Auerbach Stephen M, Laskin Daniel M, Kiesler Donald J, Wilson Michael, Rajab Bashar, Campbell Thomas A
Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA.
J Oral Maxillofac Surg. 2008 Apr;66(4):755-61. doi: 10.1016/j.joms.2007.12.006.
This study evaluated symptoms of acute stress disorder (ASD), satisfaction with appearance postsurgery, and satisfaction with care in patients with maxillofacial injury at their first postsurgical physician visit. To determine the best predictors of patients' ASD symptoms and satisfaction, data also were obtained on the patients' strategies for coping with the stress of the injury, on the patients' and doctors' interpersonal appraisals of each other, and on the doctors' participatory behavior during the visits.
A total of 47 patients who had sustained traumatic maxillofacial injury requiring emergency medical/surgical treatment were administered self-report measures immediately before and after their first postsurgical visit 10 to 12 days after trauma exposure. Doctors completed self-report measures after the visit and evaluated the patients' severity of injury.
Patients experienced high levels of ASD in the short-term period after surgery. Use of emotion-focused strategies by patients to cope with stress was associated with more ASD symptoms but better satisfaction with facial appearance. The more severely injured patients were less satisfied with their appearance and were viewed by their doctors as being more interpersonally controlling during the postsurgical visit.
Closer attention by doctors to patients' interpersonal behavior may aid in early identification of those patients with maxillofacial injury who may experience longer-term social problems related to their altered facial appearance.
本研究评估了急性应激障碍（ASD）症状、术后外观满意度以及颌面损伤患者术后首次就诊时对医疗护理的满意度。为了确定患者ASD症状和满意度的最佳预测因素，还收集了患者应对损伤压力的策略、患者与医生对彼此的人际评价以及医生在就诊期间的参与行为等数据。
共有47例遭受创伤性颌面损伤并需要紧急医疗/手术治疗的患者，在受伤暴露后10至12天的首次术后就诊前后立即进行自我报告测量。医生在就诊后完成自我报告测量并评估患者的损伤严重程度。
患者在术后短期内经历了高水平的ASD。患者使用以情绪为中心的策略应对压力与更多的ASD症状相关，但对面部外观的满意度更高。受伤越严重的患者对自己的外观越不满意，并且在术后就诊期间被医生认为在人际方面更具控制欲。
医生更密切地关注患者的人际行为可能有助于早期识别那些可能因面部外观改变而出现长期社会问题的颌面损伤患者。
