Effect of oral and maxillofacial injuries on the development of post-traumatic stress disorder: a cross-sectional study

Nayak, Sunil S and Kamath, Abhay Taranath and Roy, Sreea and Nayak, Vanishri S (2021) Effect of oral and maxillofacial injuries on the development of post-traumatic stress disorder: a cross-sectional study. Pesquisa Brasileira em Odontopediatria e Clinica Integrada, 21. pp. 119-126. ISSN 1519-0501

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Abstract

Objective: To assess the influence of oral and maxillofacial trauma on the development of Post-Traumatic Stress Disorder (PTSD) and to determine the efficiency of the Impact of Event Scale-Revised (IES-R) as a diagnostic tool for detecting PTSD in patients with Oral and Maxillofacial injuries. Material and Methods: PTSD was assessed one month postoperatively by the diagnostic instrument, IES-R, to arrive at a provisional diagnosis. A structured clinician-administered PTSD Scale then assessed the patients for the Diagnostic and Statistical Manual of Mental Disorders-5th edition (CAPS-5) to establish a final diagnosis. The assessment of the severity of PTSD was done based on various types of oral and maxillofacial injuries. Results: The IES-R scale provisionally diagnosed 54 subjects with PTSD, out of which 42 were diagnosed to have PTSD by the CAPS-5 scale. Subjects with injuries involving the ‘orbital complex,’ those presenting with a perceptible scar in the maxillofacial region and with multiple avulsed/ luxated anterior teeth, showed a higher affinity to develop PTSD, and this was statistically significant. Conclusion: Higher levels of PTSD in patients with injuries to the maxillofacial region warrants correct diagnosis and detection, and hence the maxillofacial surgeon plays a vital role in this regard. The IES-R is a useful diagnostic tool to detect PTSD early.

Item Type: Article
Uncontrolled Keywords: Maxillofacial Injuries; Stress Disorders, Post-Traumatic; Tooth Avulsion.
Subjects: Medicine > KMC Manipal > Anatomy
Dentistry > MCODS Manipal > Oral and Maxillofacial Surgery
Depositing User: KMC Library
Date Deposited: 01 Jun 2021 10:31
Last Modified: 01 Jun 2021 10:31
URI: http://eprints.manipal.edu/id/eprint/156556

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