This study tested the efficacy of 2 brief cognitive interventions in supple
menting regular medical treatment for pain during burn dressing change. For
ty-two burn inpatients were randomly assigned to 3 groups: sensory focusing
, music distraction, and usual care. Patients reported pain, pain relief sa
tisfaction with pain control, and pain coping strategies. The sensory focus
ing group reported greater pain relief compared to the music distraction gr
oup and a reduction in remembered pain compared to the usual care group, al
though group differences were not observed on serial pain ratings. In addit
ion, after controlling for burn size and relevant covariates, regression an
alyses indicated that catastrophizing predicted pain, memory for pain, and
satisfaction with pain control. Refinement of the sensory focusing interven
tion is warranted to reduce catastrophic thinking and improve pain relief.