Women’s Center for Mind-Body Health

 

Hospital Research  (Burn Unit)

 

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The focus of this research database is on how stress affects women's health, and options for treatment using mind-body therapies.  To obtain full summaries of the articles, see "How to Get Abstracts" below

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General Preop ICU Bleeding
MRI Intraop CCU Wound Healing
Endoscopy Major Surgery NICU Postop
Sedated Awake Procedures Minor Surgery Burn Unit Cardiac & Neuro Rehab
Anesthesia Recovery Room ER Long Term Care
Pain  

** How to Get Abstracts **

 

 

 

Burn Unit

 

Psychology

Imagery

Massage

Music

 

Psychology

 

10869826 JA

Anxiety: current practices in assessment and treatment of anxiety of burn patients

Survey of 64 burn centers on how anxiety is assessed and what medical and non-medical anti-anxiety modalities are used. 42% used relaxation and imagery.

2000 Burns 26;6:549-52

Robert, R., Blakeney, P., Villarreal, C., and Meyer, W. J. 3rd

 

3612489 JA

Self-blame, compliance, and distress among burn patients

Burn patients who had a high degree of self-blame for their injury had significantly more pain and depression, and less compliance with care.

1987 J Pers Soc Psychol 53;1:187-93

Kiecolt-Glaser, J. K. and Williams, D. A.

 

7561227 JA

Pain, coping, and adjustment in patients with burns: preliminary findings from a prospective study

Burn patients with the highest initial pain scores had the poorest adjustment one month after discharge; increased social support decreased the risk of developing PTSD.

1995 J Pain Symptom Manage 10;6:446-55

Ptacek, J. T., Patterson, D. R., Montgomery, B. K., and Heimbach, D. M.

 

10563683 JA

Post-traumatic stress symptoms and distress following acute burn injury

Over half of a sample of 172 burn patients experienced PTSD type symptoms day 1 after their injury, including sleep disturbance, recurrent, intrusive flashbacks of the trauma, difficulties concentrating, avoidance of thoughts/feelings associated with the burn, and exaggerated startle response.

1999 Burns 25;7:587-92

Ehde, D. M., Patterson, D. R., Wiechman, S. A., and Wilson, L. G.

 

11778706 JA

Hypnotizability and trauma symptoms after burn injury

Trauma in the immediate postburn stage of recovery is associated with later development of PTSD; patients who are highly hypnotizable experience more trauma symptoms.

2002 Int J Clin Exp Hypn 50;1:33-50

DuHamel, K. N., Difede, J., Foley, F., and Greenleaf, M.

 

8634136 JA

Predictors of post-traumatic stress disorder following burns injury

Of 35 Australian burn patients, 31% developed PTSD and 29% subclinical PTSD. Only half had sought care for this. Major predictors were concern about self-image and avoidant coping style.

1996 Burns 22;2:89-92

Bryant, R. A.

 

10752742 JA

Post-traumatic stress symptoms and distress 1 year after burn injury

More than 50% of 172 burn patients experienced post traumatic stress symptoms, such as intrusive recollections and sleep disturbances, one year after injury. The number of symptoms at one month was predictive of symptoms at one year.

2000 J Burn Care Rehabil 21;2:105-11

Ehde, D. M., Patterson, D. R., Wiechman, S. A., and Wilson, L. G.

 

9771367 JA

Hormone responses to stress in patients with major burns

Stress hormones ACTH, vasopressin and cortisol rose significantly within 24 hours of burn injury, although CRH remained within normal limits. Vasopressin, a potent vasoconstrictor and water retainer, could cause progression of burn depth and reduction of skin graft take.

1998 Br J Plast Surg 51;5:388-92

Murton, S. A., Tan, S. T., Prickett, T. C., Frampton, C., and Donald, R. A.

[Top]

 

Imagery

 

1452593 RCT

A distraction technique for control of burn pain

Patients who viewed a video program, composed of scenic beauty accompanied by music, during burn dressing changes reported significantly reduced pain and anxiety.

1992 J Burn Care Rehabil 13;5:576-80

Miller, A. C., Hickman, L. C., and Lemasters, G. K.

 

10741595 CT

Rapid induction analgesia for the alleviation of procedural pain during burn care

Rapid induction analgesia, a 15 minute structured hypnotic method, significantly decreased distress during dressing changes, decreased anticipatory anxiety, increased relaxation levels, and decreased requests for medication during burn care.

2000 Burns 26;3:275-82

Wright, B. R. and Drummond, P. D.

 

11302355 RCT

Brief cognitive interventions for burn pain

Burn patients who used sensory focusing (monitoring of the experience, focusing on the present moment, not anticipating what will happen or dwelling on what has happened, and limiting interpretations or judgment), reported significantly less pain than a control group or a group listening to music. Catastrophizing with negative self-statements and thoughts was significantly associated with increased perception of pain.

2001 Ann Behav Med 23;1:42-9

Haythronthwaite, J. A., Lawrence, J. W., and Fauerbach, J. A.

 

1289964 JA

The use of hypnosis in the treatment of burn patients

Discussion of issues, benefits and methodology of hypnosis in burn patients.

1992 Psychiatr Med 10;4:79-87

Ewin, D. M.

 

9308266 R,T

Factors predicting hypnotic analgesia in clinical burn pain

Discusses all of the aspects of hypnosis with burn patients.

1997 Int J Clin Exp Hypn 45;4:377-95

Patterson, D. R., Adcock, R. J., and Bombardier, C. H.

 

11718981 RCT

Psychological approaches during dressing changes of burned patients: a prospective randomised study comparing hypnosis against stress reducing strategy

Psychological support reduced pain and hypnosis reduced anxiety during burn dressing changes.

2001 Burns 27;8:793-9

Frenay, M. C., Faymonville, M. E., Devlieger, S., Albert, A., and Vanderkelen, A.

 

6678106 CT

Hypnotically accelerated burn wound healing

Patients with symmetrical burns were given hypnotic imagery to increase blood flow and healing to one side only. Temperature of the side of focus was increased by 4 to 11 degrees, and within three days blinded observers were able to tell a significant difference. The target side healed 2-3 days earlier.

1983 Am J Clin Hypn 26;1:16-9

Moore, L. E. and Kaplan, J. Z.

[Top]

 

Massage

 

9622469 RCT

Burn injuries benefit from massage therapy

Massage therapy reduced anxiety and cortisol levels during subsequent debridement; long term the massage group had decreased depression, anger and pain.

1998 J Burn Care Rehabil 19;3:241-4

Field, T., Peck, M., Krugman, S., Tuchel, T., Schanberg, S., Kuhn, C., and Burman, I.

 

10850898 RCT

Postburn itching, pain, and psychological symptoms are reduced with massage therapy

During the remodeling phase of healing, massage decreased itching, pain, anxiety and depression in burn patients.

2000 J Burn Care Rehabil 21;3:189-93

Field, T., Peck, M., Scd, Hernandez-Reif, M., Krugman, S., Burman, I., and Ozment-Schenck, L.

[Top]

 

Music

 

11227684 RCT

The effect of music-based imagery and musical alternate engagement on the burn debridement process

Significant reduction in pain with music therapy (including use of imagery while listening to music, playing instruments and singing) during debridement.

2001 J Burn Care Rehabil 22;1:47-53

Fratianne, R. B., Prensner, J. D., Huston, M. J., Super, D. M., Yowler, C. J., and Standley, J. M.

 

9386570 JA

Music distraction in burn patients: influencing postprocedure recall

Use of music to decrease negative recall of hospital procedures in burn patients.

1997 Semin Perioper Nurs 6;4:242-5

Reilly, M.

 

 

 

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