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Program Evaluation of Cognitive Behavioral Therapy in Burn Survivors
Mikki Rothbauer1, Zuzanna Pasek2, Kirsten A Dalrymple2
1Burn Center, Regions Hospital, St. Paul, MN 55101, USA.
Summary
Timely cognitive behavioral therapy (CBT) significantly reduced depression symptoms in hospitalized burn patients. While not effective for all, this accessible mental health intervention shows promise as a standard component of burn care.
Area of Science:
- Psychiatry
- Burn Care
- Mental Health Treatment
Background:
- Mental health is a critical aspect of care for hospitalized burn patients.
- Access to specialized mental health professionals, such as burn psychotherapists, is limited in US burn centers, leading to significant delays in care.
- A dedicated licensed clinical social worker provides timely interventions within two business days of referral.
Purpose of the Study:
- To evaluate the effectiveness of timely cognitive behavioral therapy (CBT) in treating depression among patients with burns.
- To assess the impact of psychotherapy on depressive symptoms using standardized depression screening tools.
Main Methods:
- Burn clinic nurses administered the Patient Health Questionnaire (PHQ-9) depression screener to patients before and after psychotherapy.
- Difference scores were calculated to quantify changes in PHQ-9 scores at both group and individual levels.
- Cognitive behavioral therapy (CBT) was employed to address maladaptive thoughts contributing to anxiety, depression, and acute stress.
Main Results:
- Psychotherapy resulted in a statistically significant decrease in the mean PHQ-9 depression score at the group level.
- Individually, 50.7% of patients demonstrated meaningful improvement in depressive symptoms, indicated by a change in their PHQ-9 depression category.
- 35.6% of patients showed no significant change in their depressive symptoms post-intervention.
Conclusions:
- Timely implementation of CBT can be a valuable component of comprehensive burn care, effectively improving depression symptoms for a significant portion of patients.
- While CBT is not universally effective for all burn patients, its accessibility and positive impact suggest it should be considered for integration into standard care protocols in burn centers nationwide.
- Addressing mental health needs promptly through interventions like CBT is crucial for optimizing recovery and well-being in burn survivors.
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