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Internalizing problem behavior and family environment of children with burns: a Dutch pilot study

J M Liber1, D List, N E E Van Loey

  • 1Department of Child and Adolescent Psychiatry, Leiden University Medical Center, Endegeesterstraatweg 27, 2342 AK, Oegstgeest, Leiden, The Netherlands. J.M.Liber@Curium.nl

Burns : Journal of the International Society for Burn Injuries
|February 2, 2006
PubMed

Insights

Children with burns face psychosocial risks, often developing internalizing problems. Family environment factors significantly correlate with these issues, offering potential avenues for prevention and support.

Area of Science:

  • Pediatric Psychology
  • Burn Care Research
  • Child Development

Background:

  • Children with severe health conditions, such as burns, are at increased risk for psychosocial challenges.
  • Internalizing problems (e.g., anxiety, depression) are common among children facing significant medical issues.
  • A conceptual model highlights potential risk and protective factors influencing internalizing problems post-burn.

Purpose of the Study:

  • To investigate the relationship between internalizing problems in children after a burn injury.
  • To examine the influence of child characteristics, burn severity, and family environment on these problems.

Main Methods:

  • Data collected from 55 parents (28 mothers, 27 fathers) of 29 children (ages 2-14) treated in Dutch and Belgian burn centers.
  • Child behavior assessed using the Child Behavior Checklist (CBCL).
  • Family environment evaluated using the Family Environment Scale (FES), focusing on conflict, cohesion, and control.

Main Results:

  • A significant clinical level of internalizing problems was reported in 25% of the child burn survivor sample.
  • Specific relationships were identified between the level of internalizing problems and aspects of the family environment.
  • No specific details on which family factors were most related were provided in the abstract.

Conclusions:

  • The family environment plays a crucial role in the psychosocial adjustment of children following burn injuries.
  • Understanding these family dynamics is essential for developing targeted interventions to mitigate internalizing problems.
  • Further research is warranted to elucidate specific family-based protective factors for burn-injured children.

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