Enhancing Psychosocial Burn Care

A special issue of European Burn Journal (ISSN 2673-1991).

Deadline for manuscript submissions: closed (15 June 2023) | Viewed by 8875

Special Issue Editors


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Guest Editor
Department of Plastic and Reconstructive Surgery, Vienna General Hospital, Medical University of Vienna, 1090 Vienna, Austria
Interests: clinical psychology; psychotherapy; psychosocial aspects of burns; family centered care; body image; mass casualty events; quality management

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Guest Editor
Burns Unit, Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham NG5 1PB, UK
Interests: clinical psychology; mental health; psychosocial aspects of burns; appearance concerns; psychological therapy

Special Issue Information

Dear Colleagues,

The purpose of this Special Issue is to enhance psychosocial burn care. The Special Issue aims to showcase research and clinical approaches or interventions that will improve the knowledge and clinical practice associated with psychosocial care for burns patients and/or families. It also strives to promote the diverse clinical and academic work of psychologists working in burns, particularly across Europe. Studies related to psychological adjustment, coping, resilience or risk factors after burns are encouraged, as are contributions discussing evidence-based psychological support. We are equally interested in contributions that relate to innovative clinical approaches in the field of psychological care or initiatives that can inspire other psychosocial or multidisciplinary colleagues working in burns. Research articles, reviews, and commentaries are all welcome.

Dr. Anna Pittermann
Dr. Laura Shepherd
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. European Burn Journal is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 971 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • psychosocial
  • mental health
  • adjustment
  • psychological
  • coping

Published Papers (7 papers)

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Research

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15 pages, 256 KiB  
Article
Psychological Evaluation of a Residential Children’s Burns Camp Programme: A Ten-Year Evaluation
by Alison M. Thomlinson, Niamh R. Farrell, Mamta Shah and Sarah L. Gaskell
Eur. Burn J. 2023, 4(3), 514-528; https://doi.org/10.3390/ebj4030033 - 21 Sep 2023
Viewed by 619
Abstract
Residential burns camp programmes provide help and support to children with burn injuries by providing activities designed to build their confidence and self-esteem. Our regional burns service has been running camps for over 20 years and evaluation is an important part of assessing [...] Read more.
Residential burns camp programmes provide help and support to children with burn injuries by providing activities designed to build their confidence and self-esteem. Our regional burns service has been running camps for over 20 years and evaluation is an important part of assessing their effectiveness. In this study, we report both qualitative and quantitative data from 10 consecutive years of burns camps. Qualitative feedback was gathered using Likert scales and free-response questionnaires at the end of camp and six weeks post-camp. Three quantitative outcome measures, the Paediatric Quality of Life Inventory v4, the Children’s Revised Impact of Event Scale (CRIES8) and the Satisfaction with Appearance scale (SWAP), were completed before and six weeks after camp. Both children and their parents/carers reported that attending the burns camp was helpful for them/their child; meeting other children with burn injuries and developing confidence and self-esteem were cited as reasons. Parents/carers also reported improvements in their child’s physical and psychological functioning post-camp in some years, although these results were not as clear as the qualitative findings. These findings confirm the importance of providing burns camp programmes for children with burn injuries as part of their post-burn rehabilitation. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
13 pages, 1208 KiB  
Article
Feasibility of Mindfulness for Burn Survivors and Parents of Children with Burns
by Eleni Papamikrouli, Marianne B. Kool, Carine van Schie and Nancy E. E. Van Loey
Eur. Burn J. 2023, 4(2), 221-233; https://doi.org/10.3390/ebj4020020 - 24 May 2023
Viewed by 881
Abstract
Burn survivors, spouses, and parents of children with burns may experience psychological distress for a prolonged period. Mindfulness-Based Stress Reduction (MBSR) is an intervention that can improve psychological well-being. This study aimed to examine the effectiveness of an MBSR group intervention in a [...] Read more.
Burn survivors, spouses, and parents of children with burns may experience psychological distress for a prolonged period. Mindfulness-Based Stress Reduction (MBSR) is an intervention that can improve psychological well-being. This study aimed to examine the effectiveness of an MBSR group intervention in a convenience sample. An MBSR group intervention was conducted for burn survivors (n = 8) and parents of children with burns (n = 9), each comprising eight sessions. The participants completed the Beck Depression Inventory-II-NL, PTSS Checklist DSM-5, Five Facet Mindfulness Questionnaire-Short Form, Self-Compassion Scale-Short form, and evaluation questions at baseline, immediately after, and three months post-intervention. All participants completed the intervention. The intervention was rated very useful (M = 8.8), and the participants were very satisfied (M = 8.8). The highest effect was observed in the parents’ group on mindfulness skills and self-compassion. For both groups, there was an increase in personal goal scores immediately after the intervention. Qualitative data show that the participants in both groups experienced more inner peace, more awareness of thoughts and emotions, and more self-compassion. This exploratory study suggests that a mindfulness intervention is feasible and can be effective in improving mindfulness skills and self-compassion, particularly in parents of children with burns. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
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10 pages, 1064 KiB  
Article
Evaluating the Impact of a Paediatric Burn Club for Children and Families Using Group Concept Mapping
by Emma L. Hodgkinson, Alison McKenzie and Louise Johnson
Eur. Burn J. 2023, 4(2), 211-220; https://doi.org/10.3390/ebj4020019 - 10 May 2023
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Abstract
Access to burn camps and clubs is cited as an essential element for children following a burn injury. In the Northern Regional Burns Service, this takes the form of a club run by a multidisciplinary team, offering residential camps and family day trips. [...] Read more.
Access to burn camps and clubs is cited as an essential element for children following a burn injury. In the Northern Regional Burns Service, this takes the form of a club run by a multidisciplinary team, offering residential camps and family day trips. In this service evaluation, Group Concept Mapping was used to evaluate the perception of the club by staff, children and families. Opportunistic sampling was used to seek responses to the following prompts: “The challenges for children and families after a burn injury are…” and “The role of The Grafters Club is…”. The results indicate that participants perceived the club to be effective at addressing body image and confidence issues for the children but highlighted an unmet parental expectation that the club would also facilitate the sharing of experiences, normalisation of emotional reactions, and processing of guilt and other psychological distress for parents. When taken concurrently with pre-existing evidence in the literature base, it is proposed that a club model of psychosocial support for children and families could provide an accessible and informal opportunity for parental support that may be less subject to barriers perceived with traditional formal psychological support. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
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15 pages, 456 KiB  
Project Report
Understanding the Barriers and Enablers for Seeking Psychological Support following a Burn Injury
by Lianne McDermott, Matthew Hotton and Anna V. Cartwright
Eur. Burn J. 2023, 4(3), 303-317; https://doi.org/10.3390/ebj4030028 - 24 Jul 2023
Cited by 1 | Viewed by 1349
Abstract
Burn injuries can be traumatic and distressing for patients, with a prolonged period of recovery. This qualitative study aimed to explore adult burn patients’ perceptions of the barriers and facilitators to accessing psychological support in a Regional Burns Service in Southeast England. Participants [...] Read more.
Burn injuries can be traumatic and distressing for patients, with a prolonged period of recovery. This qualitative study aimed to explore adult burn patients’ perceptions of the barriers and facilitators to accessing psychological support in a Regional Burns Service in Southeast England. Participants (five females and six males) were under the care of the burns unit and were not currently accessing psychological support. Eleven semi-structured interviews were conducted. Responses were analysed using thematic analysis. Four main themes highlighted how access to psychology was influenced by communication between the patient and service, beliefs about mental health, environmental challenges, and patient hope. Recommendations for improving access to burn psychological care included (1) the provision of patient resources to increase awareness and reduce stigma; (2) psychological skills training to encourage staff to recognise distress and respond appropriately; (3) staff training in the practice of cultural humility; (4) increasing psychological presence in outpatient appointments and via routine follow-ups. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
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8 pages, 576 KiB  
Brief Report
Psychosocial Screening in Adult Burns Inpatients within a Scottish Burns Unit
by Dawn Lindsay, Kim Kirkwood and Rebecca Crawford
Eur. Burn J. 2023, 4(2), 203-210; https://doi.org/10.3390/ebj4020018 - 09 May 2023
Cited by 1 | Viewed by 1094
Abstract
National Burns Care Standards (NBCS) within the UK recommend psychological care throughout the burn pathway and psychosocial screening of inpatients admitted for over 24 h, at a time when this is clinically appropriate and prior to discharge. This brief report presents preliminary data [...] Read more.
National Burns Care Standards (NBCS) within the UK recommend psychological care throughout the burn pathway and psychosocial screening of inpatients admitted for over 24 h, at a time when this is clinically appropriate and prior to discharge. This brief report presents preliminary data from an audit of psychosocial screening in adult burns inpatients within a Scottish Burns Unit over a three-year period. Results are reported on the frequency and type of psychosocial screening completed. Differences between the groups of inpatients who were screened and those not screened are presented and discussed with a focus on plans for increasing the number of inpatients screened and improvements in how psychosocial screening data is collected. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
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8 pages, 249 KiB  
Brief Report
Associations between Ethnicity and Referrals, Access and Engagement in a UK Adult Burns Clinical Psychology Service
by Laura Shepherd, Ishani Hari and Lauren Bamford
Eur. Burn J. 2023, 4(2), 195-202; https://doi.org/10.3390/ebj4020017 - 04 May 2023
Viewed by 1033
Abstract
Ethnic inequalities exist across healthcare, including access to and experiences and outcomes of mental health services. Access to and engagement with burns clinical psychology services is essential for all patients. This study aimed to explore the ethnic diversity of adults referred to a [...] Read more.
Ethnic inequalities exist across healthcare, including access to and experiences and outcomes of mental health services. Access to and engagement with burns clinical psychology services is essential for all patients. This study aimed to explore the ethnic diversity of adults referred to a burns clinical psychology service compared to those admitted to the burns service. It also aimed to investigate associations between ethnicity and indicators of access and engagement (receiving, declining or not attending psychological assessments, receiving psychological therapy and the number of therapy sessions completed). Routinely collected data over eight years were analysed. Analysis revealed an association between ethnicity and referral to the burns clinical psychology service. Patients from White British and Other ethnic backgrounds were less likely to be referred, whereas patients from Black and Asian ethnic groups were more likely to be referred. There were no statistically significant associations between ethnicity and receiving, declining or not attending psychological assessments or receiving psychological therapy. Furthermore, there was no statistically significant difference in the number of psychological therapy sessions received between the ethnic groups. Therefore, patients from ethnic minority groups did not appear to have significant difficulties engaging with the service but further research is recommended. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
7 pages, 493 KiB  
Case Report
The Roles of Clinical Psychologists in Burns Care: A Case Study Highlighting Benefits of Multidisciplinary Care
by Anna V. Cartwright and Elizabeth Pounds-Cornish
Eur. Burn J. 2023, 4(1), 101-107; https://doi.org/10.3390/ebj4010010 - 06 Mar 2023
Cited by 2 | Viewed by 1589
Abstract
The British National Burn Care Standards highlight the importance of routine psychosocial screening to optimise psychological well-being following burn injury. Routine screening enables clinicians to identify those who may benefit from further psychological intervention. In this case, we outline how active follow-up from [...] Read more.
The British National Burn Care Standards highlight the importance of routine psychosocial screening to optimise psychological well-being following burn injury. Routine screening enables clinicians to identify those who may benefit from further psychological intervention. In this case, we outline how active follow-up from routine psychosocial screening and early intervention supports psychological recovery from a burn injury and how multidisciplinary care can be incorporated into cognitive therapy for post-traumatic stress disorder. This case also illustrates how psychologists are well positioned within physical healthcare to notice themes arising in patient care and use this to inform service development, for example, through staff training. Full article
(This article belongs to the Special Issue Enhancing Psychosocial Burn Care)
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