title: The psychosocial characteristics and needs of patients presenting with orofacial injury.
abstract: Individuals with orofacial injury presenting to urban trauma centers in the United States tend to be disproportionately socioeconomically disadvantaged, young, adult, ethnic minority men. Most injuries are assaultive in origin, suggesting poor impulse control and maladaptive social behaviors. Compared with matched control populations, patients with orofacial injuries are more likely to report higher levels of substance use behaviors and to manifest greater levels of hostility, anxiety, and depression. Although they have significantly greater current and lifetime need for mental health service and social service, actual use of social services is low. The underlying psychosocial characteristics of many patients with orofacial injury, along with unmet service needs, render them vulnerable for posttrauma psychological sequelae and may compromise functional outcomes and recovery.
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
mesh_terms: D000367:Age Factors; D016022:Case-Control Studies; D006301:Health Services Needs and Demand; D006801:Humans; D008446:Maxillofacial Injuries / Q000150:complications / Q000523:psychology*; D008913:Minority Groups; D010348:Patient Care Team; D012737:Sex Factors; D012923:Social Class; D019966:Substance-Related Disorders / Q000150:complications; D014481:United States; D014505:Urban Population; D014754:Violence; D035862:Vulnerable Populations
references.citation: J Oral Maxillofac Surg. 2003 Jul;61(7):785-92
references.pmid: 12856251
references.citation: J Natl Med Assoc. 1991 May;83(5):421-3
references.pmid: 1875422
references.citation: Arch Gen Psychiatry. 1998 Jul;55(7):626-32
references.pmid: 9672053
references.citation: Am J Psychiatry. 1974 Oct;131(10):1121-3
references.pmid: 4416585
references.citation: J Oral Maxillofac Surg. 1999 Nov;57(11):1281
references.pmid: 10555790
references.citation: J Oral Maxillofac Surg. 2003 Jun;61(6):713-8
references.pmid: 12796884
references.citation: J Stud Alcohol. 2000 May;61(3):447-9
references.pmid: 10807217
references.citation: J Oral Maxillofac Surg. 2007 Aug;65(8):1584-9
references.pmid: 17656287
references.citation: J Oral Maxillofac Surg. 2004 Jun;62(6):685-8
references.pmid: 15170278
references.citation: J Trauma. 2007 Feb;62(2):410-8; discussion 418
references.pmid: 17297333
references.citation: Arch Gen Psychiatry. 1995 Dec;52(12):1048-60
references.pmid: 7492257
references.citation: Br J Psychiatry. 2004 Jan;184:63-9
references.pmid: 14702229
references.citation: J Natl Med Assoc. 2006 Oct;98(10):1630-6
references.pmid: 17052054
references.citation: J Trauma. 2009 Feb;66(2):477-84
references.pmid: 19204524
references.citation: J Trauma. 1989 Mar;29(3):388-90
references.pmid: 2648018
references.citation: Gen Hosp Psychiatry. 2007 Mar-Apr;29(2):117-22
references.pmid: 17336660
references.citation: Br J Oral Maxillofac Surg. 2008 Dec;46(8):661-4
references.pmid: 18771826
references.citation: Addiction. 2003 Jan;98(1):43-52
references.pmid: 12492754
references.citation: Drug Alcohol Depend. 2004 Jun 11;74(3):223-34
references.pmid: 15194200
references.citation: J Oral Maxillofac Surg. 2008 Apr;66(4):755-61
references.pmid: 18355601
references.citation: J Oral Maxillofac Surg. 2007 Dec;65(12):2544-53
references.pmid: 18022482
references.citation: Br J Psychiatry. 2000 Dec;177:486-92
references.pmid: 11102321
references.citation: J Oral Maxillofac Surg. 2007 Dec;65(12):2430-7
references.pmid: 18022465
references.citation: Arch Gen Psychiatry. 1998 May;55(5):405-13
references.pmid: 9596043
references.citation: J Trauma. 1994 Jan;36(1):68-73
references.pmid: 8295251
references.citation: J Oral Maxillofac Surg. 2004 Aug;62(8):925-32
references.pmid: 15278855