Glynn Shirley M, Shetty Vivek
Research Service, VA Greater Los Angeles Healthcare System at West Los Angeles, B151J, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA.
Oral Maxillofac Surg Clin North Am. 2010 May;22(2):217-24. doi: 10.1016/j.coms.2010.01.008.
Significant subsets of patients who experience orofacial injury are at risk for developing adverse psychological sequelae such as posttraumatic stress disorder and depression. If undetected and untreated, the psychopathology can become recalcitrant and burden the social and vocational functioning of the patients and greatly diminish their quality of life. The hospital encounter and follow-up care visits provide the oral and maxillofacial surgeon with opportunities to screen for emerging psychological problems. Several screening instruments are available to assist the surgeon in identifying individuals who are at risk for subsequent mental health problems. Facilitated referrals to mental health services can be a practical approach for improving comprehensive medical care for vulnerable individuals and for reducing the potential morbidity of these covert, but disabling, sequelae.
遭受口腔面部损伤的相当一部分患者有发生创伤后应激障碍和抑郁症等不良心理后遗症的风险。如果未被发现和治疗，这种精神病理学状况可能会变得难以治疗，并给患者的社会和职业功能带来负担，极大地降低他们的生活质量。医院就诊和后续护理访视为口腔颌面外科医生提供了筛查新出现心理问题的机会。有几种筛查工具可帮助外科医生识别有后续心理健康问题风险的个体。促进转介至心理健康服务机构可能是一种切实可行的方法，有助于改善对弱势群体的综合医疗护理，并减少这些隐蔽但致残的后遗症的潜在发病率。
