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. 2022 Apr 6;3(2):309–319. doi: 10.3390/ebj3020026

Table 1.

Existing psychological interventions for burn treatment adherence.

Intervention Benefits Limitations Relevant Citations
Behavioral interventions for distraction (e.g., hypnosis, virtual reality, guided imagery relaxation training) Improved pain control
Useful to build rapport in acute care
VR requires equipment; hypnosis requires specialized training Patterson et al., 2021 [57]
Soltani et al., 2018 [58]
Weichman & Patterson, 2004 [29]
Bereavement and trauma-informed psychotherapy Considers patient’s stage of emotional processing of injuries and losses
May facilitate subsequent participation in treatment
Does not directly promote behavior change Weichman & Patterson, 2004 [59]
Cognitive Behavioral Therapy (CBT) Improves pain control, lessens distress, and reduces maladaptive pain behaviors Requires specific provider training
Poor delivery of CBT can fail to build rapport
Askay et al., 2009 [60]
Assessment of patient’s coping style Supports patients’ active role in their care
Educates interdisciplinary team members to improve treatment delivery
Primarily used in long-term rehabilitative stage with limited acute stage applications Askay et al., 2009 [10]
Psychoeducation Prepares patients for upcoming challenges Not comprehensive
Requires additional skills and specific coping techniques
Ripper et al., 2009 [61]
Assertiveness and communication skills training Improves communication between patients, providers, and supporters to improve quality of care and support
Facilitates faster re-integration into social lives and improve long-term adjustment
Not comprehensive
Most helpful in group settings which are not always available
Ripper et al., 2009 [61]
Substance use treatment May help with appointment follow-up and home wound care
May prevent future injuries
High attrition rates Palmu et al., 2018 [62]