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Official Journal of the Italian Society of Maxillofacial Surgery
Roccia F., Brignolo A. *, Dell’Acqua A., Ansaldi S. *, Angelini G. *, Berrone S.
From the Maxillofacial Surgery Division San Giovanni Battista Hospital, Turin University, Turin
* Department of Neurosciences Psychiatric Section San Giovanni Battista Hospital, Turin University, Turin
Background. Interest in psychiatric consequences of trauma and their related surgical interventions has been steadily increasing; therefore it has been assessed the prevalence of acute symptoms of stress in patients who experienced a cranio-maxillo-facial injury.
Methods. Fifty patients aged between 18 and 65 have been considered; it has been assigned a score to each according to severity of trauma by mean of Injury Severity Scale (ISS). Within 48 hours from surgery (T0) and at 3 months (T1) we have administered Davidson Trauma Scale (DTS) for post-traumatic symptoms, Spielberger’s State-Trait Anxiety Inventory (STAI) for symptoms of State Anxiety and of Trait Anxiety and Zung’s Self-Rating Depression Scale (SDS) for depressive symptoms.
Results. Forty-four per cent of evaluated subjects (22 patients at T0) showed acute symptoms of stress and 26% (13 patients at T1) post-traumatic stress symptoms. Statistical association between demographic variables resulted significant only with sex, especially for women. Significant correlation was seen between psycho-pathologic variables and symptoms specific of trauma both at T0 and at T1, the same also for ISS at T0. Of the 13 patients positive at DTS at 3 months, 8 showed aesthetic or functional sequelae, which might serve as reminders of the traumatic event.
Conclusions. It is therefore necessity not only to restore anatomy and function in full, but also to provide psychiatric support to those patients suffering from general or specific psychiatric symptoms caused by traumatic events.