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

Abstract

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

Evaluating Content, Quality, and Adequacy of Maxillofacial Trauma Videos on YouTube

“…20,37 In this study, dislike counts were not investigated since the findings suggest that hiding the number of dislikes from viewers has altered the user interactions for the like/dislike features, which may affect the reliability of the parameter. 38 Although socioeconomic deterioration as a result of psychological damage after maxillofacial trauma is widely recognized, this study found very few videos of posttraumatic postoperative psychological impairment and social difficulties. 31,33 In addition to psychological and social effects, unfavorable outcomes such as infections, nonunion and malunion that can result in malocclusion and deformities may occur during the post-operative healing period in case of patient noncompliance.…”

Evaluation of Anxiety and Experience of patients presented with Maxillofacial Trauma in Nishtar Institute of Dentistry

“…They also have found that female gender, past psychiatry history are associated with more psychological disorders in post trauma period 17 . A study by Pokharel PK et al showed in their study that 41.3% of included patients in their study suffered from depression in post facial trauma period which reduced with time in follow up visits 18 . A study by Wilson N et al showed that 23% of post maxillofacial trauma patients suffered from post trauma stress disorder which gradually reduced in followup visits 11 .…”