Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study

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. Mater...

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Main Authors: Sunil S. Nayak, Abhay Taranath Kamath, Sreea Roy, Vanishri S. Nayak
Format: Article
Language:English
Published: Association of Support to Oral Health Research (APESB) 2021-11-01
Series:Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Subjects:
Online Access:https://revista.uepb.edu.br/PBOCI/article/view/659
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author Sunil S. Nayak
Abhay Taranath Kamath
Sreea Roy
Vanishri S. Nayak
author_facet Sunil S. Nayak
Abhay Taranath Kamath
Sreea Roy
Vanishri S. Nayak
author_sort Sunil S. Nayak
collection DOAJ
description 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.
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spelling doaj.art-121d349cf71a48719a11f21be30666ba2022-12-21T21:03:27ZengAssociation of Support to Oral Health Research (APESB)Pesquisa Brasileira em Odontopediatria e Clínica Integrada1519-05011983-46322021-11-0121Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional StudySunil S. NayakAbhay Taranath KamathSreea RoyVanishri S. NayakObjective: 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.https://revista.uepb.edu.br/PBOCI/article/view/659Maxillofacial InjuriesStress Disorders, Post-TraumaticTooth Avulsion
spellingShingle Sunil S. Nayak
Abhay Taranath Kamath
Sreea Roy
Vanishri S. Nayak
Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Maxillofacial Injuries
Stress Disorders, Post-Traumatic
Tooth Avulsion
title Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study
title_full Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study
title_fullStr Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study
title_full_unstemmed Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study
title_short Effect of Oral and Maxillofacial Injuries on the Development of Post-Traumatic Stress Disorder: A Cross-Sectional Study
title_sort effect of oral and maxillofacial injuries on the development of post traumatic stress disorder a cross sectional study
topic Maxillofacial Injuries
Stress Disorders, Post-Traumatic
Tooth Avulsion
url https://revista.uepb.edu.br/PBOCI/article/view/659
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AT abhaytaranathkamath effectoforalandmaxillofacialinjuriesonthedevelopmentofposttraumaticstressdisorderacrosssectionalstudy
AT sreearoy effectoforalandmaxillofacialinjuriesonthedevelopmentofposttraumaticstressdisorderacrosssectionalstudy
AT vanishrisnayak effectoforalandmaxillofacialinjuriesonthedevelopmentofposttraumaticstressdisorderacrosssectionalstudy