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Objective: To examine the psychosocial adjustment of survivors of massive pediatric burn injuries, the change in adjustment across time, and the impact on parents.

Background: Patients/parents were assessed at regular intervals postburn using standardized tests of adjustment. Patients who could not be included in standardized longitudinal assessments were administered questionnaires by mail/telephone.

Methods: The Child Behavior Checklist, the Teacher Report Form, the Youth Self Report Form, and the Parenting Stress Index were utilized to assess adjustment.

Results: On all objective measures, the group of survivors and their parents were within normal limits. Adjustment neither improved nor deteriorated over time.

Conclusion: Children who survive massive burn injuries can achieve positive psychosocial adaptation.

(C) Williams & Wilkins 1998. All Rights Reserved.