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Appearance concerns, psychosocial outcomes, and the feasibility of implementing an online intervention for adolescents receiving outpatient burn care

Riobueno-Naylor, Alexa; Williamson, Heidi; Canenguez, Katia; Kogosov, Ann; Drexler, Alana; Sadeq, Farzin; DePamphilis, Matthew; Holcomb, Juliana M.; Stoddard Jr., Frederick J.; Lydon, Martha; Murphy, J. Michael; Sheridan, Robert L.


Alexa Riobueno-Naylor

Heidi Williamson
Associate Professor in Applied Health Research

Katia Canenguez

Ann Kogosov

Alana Drexler

Farzin Sadeq

Matthew DePamphilis

Juliana M. Holcomb

Frederick J. Stoddard Jr.

Martha Lydon

J. Michael Murphy

Robert L. Sheridan


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.


Riobueno-Naylor, A., Williamson, H., Canenguez, K., Kogosov, A., Drexler, A., Sadeq, F., …Sheridan, R. L. (2021). Appearance concerns, psychosocial outcomes, and the feasibility of implementing an online intervention for adolescents receiving outpatient burn care. Journal of Burn Care and Research, 42(1), 32-40.

Journal Article Type Article
Acceptance Date Jun 12, 2020
Online Publication Date Jun 28, 2020
Publication Date Jan 1, 2021
Deposit Date Jun 26, 2020
Publicly Available Date Jun 29, 2021
Journal Journal of burn care & research : official publication of the American Burn Association
Print ISSN 1559-047X
Electronic ISSN 1559-0488
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 42
Issue 1
Pages 32-40
Series ISSN 1559-047X
Keywords Pediatric Burns, Appearance, Psychosocial Functioning, Young Person’s Face IT, Burn Outcomes Questionnaire, Body Esteem Scale
Public URL