Journal of Behavioral Medicine

, Volume 4, Issue 1, pp 103–109 | Cite as

Pain management in severely burned adults: A test of stress inoculation

  • Robert L. Wernick
  • Matt E. Jaremko
  • Paul W. Taylor


A treatment program of stress inoculation for the pain experienced by 16 severely burned adults was carried out by the nursing staff of a burn and trauma unit. Results showed that treated subjects improved on measures of unauthorized pain requests, physical and emotional self-ratings, “tanking” ratings, compliance with hospital routine, and state and trait anxiety, whereas no-treated subjects showed little improvement.

Key words

stress inoculation severe burn pain management coping 


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  1. Andreasen, N. J. C., Noyes, R., Hartford, C. E., Brodland, G., and Proctor, S. (1972). Management of emotional reactions in seriously burned adults.N. Engl. J. Med. 286: 65–69.Google Scholar
  2. Augenbraun, H. R., and Bloom, R. (1979). Pain tolerance augmentation: Effects of the Lamaze preparation method. Paper presented at the Southeastern Psychological Association. New Orleans.Google Scholar
  3. Davidson, S. P., and Noyes, R. (1973). Psychiatric nursing consultation on a burn unit.Am. J. Nurs. 73: 1715–1718.Google Scholar
  4. Fagerhaugh, S. Y. (1974). Pain expression and control on a burn care unit.Nurs. Outlook 22: 645–650.Google Scholar
  5. Jaremko, M. E. (1979). A component analysis of stress inoculation: Review and prospectus.Cognit. Ther. Res. 3: 35–48.Google Scholar
  6. Kendall, P. C., Williams, L., Pechacek, T. G., Grahanm, L. E., Shisslak, C., and Herzoff, N. (1979). Cognitive-behavioral and patient education interventions in cardiac catheterization procedures.J. Consult. Clin. Psychol. 47: 49–58.Google Scholar
  7. Gerrard, M., Denney, D. R., and Basgall, J. (1979). Pain management and imagery training in the reduction of dysmenorrhea. Paper presented at the American Psychological Association, New York.Google Scholar
  8. Meichenbaum, D., and Jaremko, M. E. (eds.) (1980).Stress Prevention and Management: A Cognitive-Behavioral Approach, Plenum, New York, in preparation.Google Scholar
  9. Noyes, R., Andreasen, N. J. C., and Hartford, C. E. (1971). The psychological reaction to severe burns.Psychosomatics 12: 416–442.Google Scholar
  10. Spielberger, C. D., Gorsuch, R. L., and Lushene, R. E. (1970).The State-Trait Anxiety Inventory, Consulting Psychologists Press, Palo Alto, Calif.Google Scholar
  11. Suinn, R. M., and Bloom, L. J. (1978). Anxiety management training for pattern A behavior.J.Behav.Med. 1: 25–35.Google Scholar
  12. Taylor, C. B., Farguhar, J. W., Nelson, E., and Agras, S. (1977). The effects of relaxation therapy upon high blood pressure.Arch. Gen. Psychiat. 34: 339–345.Google Scholar
  13. Wernick, R. (1980). Pain management in severely burned adults: A test of stress inoculation. Unpublished doctoral dissertation, North Texas State University, Denton.Google Scholar

Copyright information

© Plenum Publishing Corporation 1981

Authors and Affiliations

  • Robert L. Wernick
    • 1
  • Matt E. Jaremko
    • 2
  • Paul W. Taylor
  1. 1.Division of PsychologyUniversity HospitalSaskatoonCanada
  2. 2.Department of PsychologyUniversity of Mississippi, UniversityMississippi

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