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Psychological sequelae of facial trauma

Bisson, Jonathan Ian, Shepherd, Jonathan Paul and Dhutia, Manish 1997. Psychological sequelae of facial trauma. The Journal of Trauma 43 (3) , pp. 469-500.

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Background: Facial trauma is common in accidents and assaults and can be accompanied by distressing psychological sequelae. Methods: Retrospective analysis of case notes followed by a prospective assessment of consecutive facial trauma victims was performed to determine the prevalence and detection rate of psychological sequelae. Results: Only 8 of 47 case notes (17%) contained any reference to mental state. Forty-three patients completed initial assessment and 7-week questionnaires. Twelve (27%) were suffering from posttraumatic stress disorder at 7 weeks. Factors significantly associated with poorer outcome were higher initial Hospital Anxiety and Depression Scale and Impact of Event Scale scores, assault injury fractures, and prediction of psychological sequelae by junior oral surgeons. Conclusion: More than one-quarter of victims of facial trauma in this study developed posttraumatic stress disorder, documentation of which was poor. The study suggests that psychological sequelae can be predicted using simple measures such as a basic initial assessment by nonmedically qualified personnel.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
MRC Centre for Neuropsychiatric Genetics and Genomics (CNGG)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > R Medicine (General)
R Medicine > RK Dentistry
Additional Information: Journal now published as The Journal of Trauma and Acute Care Surgery
Publisher: Lippincott Williams & Wilkins
ISSN: 2163-0755
Last Modified: 04 Jun 2017 05:03

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