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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Italian Journal of Maxillofacial Surgery 2006 April-December;17(1-3):1-6
Maxillofacial traumas: causes and psychological consequences. Post-trauma psychoemotional profile
Acocella A. 1, Rispoli A. 2, Agostini T. 3, Sacco R. 1, Bertolai R. 1
1 Division of Maxillofacial Surgery Faculty of Medicine University of Florence Florence, Italy
2 Clinical Psychology and Psychotherapy Unit Departments of Neurology and Psychiatry Clinical Medical School University of Florence, Florence, Italy
3 Department of Plastic, Reconstructive and Aesthetic Surgery Faculty of Medicine University of Florence, Florence, Italy
Aim. Facial traumas are commonly founded in vehicle accident and assault and they may be accompanied by distressing consequences. Facial injury has been found to predict high rates of psychological sequelae among traumatized individuals, including depressive disorders, anxiety, substance abuse and dependence, post-traumatic stress disorder and symptoms related to physical disability. The aim of this study is to investigate and evaluate the prevalence and detection of psychological disease in patients affected by maxillo-facial traumas.
Methods. In order to asses pre and post-trauma psycho-emotional profile, six months follow-up was performed on patients, divided in assault and accident groups. State-Trait Anxiety Inventory, Self-Rating Depression Scale and Illness Behavior Questionnaire were used.
Results. At baseline depression, anxiety state and negative illness perception is present in the majority of the sample. At six months there were improvements in all domains but the depression level has not been significant diminished in the “assault group”, which presented higher score in all test than the “accident group”.
Conclusion. This study confirms amongst facial traumas victims the presence of distressing psychological disease. Psychological problems can remain even after surgical and medical treatment technically successful, but if the patient’s needs are not taken into the proper consideration living their psychological status changes untreated, this can persist for many years. Therefore it is a must to make available for the patients psychological counselling in the post trauma period.