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Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city

Adults presenting to maxillofacial surgery services are at high risk of psychological morbidity. This study examined the prevalence of depression, post-traumatic stress disorder (PTSD), anxiety, drug and alcohol use, and appearance-related distress among maxillofacial trauma outpatients over medium-...

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Autores principales: Wilson, Naomi, Heke, Sarah, Holmes, Simon, Dain, Victoria, Priebe, Stefan, Bridle, Christopher, Aylen, Imogen, Boyd, Caroline, Ramjaun, Gonca, Kanzaria, Amar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Les Laboratoires Servier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436951/
https://www.ncbi.nlm.nih.gov/pubmed/30936771
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author Wilson, Naomi
Heke, Sarah
Holmes, Simon
Dain, Victoria
Priebe, Stefan
Bridle, Christopher
Aylen, Imogen
Boyd, Caroline
Ramjaun, Gonca
Kanzaria, Amar
author_facet Wilson, Naomi
Heke, Sarah
Holmes, Simon
Dain, Victoria
Priebe, Stefan
Bridle, Christopher
Aylen, Imogen
Boyd, Caroline
Ramjaun, Gonca
Kanzaria, Amar
author_sort Wilson, Naomi
collection PubMed
description Adults presenting to maxillofacial surgery services are at high risk of psychological morbidity. This study examined the prevalence of depression, post-traumatic stress disorder (PTSD), anxiety, drug and alcohol use, and appearance-related distress among maxillofacial trauma outpatients over medium-term follow-up. It also explored socio-demographic and injury-related variables associated with psychological distress to inform targeted psychological screening protocols for maxillofacial trauma services. Significant associations were found between level of distress at time of injury and number of traumatic life events with levels of depression at 3 months. No significant associations were found between predictor variables and PTSD at 3 months, or with any psychiatric diagnosis at 6 months. The lack of evidence for an identifiable subgroup of patients who were at higher risk of psychological distress indicated that routine screening of all maxillofacial trauma outpatients should be offered in order to best respond to their mental health needs. The feasibility of the medical team facilitating this is challenging and should ideally be undertaken by psychologists integrated within the MDT. This study led to the funding of a clinical psychologist to provide collaborative care with the maxillofacial surgeons, resulting in brief assessment and treatment to over 600 patients in the first year of the service.
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spelling pubmed-64369512019-04-01 Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city Wilson, Naomi Heke, Sarah Holmes, Simon Dain, Victoria Priebe, Stefan Bridle, Christopher Aylen, Imogen Boyd, Caroline Ramjaun, Gonca Kanzaria, Amar Dialogues Clin Neurosci Free Paper Adults presenting to maxillofacial surgery services are at high risk of psychological morbidity. This study examined the prevalence of depression, post-traumatic stress disorder (PTSD), anxiety, drug and alcohol use, and appearance-related distress among maxillofacial trauma outpatients over medium-term follow-up. It also explored socio-demographic and injury-related variables associated with psychological distress to inform targeted psychological screening protocols for maxillofacial trauma services. Significant associations were found between level of distress at time of injury and number of traumatic life events with levels of depression at 3 months. No significant associations were found between predictor variables and PTSD at 3 months, or with any psychiatric diagnosis at 6 months. The lack of evidence for an identifiable subgroup of patients who were at higher risk of psychological distress indicated that routine screening of all maxillofacial trauma outpatients should be offered in order to best respond to their mental health needs. The feasibility of the medical team facilitating this is challenging and should ideally be undertaken by psychologists integrated within the MDT. This study led to the funding of a clinical psychologist to provide collaborative care with the maxillofacial surgeons, resulting in brief assessment and treatment to over 600 patients in the first year of the service. Les Laboratoires Servier 2018-12 /pmc/articles/PMC6436951/ /pubmed/30936771 Text en Copyright: © 2018 AICH - Servier Group. All rights reserved http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Free Paper
Wilson, Naomi
Heke, Sarah
Holmes, Simon
Dain, Victoria
Priebe, Stefan
Bridle, Christopher
Aylen, Imogen
Boyd, Caroline
Ramjaun, Gonca
Kanzaria, Amar
Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city
title Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city
title_full Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city
title_fullStr Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city
title_full_unstemmed Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city
title_short Prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major UK city
title_sort prevalence and predictive factors of psychological morbidity following facial injury: a prospective study of patients attending a maxillofacial outpatient clinic within a major uk city
topic Free Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436951/
https://www.ncbi.nlm.nih.gov/pubmed/30936771
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