care. The study sample included 78 patients ages 12 to 17 receiving outpatient care for burns at one hospital. Appearance concerns were measured via the Burn Outcomes Questionnaire Appearance Subscale, the Appearance Subscale of the Body Esteem Scale for Adolescents, and a 2-part question which asked participants directly about appearance concerns related to the burn injury. A large majority (70.0%) of study participants reported appearance concerns on at least one appearance measure and girls reported more burn-related appearance concerns compared with boys. Psychosocial difficulty was measured via the Pediatric Symptom Checklist-17 (PSC-17) and measures of social functioning were collected and compared within the sample by burn size, burn location, sex, and appearance concerns. Internalizing symptoms were prevalent on the PSC-17 (18.6% risk) and decreased self-worth and increased social anxiety symptoms were significantly associated with having appearance concerns. Although interest in YPF was high (78.3%), actual use of the resource among those who signed up to pilot it (n = 46 participants) was low (19.4% use). Results indicate that there is a need for and interest in appearance-focused social anxiety resources for adolescents with burn injuries such as YPF, but more research is needed to understand its feasibility in clinical practice.

中文翻译：

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外观问题、社会心理结果以及对接受门诊烧伤护理的青少年实施在线干预的可行性

摘要

当前的研究评估了在接受门诊烧伤护理的青少年（12-17 岁）人群中外观问题、社会心理困难以及以外观为重点的社会和心理支持资源（Young Person's Face IT；YPF）的使用情况目的是评估在门诊烧伤护理中常规使用资源的可行性。研究样本包括在一家医院接受烧伤门诊治疗的 78 名 12 至 17 岁的患者。外观问题通过烧伤结果问卷外观分量表、青少年身体自尊量表的外观分量表以及一个由两部分组成的问题直接向参与者询问与烧伤相关的外观问题。绝大多数（70。0%) 的研究参与者报告了至少一项外观测量的外观问题，与男孩相比，女孩报告了更多与烧伤相关的外观问题。通过儿科症状检查表-17 (PSC-17) 测量社会心理困难，并通过烧伤大小、烧伤位置、性别和外观问题收集和比较样本中的社会功能测量。内化症状在 PSC-17 中普遍存在（18.6% 的风险），自我价值下降和社交焦虑症状增加与外观问题显着相关。尽管对 YPF 的兴趣很高 (78.3%)，但注册试点的人（n = 46 名参与者）对资源的实际使用率很低（使用率为 19.4%）。