{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:40:52Z","timestamp":1780605652969,"version":"3.54.1"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:00:00Z","timestamp":1639008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Pediatric burn survivors experience increased risk for bullying, stigmatization, body image concerns, and problematic social functioning. Although coping behaviors are associated with engagement in social supports and positive self-concept in multiple pediatric illness populations, their relation has not been examined in pediatric burns. This study examined coping in relation to social functioning and self-concept in 51 pediatric burn survivors aged 7\u201317years (<jats:italic>M<\/jats:italic>=12.54; <jats:italic>SD<\/jats:italic>=2.65). Survivors and their caregivers completed the <jats:italic>Child Coping Strategies Checklist<\/jats:italic> (CCSC; youth report); the <jats:italic>Burn Injury Social Questionnaire<\/jats:italic> (BISQ; parent and youth report); and the <jats:italic>Piers-Harris Children\u2019s Self-Concept Scale-2<\/jats:italic> (PH-2; youth report). Associations between coping, social functioning, self-concept, demographic features, and burn injury characteristics were examined <jats:italic>via<\/jats:italic> bivariate correlations. Hierarchical linear regressions examined whether coping strategies predicted social functioning and youth self-concept beyond burn injury and demographic variables. Social functioning concerns were positively correlated with total body surface area (TBSA; <jats:italic>r<\/jats:italic>=0.63 and 0.40, respectively). TBSA was the only significant predictor of parent-reported social concerns (<jats:italic>\u03b2<\/jats:italic>=0.65, <jats:italic>p<\/jats:italic>&amp;lt;0.001). Greater distraction coping predicted fewer youth-reported social concerns (<jats:italic>\u03b2<\/jats:italic>=\u22120.39, <jats:italic>p<\/jats:italic>=0.01). Greater active coping (<jats:italic>B<\/jats:italic>=0.67, <jats:italic>p<\/jats:italic>=0.002) and lower avoidance coping (<jats:italic>B<\/jats:italic>=\u22120.36, <jats:italic>p<\/jats:italic>=0.03) predicted better youth-reported self-concept. This study advances our understanding of coping as potentially protective for psychosocial adjustment. Clinicians working with child burn survivors should incorporate active coping interventions into treatment. Further research including larger and more diverse samples is needed to understand the role of coping approaches on psychological adjustment during burn healing.<\/jats:p>","DOI":"10.3389\/fpsyg.2021.695369","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T05:21:25Z","timestamp":1639027285000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept"],"prefix":"10.3389","volume":"12","author":[{"given":"Mira D. H.","family":"Snider","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Young","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul T.","family":"Enlow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrine","family":"Ahrabi-Nejad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel M.","family":"Aballay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina L.","family":"Duncan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"ref1","year":"2018"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/S0305-4179(02)00239-5","article-title":"Social competence and behaviour problems in burned children","volume":"29","author":"Andersson","year":"2003","journal-title":"Burns"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1111\/j.1467-6494.1996.tb00949.x","article-title":"A dispositional and situational assessment of children\u2019s coping: testing alternative models of coping","volume":"64","author":"Ayers","year":"1996","journal-title":"J. Pers."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.cpr.2012.12.006","article-title":"Psychological consequences of pediatric burns from a child and family perspective: a review of the empirical literature","volume":"33","author":"Bakker","year":"2013","journal-title":"Clin. Psychol. Rev."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1007\/s10826-016-0645-9","article-title":"Children\u2019s coping strategies to inter-parental conflict: the moderating role of attachment","volume":"26","author":"Camisasca","year":"2017","journal-title":"J. Child Fam. Stud."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1037\/0033-2909.127.1.87","article-title":"Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research","volume":"127","author":"Compas","year":"2001","journal-title":"Psychol. Bull."},{"key":"ref7","first-page":"155","article-title":"Psychological aspects of paediatric burns: a clinical review","volume":"23","author":"De Sousa","year":"2010","journal-title":"Ann. Burns Fire Disasters"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1093\/jbcr\/irz067","article-title":"The role of youth coping strategies and caregiver psychopathology in predicting posttraumatic stress symptoms in pediatric burn survivors","volume":"40","author":"Enlow","year":"2019","journal-title":"J. Burn Care Res."},{"key":"ref9","article-title":"Psychosocial benefits for child burn survivors who attend summer camp. Dissertation Abstracts International: Section B: The Sciences and Engineering, 71, 2047","author":"Gill","year":"2010"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e0186057","DOI":"10.1371\/journal.pone.0186057","article-title":"A count of coping strategies: a longitudinal study investigating an alternative method to understanding coping and adjustment","volume":"12","author":"Heffer","year":"2017","journal-title":"PLoS One"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1007\/s11892-011-0221-z","article-title":"Taking evidence-based coping skills training to the internet","volume":"11","author":"Hilliard","year":"2011","journal-title":"Curr. Diab. Rep."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1002\/j.1556-6676.1997.tb02350.x","article-title":"Resilience and severe burns","volume":"75","author":"Holaday","year":"1997","journal-title":"J. Couns. Dev."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.pedhc.2009.12.003","article-title":"Coping skills training in a telephone health coaching program for youth at risk for type 2 diabetes","volume":"25","author":"Jefferson","year":"2011","journal-title":"J. Pediatr. Health Care"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"176","DOI":"10.5505\/tjtes.2014.49033","article-title":"Psychiatric disorders and their association with burn-related factors in children with burn injury","volume":"20","author":"Kara\u00e7etin","year":"2014","journal-title":"Ulus. Travma Acil Cerrahi Derg."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2851","DOI":"10.1007\/s11136-017-1588-3","article-title":"Development of the life impact burn recovery evaluation (LIBRE) profile: assessing burn survivors\u2019 social participation","volume":"26","author":"Kazis","year":"2017","journal-title":"Qual. Life Res."},{"key":"ref16","article-title":"Relationship of self-esteem in pediatric burn patients to other psychological and physiological parameters. Dissertation Abstracts International, 53, 4958","author":"Koon","year":"1993"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"128","DOI":"10.4103\/2229-5151.100889","article-title":"Pediatric burn injuries","volume":"2","author":"Krishnamoorthy","year":"2012","journal-title":"Int. J. Crit. Ill. Inj. Sci."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1093\/jpepsy\/jsm088","article-title":"Brief report: quality of life is impaired in pediatric burn survivors with posttraumatic stress disorder","volume":"34","author":"Landolt","year":"2009","journal-title":"J. Pediatr. Psychol."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1093\/jpepsy\/17.2.133","article-title":"Psychological adjustment to pediatric physical disorders: a meta-analytic review","volume":"17","author":"Lavigne","year":"1992","journal-title":"J. Pediatr. Psychol."},{"key":"ref20","first-page":"472","article-title":"Positive self-regard as coping mechanism for pediatric burn survivors","volume":"17","author":"LeDoux","year":"1996","journal-title":"J. Burn Care Rehabil."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1177\/0009922811417300","article-title":"Family functioning and coping styles in families of children with cancer and HIV disease","volume":"51","author":"Martin","year":"2012","journal-title":"Clin. Pediatr."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0277-9536(01)00127-7","article-title":"Coping styles and locus of control as predictors for psychological adjustment of adolescents with a chronic illness","volume":"54","author":"Meijer","year":"2002","journal-title":"Soc. Sci. Med."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1093\/jpepsy\/jsu086","article-title":"Factors related to the psychosocial functioning of youth with neonatal brachial plexus injuries","volume":"40","author":"Mentrikoski","year":"2015","journal-title":"J. Pediatr. Psychol."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1093\/jpepsy\/jsl014","article-title":"Identifying the variables impacting post-burn psychological adjustment: a meta-analysis","volume":"32","author":"Noronha","year":"2007","journal-title":"J. Pediatr. Psychol."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1016\/j.burns.2008.01.016","article-title":"Psychological impact of burns on children treated in a severe burns unit","volume":"34","author":"Pardo","year":"2008","journal-title":"Burns"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1007\/s11136-019-02380-w","article-title":"Assessing child quality of life impairments following pediatric burn injuries: rasch analysis of the children's dermatology life quality index","volume":"29","author":"Parrish","year":"2020","journal-title":"Qual. Life Res."},{"key":"ref28","year":"2021"},{"key":"ref29","article-title":"Piers-Harris 2. Piers-Harris Children\u2019s Self Concept Scale","author":"Piers","year":"2002"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1097\/BCR.0000000000000261","article-title":"Explanatory model of resilience in pediatric burn survivors","volume":"37","author":"Quezada","year":"2016","journal-title":"J. Burn Care Res."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1097\/BCR.0000000000000109","article-title":"The reported pain coping strategies of pediatric burn survivors\u2014does a correlation exist between coping style and development of anxiety disorder?","volume":"36","author":"Rimmer","year":"2015","journal-title":"J. Burn Care Res."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1038\/sc.2013.65","article-title":"Examination and measurement of coping among adolescents with spinal cord injury","volume":"51","author":"Smith","year":"2013","journal-title":"Spinal Cord"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1053\/jpon.2003.5","article-title":"Parent and adolescent adjustment to pediatric cancer: associations with coping, social support, and family function","volume":"20","author":"Trask","year":"2003","journal-title":"J. Pediatr. Oncol. Nurs."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1097\/00005650-199902000-00003","article-title":"The PedsQL\u2122: measurement model for the pediatric quality of life inventory","volume":"37","author":"Varni","year":"1999","journal-title":"Med. Care"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1016\/j.burns.2011.08.003","article-title":"Psychological problems in children with burns\u2014parents\u2019 reports on the strengths and difficulties questionnaire","volume":"37","author":"Willebrand","year":"2011","journal-title":"Burns"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.adolescence.2007.03.004","article-title":"The relation between self-concept and social functioning in adolescence","volume":"31","author":"Ybrandt","year":"2008","journal-title":"J. Adolesc."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2021.695369\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T05:21:30Z","timestamp":1639027290000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2021.695369\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,9]]},"references-count":35,"alternative-id":["10.3389\/fpsyg.2021.695369"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2021.695369","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,9]]},"article-number":"695369"}}