Sahni Vaibhav
Department of Oral and Maxillofacial Surgery, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Department of Oral and Maxillofacial Surgery, Maharishi Markandeswar College of Dental Sciences and Research, Ambala, Haryana, India.
Craniomaxillofac Trauma Reconstr. 2018 Mar;11(1):15-20. doi: 10.1055/s-0037-1603464. Epub 2017 Jun 12.
Examination of the mental state of patients suffering from facial trauma is rarely ever recorded, let alone screening them for posttraumatic stress disorders (PTSDs) or generalized anxiety disorder. Providing early support to the patient in light of such psychological conditions can improve the overall quality of life. The aim of this study was to perform a literature review to assess the relation of mental state disorders to facial trauma in terms of their prevalence, assess screening methodology, and also to evaluate the prognosis of individuals subjected to psychological intervention/screening at an early stage of clinical examination. Research databases such as ScienceDirect, Google Scholar, PubMed, and Medline were searched using the keywords "psychological trauma," "facial trauma," and "PTSD." Only meta-analyses, systematic reviews, and original research articles in the English language were included in the study. Correspondence to journal editors and clinician opinions were excluded from the study. Out of a total of 459 results, only 8 articles satisfied the inclusion criteria of the study. The literature review showed that patients suffering from orofacial trauma had significantly increased levels of mental state disorders such as PTSD and generalized anxiety disorder, more so in victims of assault. The results of this literature review clearly point toward an increased prevalence of mental state disorders in patients suffering from facial trauma, which warrants for early intervention in this regard to improve the quality of life of these patients.
对面部创伤患者的心理状态检查很少有记录,更不用说对他们进行创伤后应激障碍(PTSD)或广泛性焦虑症的筛查了。鉴于这些心理状况为患者提供早期支持可以提高整体生活质量。本研究的目的是进行文献综述,以评估心理状态障碍与面部创伤在患病率方面的关系,评估筛查方法,并评估在临床检查早期接受心理干预/筛查的个体的预后。使用关键词“心理创伤”、“面部创伤”和“PTSD”搜索了诸如ScienceDirect、谷歌学术、PubMed和Medline等研究数据库。该研究仅纳入英文的荟萃分析、系统评价和原始研究文章。与期刊编辑的通信和临床医生的意见被排除在研究之外。在总共459个结果中,只有8篇文章符合该研究的纳入标准。文献综述表明,患有口腔面部创伤的患者患PTSD和广泛性焦虑症等心理状态障碍的水平显著增加,在袭击受害者中更是如此。该文献综述的结果清楚地表明,面部创伤患者心理状态障碍的患病率增加,这就需要在这方面进行早期干预,以提高这些患者的生活质量。