title: Efficacy of a burn-specific cognitive-behavioral group training.
abstract: OBJECTIVE
  The aim of the present study was to evaluate the efficacy of a newly developed cognitive-behavioral group training, specifically designed for burn patients.
  
  
  METHODS
  In a multicenter-study data pre- and post treatment and at 6-month follow-up were obtained from participants of the group program (Intervention group, IG; n=86) and a control group who received treatment as usual (TAU; n=128). Outcome variables of psychological distress, resources and health-related quality of life of both groups were compared using linear mixed models.
  
  
  RESULTS
  Up to 6 months after group treatment, the IG reported a substantial decline of general symptom severity as well as posttraumatic stress, whereas the TAU group showed no significant change over time. Optimism increased in the IG after group treatment, but not in the TAU group. Regarding overall quality of life both groups showed a gradual improvement over the three assessment points.
  
  
  CONCLUSIONS
  The newly developed burn-specific cognitive-behavioral group intervention had positive effects on psychological well-being and resources of burn participants. As a consequence, the group intervention has been implemented as inherent part of the regular burn treatment in two rehabilitation centers in Germany.
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Centre, Berlin, Germany.
authors.forename: Annika
authors.initials: A
authors.lastname: Seehausen
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Centre, Ludwigshafen, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Ripper
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Centre, Ludwigshafen, Germany.
authors.forename: Günter
authors.initials: G
authors.lastname: Germann
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Centre, Berlin, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Hartmann
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Centre, Ludwigshafen, Germany.
authors.forename: Gerhard
authors.initials: G
authors.lastname: Wind
authors.affiliation: Department of Clinical Psychology and Psychotherapy, Freie Universität Berlin, Berlin, Germany. Electronic address: b.renneberg@fu-berlin.de.
authors.forename: Babette
authors.initials: B
authors.lastname: Renneberg
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D002056:Burns / Q000523:psychology*; D016022:Case-Control Studies; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life; D013315:Stress, Psychological / Q000209:etiology / Q000628:therapy*
keywords: Burn injury; Group intervention; Psychological distress; Quality of life