Psychologic functioning and needs of indigent patients with facial injury: a prospective controlled study.
OBJECTIVE
This study sought to examine 1) temporal changes in psychologic functioning over 12 months and 2) baseline differences in mental health and social service needs between orofacial injury patients and sociodemographically comparable controls undergoing elective oral surgery.


METHODS
Prospective, case-control study of patients treated at a public hospital in Los Angeles, CA. A total of 336 subjects with mandible fractures and 119 subjects undergoing elective removal of their third molars participated in structured, repeated follow-up assessments (10 days, 6 months, and 12 months after their surgical procedures). Multiple imputation was used to manage incomplete data, and propensity score analysis was used to correct for covariate imbalances between the injury and the control cohort. A series of ANOVAs, chi(2) analyses, and odds ratios was conducted.


RESULTS
The injury patients continue to experience significant psychologic distress for up to 12 months following the traumatic event. Orofacial injury patients also tend to report more lifetime and current mental health and social service needs than the sociodemographically similar elective-surgery cohort.


CONCLUSIONS
The management of facial injuries in disadvantaged individuals should integrate case management that addresses psychosocial sequelae and service needs of patients.
Department of Psychology, University of San Diego, San Diego, CA 92110, USA. jlento@sandiego.edu
Jennifer
J
Lento
Shirley
S
Glynn
Vivek
V
Shetty
Joan
J
Asarnow
Jianming
J
Wang
Thomas R
TR
Belin
D000328:Adult; D000704:Analysis of Variance; D019090:Case Management; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D015331:Cohort Studies; D017558:Elective Surgical Procedures / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand; D006801:Humans; D015141:Los Angeles; D008297:Male; D008337:Mandibular Fractures / Q000523:psychology* / Q000601:surgery; D008603:Mental Health; D008964:Molar, Third / Q000601:surgery; D011203:Poverty / Q000523:psychology*; D011446:Prospective Studies; D012947:Social Work; D013315:Stress, Psychological / Q000523:psychology; D014081:Tooth Extraction / Q000523:psychology