面部创伤患者心理困扰的发生率。英国和澳大利亚的比较横断面研究。
The prevalence of psychological distress in a sample of facial trauma victims. A comparative cross-sectional study between UK and Australia.
机构信息
Department of Oral Maxillofacial Surgery, University Hospital Coventry & Warwickshire, UK.
出版信息
J Craniomaxillofac Surg. 2012 Jan;40(1):82-5. doi: 10.1016/j.jcms.2011.01.014. Epub 2011 Mar 4.
AIM
The potential psycho-social sequelae of traumatic facial injury have received increasing attention in recent years, however there remains paucity of cross-national comparative data on the prevalence of psychological distress following such trauma. The aim of the present study was to investigate and compare the prevalence of anxiety and depression in an adult patient group who have been treated for maxillofacial trauma, and who attend a follow-up clinic in either the West Midlands, UK or New South Wales (NSW), Australia. By using an identical methodological and statistical approach, we hoped to add to the available information on the incidence of early psychological distress in patients following facial trauma.
METHOD
This was a comparative cross-sectional study. A sample of fifty consecutive adult victims of facial trauma in the West Midlands UK, was compared to a group of fifty-two facially injured patients in NSW, Australia. Demographic data was collected, following which the Hospital Depression and Anxiety Scale (HADS) were applied to both groups of patients.
RESULTS
Psychometric scores suggestive of anxiety and depressive state were common in both groups of patients. The mean HADS depression subscale score for UK patients compared to Australian patients was not significantly different (5.94 versus 5.54 p=0.62). This was also the case for the HADS anxiety subscale (5.96 versus 5.94 p=0.98). Although the number of patients achieving scores suggestive of a 'caseness' for co-morbid psychological state was higher within the UK sample when compared to the Australian group (20% versus 11.5% for HADS depression subscale, and 20% versus 15% for HADS anxiety subscales respectively); these differences did not reach statistical significance.
CONCLUSION
This cross-national comparative study has shown that anxiety and depression in facial trauma victims were comparable in both settings.
目的
近年来，创伤性面部损伤的潜在心理社会后遗症受到了越来越多的关注，但关于此类创伤后心理困扰的患病率，仍缺乏跨国比较数据。本研究旨在调查和比较在英国西米德兰兹或澳大利亚新南威尔士州接受颌面创伤治疗并在随访诊所就诊的成年患者群体中焦虑和抑郁的患病率。通过使用相同的方法学和统计学方法，我们希望为面部创伤后患者早期心理困扰的发生率提供更多信息。
方法
这是一项比较性横断面研究。对英国西米德兰兹的 50 名连续成年面部创伤患者进行了样本研究，并与澳大利亚新南威尔士州的 52 名面部受伤患者进行了比较。收集了人口统计学数据，然后对两组患者应用医院焦虑和抑郁量表（HADS）。
结果
两组患者的心理计量评分均提示焦虑和抑郁状态常见。与澳大利亚患者相比，英国患者的 HADS 抑郁分量表评分平均值无显著差异（5.94 与 5.54，p=0.62）。HADS 焦虑分量表的情况也是如此（5.96 与 5.94，p=0.98）。尽管与澳大利亚组相比，英国组中达到共病心理状态“病例”评分的患者数量更高（HADS 抑郁分量表为 20%对 11.5%，HADS 焦虑分量表为 20%对 15%）；但这些差异没有达到统计学意义。
结论
这项跨国比较研究表明，两种环境中面部创伤患者的焦虑和抑郁程度相当。
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