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Journal of Pediatric Psychology 12(4) pp. 567-579, 1987
© 1987 Society of Pediatric Psychology

research-article

Pediatric Burn Injury: Self- Versus Therapist-Mediated Debridement

Kenneth J. Tarnowski1,, Melanie L. McGrath, M. Beth Calhoun and Ronald S. Drabman1,

Department of Pediatrics, Ohio State University and Columbus Children's Hospital, University of Mississippi Medical Center

2All correspondence should be addressed to either Kenneth J. Tarnowski. Department of Pediatrics, Ohio State University, 700 Children's Drive, Columbus, Ohio 43205, or Ronald S. Drabman, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, Jackson, Mississippi 39216

We examined the extent to which self-mediated debridement (SMD; providing the child with the opportunity to conduct part of his own medical treatment) affected the display of behavioral distress during treatment for burn injury. Distress evidenced during SMD was contrasted with that occurring during therapist-mediated debridement (TMD). A within-subjects repeated reversal design was used to evaluate the effects of SMD on the distress of a 12-year-old patient. Results indicated that the child exhibited less distress while conducting his own debridement in comparison to pain evidenced during TMD. The study highlights the use of several methodological controls necessary in applied burn research.

Key words: burn; pediatric burn; debridement.


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