Evaluation of Depression Associated With Post-Traumatic Stress Disorder After Maxillofacial Injuries—A Prospective Study
| Autor: | Saravanan Chellappazham, Elavenil Panneerselvam, Sasikala Balasubramaniam, Vatsala Ranganathan, Krishnakumar Raja V B |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Group B Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Post-hoc analysis medicine Humans Prospective Studies 030212 general & internal medicine Stage (cooking) Prospective cohort study Depression (differential diagnoses) Psychiatric Status Rating Scales Depression business.industry Incidence (epidemiology) Traumatic stress 030227 psychiatry Otorhinolaryngology Female Maxillofacial Injuries Surgery Analysis of variance Oral Surgery business |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 76:1282.e1-1282.e9 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2018.02.011 |
| Popis: | Purpose Maxillofacial injuries can result in psychological derangement, leading to post-traumatic stress disorder (PTSD), which is characterized by continual re-experiencing of any traumatic event in addition to numerous systemic complications. The objective of this study was to assess the incidence and severity of “PTSD-related depression” in patients with maxillofacial injuries and to identify the risk factors involved. Materials and Methods This prospective study involved 88 patients with maxillofacial trauma who had only cosmetic deficits (group A), only functional deficits (group B), or cosmetic and functional deficits (group C). The psychological status of all patients was assessed before and after surgery using Zung's Self-Rating Depression Scale. Remission time also was analyzed. Data were analyzed with SPSS 22.0 using parametric methods. Comparison of mean values among groups was performed using 1-way analysis of variance followed by Tukey honest significance difference post hoc tests for multiple pairwise comparisons. To compare proportions, the χ2 test was applied. Results The number of patients in groups A, B, and C was 11, 34 and 43, respectively. In the immediate post-trauma stage, all patients in group A showed severe depression; the percentages of patients with severe depression in groups B and C were 8.8 and 81.4%, respectively, which was statistically relevant. Depression scores of patients of all groups decreased gradually in the postsurgical phase. Patients with cosmetic defects consistently recorded higher depression scores at all intervals. The time taken for recovery from depression (remission time) was shorter for patients with only functional deficits (group B). Conclusion Patients with maxillofacial injuries are prone to PTSD-related depression from functional and cosmetic deficits. The objectives of trauma management must be aimed at restoring pre-trauma form and function of the maxillofacial skeleton and the patient's psychological status. |
| Databáze: | OpenAIRE |
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