title: The long-term psychological sequelae of orofacial injury.
abstract: Significant subsets of patients who experience orofacial injury are at risk for developing adverse psychological sequelae such as posttraumatic stress disorder and depression. If undetected and untreated, the psychopathology can become recalcitrant and burden the social and vocational functioning of the patients and greatly diminish their quality of life. The hospital encounter and follow-up care visits provide the oral and maxillofacial surgeon with opportunities to screen for emerging psychological problems. Several screening instruments are available to assist the surgeon in identifying individuals who are at risk for subsequent mental health problems. Facilitated referrals to mental health services can be a practical approach for improving comprehensive medical care for vulnerable individuals and for reducing the potential morbidity of these covert, but disabling, sequelae.
authors.affiliation: Research Service, VA Greater Los Angeles Healthcare System at West Los Angeles, B151J, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA. sglynn@ucla.edu <sglynn@ucla.edu>
authors.forename: Shirley M
authors.initials: SM
authors.lastname: Glynn
authors.forename: Vivek
authors.initials: V
authors.lastname: Shetty
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D003863:Depression / Q000209:etiology*; D004522:Educational Status; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D015141:Los Angeles; D008297:Male; D008446:Maxillofacial Injuries / Q000150:complications* / Q000523:psychology*; D008605:Mental Health Services; D011594:Psychometrics; D012680:Sensitivity and Specificity; D012737:Sex Factors; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology*; D014193:Trauma Centers; D055815:Young Adult
references.citation: J Oral Maxillofac Surg. 2003 Jul;61(7):785-92
references.pmid: 12856251
references.citation: J Nerv Ment Dis. 2009 Sep;197(9):639-45
references.pmid: 19752642
references.citation: J Nerv Ment Dis. 1992 Jul;180(7):424-30
references.pmid: 1624923
references.citation: Dent Clin North Am. 2003 Jan;47(1):141-57, xi
references.pmid: 12519011
references.citation: J Anxiety Disord. 1999 Nov-Dec;13(6):541-63
references.pmid: 10688523
references.citation: Curr Opin Psychiatry. 2008 Jan;21(1):30-6
references.pmid: 18281838
references.citation: J Consult Clin Psychol. 1995 Dec;63(6):948-55
references.pmid: 8543717
references.citation: Psychiatr Clin North Am. 2009 Sep;32(3):687-704
references.pmid: 19716997
references.citation: J Oral Maxillofac Surg. 2004 Aug;62(8):925-32
references.pmid: 15278855
references.citation: J Abnorm Psychol. 2006 Aug;115(3):624-8
references.pmid: 16866603
references.citation: J Trauma. 2007 Feb;62(2):410-8; discussion 418
references.pmid: 17297333
references.citation: J Consult Clin Psychol. 1998 Oct;66(5):862-6
references.pmid: 9803707
references.citation: J Trauma. 1989 Mar;29(3):388-90
references.pmid: 2648018
references.citation: West J Med. 2001 Jun;174(6):424
references.pmid: 11381013
references.citation: Am J Psychiatry. 1998 May;155(5):630-7
references.pmid: 9585714
references.citation: Clin Psychol Rev. 2003 Jul;23(4):587-603
references.pmid: 12788111
references.citation: Am J Epidemiol. 1977 Sep;106(3):203-14
references.pmid: 900119
references.citation: Am J Psychiatry. 2004 Mar;161(3):507-14
references.pmid: 14992977
references.citation: Arch Gen Psychiatry. 1982 Oct;39(10):1195-200
references.pmid: 7125849
references.citation: Psychol Med. 2007 Oct;37(10):1469-80
references.pmid: 17559704
references.citation: Depress Anxiety. 2004;19(2):77-84
references.pmid: 15022142
references.citation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 May;95(5):515-20
references.pmid: 12738941
references.citation: J Clin Psychiatry. 2000;61 Suppl 7:22-32
references.pmid: 10795606
references.citation: Arch Gen Psychiatry. 1992 Aug;49(8):624-9
references.pmid: 1637252
references.citation: Ann Surg. 1999 Oct;230(4):473-80; discussion 480-3
references.pmid: 10522717
references.citation: Clin Psychol Rev. 2001 Jul;21(5):663-82
references.pmid: 11434225
references.citation: J Psychopharmacol. 2000 Mar;14(1):70-6
references.pmid: 10757257
references.citation: J Trauma Stress. 2002 Jun;15(3):199-204
references.pmid: 12092911
references.citation: J Wound Care. 2001 Mar;10(3):53-7
references.pmid: 11924351
references.citation: J Clin Psychiatry. 2000;61 Suppl 5:15-20; discussion 21-3
references.pmid: 10761675
references.citation: Arch Surg. 2002 Feb;137(2):200-5
references.pmid: 11822960
references.citation: N Engl J Med. 2002 Jan 10;346(2):108-14
references.pmid: 11784878
references.citation: Arch Gen Psychiatry. 2004 Jul;61(7):714-9
references.pmid: 15237083