Purpose/Objective: Despite the increasingly high number of individuals who survive burns and the documented impairments in functioning across psychological, work, sexual, and interpersonal domains, there has been a dearth of research investigating connections between pain and functioning in these domains after burn injury. The purpose of the current study was to investigate the relationships among pain, mental health, and functioning of individuals with burn injury. It was hypothesized that pain after burn would yield direct effects on functioning (work, sexual, and interpersonal), as well as indirect effects on functioning through depression and anxiety. Research Method/Design: Eighty-seven individuals with burn injury completed a questionnaire assessing study constructs in an outpatient burn center setting. Results: Pain was positively related to depression and anxiety and inversely related to all three forms of functioning. In a series of mediational models, depression and anxiety simultaneously and partially mediated the relationship between pain and work functioning. Depression fully mediated the relationship between pain and sexual functioning, as well as partially mediated the relationship between pain and interpersonal functioning. The models explained 39.2% of the variance in work functioning, 28.4% in sexual functioning, and 35.6% in interpersonal functioning. Conclusions/Implications: Although the cross-sectional findings are unable to conclude causality, individuals with burn injury experiencing pain may benefit from a biopsychosocial treatment approach while also addressing symptoms of depression and anxiety. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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烧伤患者疼痛、心理健康和功能的中介模型。

目的/目标：尽管越来越多的人在烧伤后幸存下来，并且记录的心理、工作、性和人际关系领域的功能受损，但缺乏研究烧伤后这些领域的疼痛与功能之间的联系. 本研究的目的是调查烧伤患者的疼痛、心理健康和功能之间的关系。据推测，烧伤后的疼痛会对功能（工作、性和人际关系）产生直接影响，也会通过抑郁和焦虑对功能产生间接影响。研究方法/设计：87 名烧伤患者在门诊烧伤中心完成了一份评估研究结构的问卷。结果：疼痛与抑郁和焦虑呈正相关，与所有三种形式的功能呈负相关。在一系列中介模型中，抑郁和焦虑同时并部分地介导了疼痛与工作功能之间的关系。抑郁完全介导了疼痛与性功能之间的关系，也部分介导了疼痛与人际功能之间的关系。这些模型解释了工作功能的 39.2%、性功能的 28.4% 和人际功能的 35.6%。结论/意义：尽管横断面研究结果无法得出因果关系，但经历疼痛的烧伤个体可能会受益于生物心理社会治疗方法，同时还可以解决抑郁和焦虑的症状。（PsycInfo 数据库记录 (c) 2020 APA，