Psychotherapeutic interventions for burns patients and the potential use with Stevens-Johnson syndrome and toxic epidermal necrolysis patients: a systematic integrative review.

O�Reilly, Pauline; Meskell, Pauline; Whelan, Barbara; Kennedy, Catriona; Ramsay, Bart; Coffey, Alice; Fortune, Donal G.; Walsh, Sarah; Ingen-Housz-Oro, Saskia; Bunker, Christopher B.; Wilson, Donna M.; Delaunois, Isabelle; Dore, Liz; Howard, Siobhan; Ryan, Sheila

Abstract

The existing evidence demonstrates that survivors of SJS/TEN have reported long-lasting psychological effects of their condition. Burns patients experience similar psychological effects. It is important to look at ways to help allay the psychological complications of SJS/TEN. As there is an absence of evidence on SJS/TEN psychotherapeutic interventions, it was judged to be beneficial to determine the evidence underpinning psychotherapeutic interventions used with burns patients. The aim of this systematic integrative review was to synthesize the evidence relating to psychotherapeutic interventions used with adult burns patients and patients with SJS/TEN. The systematic review was guided by Whittemore and Knafl's integrative review process and the PRISMA guidelines. Nine databases were searched for English and French language papers published January 2008 to January 2021. The protocol for the review was registered with PROSPERO. Following a screening process, 17 studies were included in the review. Two themes were identified using content analysis, (i) Empirically supported psychotherapeutic treatments, (ii) Alternative psychotherapeutic treatments. This review revealed no evidence on specific psychotherapeutic interventions for patients with SJS/TEN. Some of the interventions used with burns patients, viz. relaxation therapy, hypnosis and cognitive behavioral therapy showed some significant benefits. However, the evidence for burns patients is mainly focused on pain and pain anxiety as outcomes. Following further research, some of the interventions deployed in burns patients may be applicable to SJS/TEN patients, particularly stress reduction techniques. In addition, the caring behaviours such as compassion, respect, and getting to know the patient as a person are important components to psychological care.

Citation

O'REILLY, P., MESKELL, P., WHELAN, B., KENNEDY, C., RAMSAY, B., COFFEY, A., FORTUNE, D.G., WALSH, S., INGEN-HOUSZ-ORO, S., BUNKER, C.B., WILSON, D.M., DELAUNOIS, I., DORE, L., HOWARD, S. and RYAN, S. 2022. Psychotherapeutic interventions for burns patients and the potential use with Stevens-Johnson syndrome and toxic epidermal necrolysis patients: a systematic integrative review. PLoS ONE [online], 17(6), article e0270424. Available from: https://doi.org/10.1371/journal.pone.0270424

• Journal Article Type: Article
• Acceptance Date: Jun 9, 2022
• Online Publication Date: Jun 27, 2022
• Publication Date: Jun 30, 2022
• Deposit Date: Aug 23, 2022
• Publicly Available Date: Aug 23, 2022
• Journal: PLoS ONE
• Electronic ISSN: 1932-6203
• Publisher: Public Library of Science
• Peer Reviewed: Peer Reviewed
• Volume: 17
• Issue: 6
• Article Number: e0270424
• DOI: https://doi.org/10.1371/journal.pone.0270424
• Keywords: Stevens-Johnson syndrome (SJS); Toxic epidermal necrolysis (TEN); Psychological effects; Burns patients; Stress reduction techniques
• Public URL: https://rgu-repository.worktribe.com/output/1740313
• Related Public URLs: https://rgu-repository.worktribe.com/output/1740344