Emotional Reactivity and Emotion Regulation in Relation to Health-Related Quality of Life After Burn Injury: A Cross-Sectional Observational Study.
- 1Vietnam National Burn Hospital, Hanoi 10000, Vietnam.
Abstract
Introduction: Burn severity alone may not explain differences in health-related quality of life (HRQoL) after burn injury. We examined whether emotional reactivity and emotion-regulation strategies were associated with HRQoL beyond burn severity. Methods: This cross-sectional study included 256 adults with burn injury treated at the Vietnam National Burn Hospital (2024-2025). Total body surface area (TBSA) and burn depth represented severity. Emotional reactivity and emotion-regulation strategies were assessed using the Emotion Reactivity Scale (ERS) and Emotion Regulation Questionnaire-Short Form. Burn-specific and generic HRQoL were assessed using the Burn-Specific Health Scale-Brief (BSHS-B) and EuroQol five-dimensional five-level (EQ-5D-5L). Results: TBSA was positively associated with ERS (r = 0.30, p < 0.001), whereas burn depth was not (p = 0.18). Higher ERS was associated with poorer BSHS-B Function (r = -0.34), Affect and Relations (r = -0.39), Skin Involvement (r = -0.28), and EQ-5D-5L (r = -0.32; all p < 0.001). Cognitive reappraisal showed positive, whereas expressive suppression showed negative associations with HRQoL. In hierarchical regression for BSHS-B Affect and Relations, psychosocial variables increased adjusted R² from 0.168 to 0.291 (Δadjusted R² = 0.123, p < 0.001). Conclusions: Emotional reactivity and emotion-regulation strategies were associated with HRQoL and provided additional explanatory information beyond burn severity, supporting their consideration in individualized rehabilitation.
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BibTeX
@article{dung2026emotional,
title = {{Emotional Reactivity and Emotion Regulation in Relation to Health-Related Quality of Life After Burn Injury: A Cross-Sectional Observational Study.}},
author = {Nguyen Tien Dung and Pham Thi Mai Phuong and Nguyen Thanh Chung and Hoang Duc Minh},
journal = {European burn journal},
year = {2026},
month = sep,
doi = {10.3390/ebj7040051},
url = {https://europepmc.org/article/MED/42924819},
note = {CC BY},
}
RIS
TY - JOUR
TI - Emotional Reactivity and Emotion Regulation in Relation to Health-Related Quality of Life After Burn Injury: A Cross-Sectional Observational Study.
AU - Nguyen Tien Dung
AU - Pham Thi Mai Phuong
AU - Nguyen Thanh Chung
AU - Hoang Duc Minh
PY - 2026
DA - 2026/09/29
JO - European burn journal
DO - 10.3390/ebj7040051
UR - https://europepmc.org/article/MED/42924819
AB - Introduction: Burn severity alone may not explain differences in health-related quality of life (HRQoL) after burn injury. We examined whether emotional reactivity and emotion-regulation strategies were associated with HRQoL beyond burn severity. Methods: This cross-sectional study included 256 adults with burn injury treated at the Vietnam National Burn Hospital (2024-2025). Total body surface area (TBSA) and burn depth represented severity. Emotional reactivity and emotion-regulation strategies were assessed using the Emotion Reactivity Scale (ERS) and Emotion Regulation Questionnaire-Short Form. Burn-specific and generic HRQoL were assessed using the Burn-Specific Health Scale-Brief (BSHS-B) and EuroQol five-dimensional five-level (EQ-5D-5L). Results: TBSA was positively associated with ERS (r = 0.30, p < 0.001), whereas burn depth was not (p = 0.18). Higher ERS was associated with poorer BSHS-B Function (r = -0.34), Affect and Relations (r = -0.39), Skin Involvement (r = -0.28), and EQ-5D-5L (r = -0.32; all p < 0.001). Cognitive reappraisal showed positive, whereas expressive suppression showed negative associations with HRQoL. In hierarchical regression for BSHS-B Affect and Relations, psychosocial variables increased adjusted R² from 0.168 to 0.291 (Δadjusted R² = 0.123, p < 0.001). Conclusions: Emotional reactivity and emotion-regulation strategies were associated with HRQoL and provided additional explanatory information beyond burn severity, supporting their consideration in individualized rehabilitation.
SN - 2673-1991
ER -