Affiliation:
1. Violence, Injury and Peace Research Unit, South African Medical Research Council-UNISA
2. Department of Public Health Sciences, Karolinska Institutet, Global Health
Abstract
AbstractChildren post-burn injury experience a range of psychosocial sequelae that benefit from early provision of psychosocial support. However, no systematic review exists evaluating the full range of psychological interventions.ObjectiveTo critically evaluate psychosocial interventions for children (<18 years old) with burn injuries in improving psychosocial recovery.Study designAll-language studies were identified from inception to March 2018 in six electronic databases and appraised according to PRISMA checklist and Cochrane Risk of Bias Tool for quality. Studies were stratified into three groups: distraction (virtual reality, child life therapy, imagery-based therapy, hypnosis), burn camps, and other (social skills, cognitive behavioral therapy, parent group counseling).ResultsOut of a total of 5,456 articles identified, 297 underwent full review resulting in 27 included articles published between 1986 and 2018. Sample sizes ranged from 9 to 266, comprising child and adult participants. A range of interventions and psychosocial outcome measures were found. Several studies (n = 21) reported statistically significant improvements in outcome; the majority were distraction interventions to reduce pain and anxiety. A limited number of studies showing effect was found for cognitive behavioral therapy and parent counseling. Risk of bias was high in studies of burn camps and mixed for all other interventions.ConclusionsA range of psychosocial interventions and outcome tools exist in pediatric burns. Distraction interventions prior to and/or during dressing changes or physical therapy were shown to effectively reduce pain and anxiety for a wide range of pediatric ages.
Funder
Swedish Foundation for International Cooperation in Research and Higher Education
Sweden and the National Research Foundation
South Africa Research Collaborative Programme
Publisher
Oxford University Press (OUP)
Subject
Developmental and Educational Psychology,Pediatrics, Perinatology, and Child Health
Cited by
18 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献