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CURRENT ISSUEITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

A Journal on Maxillofacial Surgery


Official Journal of the Italian Society of Maxillofacial Surgery

 

Rivista Italiana di Chirurgia Maxillo-Facciale 2001 December;12(3):153-9

 ORIGINAL ARTICLES

Psychiatric consequences of maxillo-facial trauma. The role of post-traumatic stress symptoms

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.

language: English


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