Effects of Dispositional Mindfulness and Mindfulness-Based Interventions on the Psychosocial Consequences of Burn Injuries: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Eligibility Criteria
2.2. Search Strategy
2.3. Study Selection
2.4. Data Extraction
2.5. Risk of Bias Assessment
2.6. Data Synthesis
3. Results
3.1. Cross-Sectional Studies
3.2. Mindfulness Interventions
3.3. Yoga Interventions
4. Discussion
4.1. Limitations
4.2. Future Studies
5. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Sveen et al. (2017) | Conn et al. (2017) | Abd Elalem et al. (2018) | Ozdemir & Saritas (2019) | Hawkins et al. (2019) | Sheperd et al. (2019) | Nambi et al. (2021) | Al-Ghabeesh (2022) | Al-Ghabeesh & Mahmoud (2022) | Papamikrouli et al. (2023) | Al-Ghabeesh et al. (2024) | Sheperd et al. (2024) | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Research question | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Study population | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Participation and drop-out | 1 | 1 | N | N | 0 | N | 1 | N | N | 1 | N | 1 |
Participant selection | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Sample size | 0 | 1 | 1 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 1 |
Timeframe of the study | 1 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | N | 1 | 1 | 1 |
Reliable assessment and statistics | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 0 | 1 | 1 |
Follow-up assessment | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 |
Assessment of outcomes | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
Blindness | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Confounding control | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Quality rating (good, fair, or poor) | G | F | P | G | F | P | G | F | P | F | F | G |
Year | Authors | Design | Sample | Intervention/ Instruments | Main Findings | Quality Evaluation |
---|---|---|---|---|---|---|
2017 | Sveen et al. | IS (RCT) | 62 parents of children with burn injuries. Mean age = 36.4; females = 42. | Six-week program including psychoeducational factors and mindfulness vs. waitlist control program. | The support program reduced symptoms of posttraumatic stress in parents at post-intervention and 3-month follow-up, but not at 12-month follow-up, with respect to the control group. | Good |
2017 | Conn et al. | IS with no control group | 40 children with burn injuries. Mean age = 9.45 years; females = 7. | 4-day yoga intervention (Burn Camp Yoga Kids program). | The program significantly reduced somatic and cognitive anxiety. | Fair |
2018 | Abd Elalem et al. | IS with no control group | 34 adults in the burn unit. Mean age = 40.4; females = 18. | 8-week self-care nursing intervention including mindfulness meditations, body scanning, and breathing exercises. | Improvement of self-esteem and QOL at post-intervention. | Poor |
2019 | Ozdemir & Saritas | IS (RCT) | 110 burn patients. Mean age = 40.5 years; females = 58. | 4-week program including 30 min of yoga 3 times a week vs. no practice (control). | Yoga Nidra practice significantly increased self-esteem and improved body image in burn patients with respect to the control group. | Good |
2019 | Hawkins et al. | CS | 91 parents and primary caregivers of 71 children with burn injuries. Mean age = 33.62; females = 63. | Self-Compassion Scale—Short Form (SCS-SF) | Self-compassion was related to reduced depression and post-traumatic stress symptoms, but not anxiety. | Fair |
2019 | Sheperd et al. | CS | 78 burns patients. Mean age = 45.2 years; females = 47. | Derriford Appearance Scale (DAS-24), Acceptance and Action Questionnaire II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), Committed Action Questionnaire (CAQ-8), Five-Facet Mindfulness Questionnaire (FFMQ). | Increased appearance anxiety was related to reduced acceptance and cognitive defusion, as well as to reduced levels of various mindfulness facets. | Poor |
2021 | Nambi et al. | IS (RCT) | 30 subjects with restrictive lung disease following circumferential burns of the chest. Mean age = 35.2 years; females = 8. | 4-week program of yogic pranayama-based breathing exercise vs. 4-week diaphragmatic breathing exercise. | Pranayama breathing exercise showed more significant improvements in pain intensity, quality of life, pulmonary function, respiratory muscle activity, and exercise tolerance compared to conventional breathing exercise. The results were held at a three-month follow-up. | Good |
2022 | Al-Ghabeesh | CS | 224 burn survivors. Mean age = 35.13 years; females = 98. | Mindful awareness and attention scale (MAAS), HADS. | Mindfulness was negatively associated with the level of psychological distress. | Fair |
2022 | Al-Ghabeesh & Mahmoud | CS | 212 burn survivors. Mean age = 34.93 years; females = 93. | Mindful Awareness and Attention Scale (MAAS), Burn-Specific QOL (BSHS-B). | QOL was significantly and positively correlated with mindfulness, even while controlling for demographic and clinical variables. | Poor |
2023 | Papamikrouli et al. | IS with no control group | 8 burn survivors (mean age = 49.4 years; females = 7) and 9 parents of children with burns (mean age = 52.2 years; female parents = 6). | 8-week MBSR program | The intervention improved mindfulness skills and self-compassion in parents. Both groups reported increased personal goal scores immediately after the intervention and three months later. | Fair |
2024 | Al-Ghabeesh et al. | CS | 212 burn survivors. Mean age = 34.93 years; females = 93 | Kessler Psychological Distress Scale (K6), Multidimensional Scale of Perceived Social Support (MSPSS), Mindful Attention Awareness Scale (MAAS) | Mindfulness was related to reduced psychological distress while controlling for social support and demographic variables. | Fair |
2024 | Sheperd et al. | CS * | 175 burns patients. Mean age = 42.2 years; females = 58. | Acceptance and Action Questionnaire (AAQ-II) and Self-Compassion Scale—Short Form (SCS-SF) | Acceptance and self-compassion at admission were associated with decreased appearance concerns cross-sectionally and prospectively at two- and six-month follow-up. | Good |
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© 2025 by the author. Published by MDPI on behalf of the European Burns Association. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Simione, L. Effects of Dispositional Mindfulness and Mindfulness-Based Interventions on the Psychosocial Consequences of Burn Injuries: A Systematic Review. Eur. Burn J. 2025, 6, 25. https://doi.org/10.3390/ebj6020025
Simione L. Effects of Dispositional Mindfulness and Mindfulness-Based Interventions on the Psychosocial Consequences of Burn Injuries: A Systematic Review. European Burn Journal. 2025; 6(2):25. https://doi.org/10.3390/ebj6020025
Chicago/Turabian StyleSimione, Luca. 2025. "Effects of Dispositional Mindfulness and Mindfulness-Based Interventions on the Psychosocial Consequences of Burn Injuries: A Systematic Review" European Burn Journal 6, no. 2: 25. https://doi.org/10.3390/ebj6020025
APA StyleSimione, L. (2025). Effects of Dispositional Mindfulness and Mindfulness-Based Interventions on the Psychosocial Consequences of Burn Injuries: A Systematic Review. European Burn Journal, 6(2), 25. https://doi.org/10.3390/ebj6020025