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Assessing psychological consequences following maxillofacial trauma using DASS scale – our experience

机译:使用DASS量表评估颌面部创伤后的心理后果–我们的经验

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Aims and Objectives: The aim of the present study was to investigate the psychological consequences among hospitalized patients facing Maxillofacial trauma. Materials and Methods: Ninety-two patients (78 male and 14 female) following maxillofacial trauma were assessed initially and later again after 4-6 months of the injury. For assessment the Depression, Anxiety and Stress Scale (DASS) was used. Prevalence of Depression, Anxiety and Stress was assessed initially and later at follow-up in terms of percentage. Paired t-test was then used to assess if there is any significant difference in the pre and post assessment of Depression, Anxiety and Stress after maxillofacial trauma. Results: Of 92 patients, 41.3% had normal depression and 13%, 26%, 16.3% and 3.2% had mild, moderate, severe and extremely severe depression respectively in the initial assessment. Whereas in the follow up assessment, 37.8% were normal, 19.5 %, 31.7%, 10.9 % had mild, moderate, severe depression respectively and none had extremely severe depression. Similarly, of 92 patients 39.1 % of the subjects had normal anxiety, 6.5 %, 25 %, 15.2 % and 14.1 % had mild, moderate, severe anxiety and extremely severe anxiety respectively at the initial assessment. Whereas in the follow up assessment 45.1 % were normal, 12.1%, 28 %, 12.1% and 2.4 % had mild, moderate anxiety, severe and extremely severe anxiety respectively. Furthermore, of 92 patients, 79.3% of the subjects had normal stress, 8.7%, 10.8% and 1% had mild, moderate and severe stress respectively and no subjects had extremely severe stress at the initial assessment. During follow up assessment all patients were normal without any kind of stress. Paired t-test revealed that there was significant levels of anxiety in patients following maxillofacial trauma but no significant levels of Depression or Stress was found. Conclusion: Psychological morbidity commonly follows maxillofacial injury and it needs to be addressed in routine clinical practice. Asian Journal of Medical Sciences Vol.7(2) 2015 85-89
机译:目的和目的:本研究的目的是调查面对颌面部创伤的住院患者的心理后果。材料和方法:最初评估了颌面部外伤后的92例患者(男78例,女14例),受伤4-6个月后再次评估。为了评估抑郁,焦虑和压力量表(DASS)。首先评估抑郁,焦虑和压力的患病率,随后在随访中以百分比的形式进行评估。然后使用配对t检验评估颌面部创伤后抑郁,焦虑和压力的评估前后是否存在显着差异。结果:在92例患者中,初次评估时,抑郁症为41.3%,轻度,中度,重度和重度抑郁分别为13%,26%,16.3%和3.2%。随访评估中,轻度,中度,重度抑郁分别为正常的37.8%,轻度,中度,重度的19.5%,31.7%,10.9%,极重度的无抑郁。同样,在92名患者中,有39.1%的受试者具有正常的焦虑,在初次评估时分别有6.5%,25%,15.2%和14.1%的受试者患有轻度,中度,重度焦虑和极重度焦虑。随访评估中45.1%为正常,轻度,中度焦虑,重度和极度焦虑分别为12.1%,28%,12.1%和2.4%。此外,在92名患者中,有79.3%的受试者具有正常压力,分别有8.7%,10.8%和1%的受试者具有轻度,中度和重度压力,在初始评估时没有受试者具有极度的压力。在随访评估中,所有患者均正常,无任何压力。配对t检验显示,颌面部创伤后患者的焦虑水平明显升高,但未发现抑郁或压力水平显着升高。结论:心理发病通常发生在颌面部损伤之后,需要在常规临床实践中加以解决。亚洲医学杂志Vol.7(2)2015 85-89

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