AIMS: To identify the prevalence of post-traumatic psychological symptoms after maxillofacial trauma and prognostic factors related to poor outcome. METHODS: Thirty-nine patients were assessed within 10 days of injury and 24 again 4-6 weeks later using five standardised self-report measures on each occasion and a short structured interview at the time of initial contact. RESULTS: Specific post-traumatic psychological symptoms were present at initial assessment in 21 patients (54%), with 9 (41%) meeting diagnostic criteria for post-traumatic stress disorder at review 4-6 weeks later. Other psychiatric problems, such as anxiety and depression, were identified by the General Health Questionnaire and the Hospital Anxiety and Depression Scale. Characteristics associated with poorer outcome included: a previous history of psychological distress; fear of the unknown, and female sex. CONCLUSION: These findings highlight the adverse psychological effect of maxillofacial trauma both immediately after the event and 4-6 weeks after injury. Proper assessment of injured patients must include psychological aspects and further research is needed to identify the most appropriate response.
AIMS: To identify the prevalence of post-traumatic psychological symptoms after maxillofacial trauma and prognostic factors related to poor outcome. METHODS: Thirty-nine patients were assessed within 10 days of injury and 24 again 4-6 weeks later using five standardised self-report measures on each occasion and a short structured interview at the time of initial contact. RESULTS: Specific post-traumatic psychological symptoms were present at initial assessment in 21 patients (54%), with 9 (41%) meeting diagnostic criteria for post-traumatic stress disorder at review 4-6 weeks later. Other psychiatric problems, such as anxiety and depression, were identified by the General Health Questionnaire and the Hospital Anxiety and Depression Scale. Characteristics associated with poorer outcome included: a previous history of psychological distress; fear of the unknown, and female sex. CONCLUSION: These findings highlight the adverse psychological effect of maxillofacial trauma both immediately after the event and 4-6 weeks after injury. Proper assessment of injured patients must include psychological aspects and further research is needed to identify the most appropriate response.
Authors: Eunice C Wong; Grant N Marshall; Vivek Shetty; Annie Zhou; Howard Belzberg; Dennis-Duke R Yamashita Journal: Gen Hosp Psychiatry Date: 2007 Mar-Apr Impact factor: 3.238
Authors: Anita Chandra; Grant N Marshall; Vivek Shetty; Susan M Paddock; Eunice C Wong; Douglas Zatzick; George Luo; Dennis-Duke R Yamashita Journal: J Trauma Date: 2008-07
Authors: Hosam A Hassan; M Owais Suriya; Zohair Ahmed Al-Aseri; Mujtaba Hasan; Najeeb Khalid; Shaffi Ahmed Sheikh Journal: Pak J Med Sci Date: 2015 Nov-Dec Impact factor: 1.088
Authors: S-A-H Gandjalikhan-Nassab; S Samieirad; M Vakil-Zadeh; R Habib-Aghahi; M Alsadat-Hashemipour Journal: Med Oral Patol Oral Cir Bucal Date: 2016-07-01