Prashanth N T, Raghuveer H P, Kumar Dilip, Shobha E S, Rangan Vinod, Rao T S S
Associate Professor, Department of Oral and Maxillofacial Surgery, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India.
Dean & Professor and Head, Department of Oral and Maxillofacial Surgery, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India.
J Int Oral Health. 2015 Sep;7(9):94-100.
This study was performed to identify the presence of anxiety and depression in patients who had sustained facial injuries; additionally we aimed to identify other variables that may modify the psychological response to trauma that include gender and age.
The participants were 153 patients from multimodal trauma centers in Bangalore city who sustained disfiguring facial injuries were taken up. Of the 153 patients, 81 patients were male (51 less than 50 years of age and 30 more than 50 years of age) and 72 patients were female (40 less than 50 years of age and 32 more than 50 years of age) and 111 patients with non-disfiguring facial injuries out of which 54 were male patients and 57 were female patients. The assessments were carried out at 3 time intervals (the date of discharge [DOD], 1-month post-operatively and 6 months post-operatively) of the follow-up. The hospital anxiety and depression scale (HADS) was used to assess the anxiety and depression of the facial trauma patients.
Statistically significant higher means of HADS both for anxiety and depression were present in patients with disfiguring facial injuries compared to non-disfiguring facial injuries, female patients compared to male patients after the 1-month and 6 months post-operatively, the mean anxiety and depression scores of males and female patients were significantly higher for those who aged less than 50 years compared to those who aged more than 50 years.
The results of this study led to the conclusion that in comparison with patients who had facial disfiguring injuries and non-disfiguring facial injuries, the mean HADS scores were significantly higher in the disfiguring facial injury patient. This indicates increased Anxiety and Depression levels and this was observed at all three study intervals (DOD, 1-month and 6 months post-operatively). The HADS was higher in female patients who were lesser than 50 years age compared to male patients of the same age group, which implies higher anxiety and depression levels.
本研究旨在确定面部受伤患者中焦虑和抑郁的存在情况；此外，我们旨在确定其他可能改变对创伤心理反应的变量，包括性别和年龄。
研究对象为来自班加罗尔市多模式创伤中心的153例面部毁容性损伤患者。在这153例患者中，81例为男性（51例年龄小于50岁，30例年龄大于50岁），72例为女性（40例年龄小于50岁，32例年龄大于50岁），另有111例面部非毁容性损伤患者，其中54例为男性患者，57例为女性患者。评估在随访的3个时间点（出院日期[DOD]、术后1个月和术后6个月）进行。采用医院焦虑抑郁量表（HADS）评估面部创伤患者的焦虑和抑郁情况。
与面部非毁容性损伤患者相比，面部毁容性损伤患者的HADS焦虑和抑郁均值在统计学上显著更高；术后1个月和6个月时，女性患者与男性患者相比，年龄小于50岁的男性和女性患者的平均焦虑和抑郁评分显著高于年龄大于50岁的患者。
本研究结果得出结论，与面部毁容性损伤患者和面部非毁容性损伤患者相比，面部毁容性损伤患者的HADS平均得分显著更高。这表明焦虑和抑郁水平升高，并且在所有三个研究时间点（出院日期、术后1个月和术后6个月）均观察到这一情况。与同年龄组男性患者相比，年龄小于50岁的女性患者HADS得分更高，这意味着焦虑和抑郁水平更高。
