Publications by authors named "S M Wiechman"
This randomized controlled trial investigated the effectiveness of an online self-management program, "Take Charge of Burn Pain (TCBP)," for 96 individuals living with chronic burn pain. Participants were randomly assigned to either the 7-week TCBP program integrating cognitive-behavioral therapy techniques, pain education, and self-management strategies or an attention control group focused on general burn recovery information. Assessments conducted at baseline, post-treatment, and 2- and 5-month follow-ups included measures of pain severity, pain interference, pain self-efficacy, posttraumatic stress disorder symptoms, and depression.
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- Early pain after spinal cord injury (SCI) can hinder rehabilitation and often does not respond well to standard medical treatments, leading researchers to explore nonpharmacological options.
- This case study focuses on adapting hypnotic cognitive therapy (HYP-CT) for a 54-year-old male with severe SCI who was also dependent on mechanical ventilation, showing its potential effectiveness in alleviating pain.
- After four HYP-CT sessions, the participant experienced significant pain relief, improved self-efficacy, and a reduction in opioid use, indicating that this therapy could be a beneficial approach for managing pain in similar situations.
Objectives: (1) Adapt evidence-based hypnosis-enhanced cognitive therapy (HYP-CT) for inpatient rehabilitation setting; and (2) determine feasibility of a clinical trial evaluating the effectiveness of HYP-CT intervention for pain after spinal cord injury (SCI).
Study Design: Pilot non-randomized controlled trial.
Setting: Inpatient rehabilitation unit.
Introduction: Understanding trajectories of recovery in key domains can be used to guide patients, families, and caregivers. The purpose of this study was to describe common trajectories of physical health over time and to examine predictors of these trajectories.
Method: Adults with burn injuries completed self-reported assessments of their health-related quality of life (HRQOL) as measured by the SF-12® Physical Component Summary (PCS) score at distinct time points (preinjury via recall, index hospital discharge, and at 6-, 12-, and 24 months after injury).
Individuals who experience burns are at higher risk of developing posttraumatic stress disorder and chronic pain. A synergistic relationship exists between posttraumatic stress disorder and chronic pain. We sought to evaluate the role of individual posttraumatic stress disorder symptom clusters as predictors of pain interference.
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