Chronic Posttraumatic Stress Disorder After Facial Injury: A 1-year Prospective Cohort Study

Abstract

Many socioeconomically disadvantaged adults manifest negative psychological outcomes even 1 year after an orofacial injury. Poor social support and unmet social service needs immediately after the injury, as well as high PTSD symptoms at 1 month postinjury, are strongly associated with the risk of developing chronic PTSD. The surgical management of orofacial injuries in disadvantaged individuals should integrate case management that addresses psychosocial sequelae and patient service needs.

Course of posttraumatic stress symptoms over the 5 years following an industrial disaster: A structural equation modeling study

“…Although several studies have examined the course of chronic PTSD (Bremner, Southwick, Darnell, & Charney, 1996;Glynn et al, 2007), most were conducted over periods shorter than 5 years. Furthermore, although a number of studies have identified risk factors for PTSD (Brewin, Andrews, & Valentine, 2000;Ozer, Best, Lipsey, & Weiss, 2003), few authors have investigated which factors predict long-term enduring or unremitting PTSD years after trauma exposure.…”

Psychological care for maxillofacial trauma patients: A preliminary survey of oral and maxillofacial surgeons

“…It is known that severity of facial injuries is not a reliable index to risks of PSTD. Severe psychological troubles may develop after minor injuries (Rusch et al, 2002;Glynn et al, 2003Glynn et al, , 2007Kosakevitch-Ricbourg, 2006). This highlights the necessity of adequate psychological support for facial trauma victims, especially when access to healthcare is inadequate and/or behavioural problems of the patients are noticed.…”

Which factors predict the persistence of DSM-IV depression, anxiety, and somatoform disorders in the medically ill three months post hospital discharge?

“…People with anxiety disorders may exhibit dependent personality traits; therefore, a greater number of close relationships could result from such dependency. The relationships of persistently distressed patients have been found to worsen over time [24], and poor perceived social support is associated with persistent anxiety [70,76]. It is possible that the number of relationships does not equate to the perceived quality of relationships [77].…”