PMID: identifiant
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 (21195626) |
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| titre : |
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Psychological care for maxillofacial trauma patients: a preliminary survey of oral and maxillofacial surgeons. |
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| auteur(s) : |
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Poramate Pitak-Arnnop1, 2, Christian Hervé3, Jean-Christophe Coffin3, Kittipong Dhanuthai2, 4, Jacques-Charles Bertrand1, Jean-Paul Meningaud1, 3, 5 |
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| laboratoire : |
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| résumé : |
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INTRODUCTION: Psychological morbidities are major complications following maxillofacial injuries. The aim of this study was to assess self-evaluation of oral and maxillofacial surgeons on posttraumatic psychological care. METHODS: Using a cross-sectional study design, we enrolled a sample of surgeons in 261 oral and maxillofacial surgery (OMFS) departments in the United States, United Kingdom and France. A self-administered e-mail questionnaire was used to evaluate knowledge, attitude and practice of the surgeons regarding psychological problems in maxillofacial injury patients, and their collaboration with psychological personnel. Appropriate descriptive and univariate statistics were computed, and P<0.05 was considered statistically significant. RESULTS: The response rate was 28.1% (112 of 398), but we included only 100 respondents from 107 OMS units. 60% of the surgeons disclosed a moderate or high level of relevant knowledge. Only 28 OMS departments (26.2%) had intra-service psychological staff (commonly in France [P<0.05]), and five surgeons revealed considerable deficits in access to psychological care. Frequent reasons for patient referral to psychological staff were depression, body dysmorphic disorder, posttraumatic stress disorder, suicidal idea, anxiety and behavioural changes. Eighty-eight surgeons linked patient's non-compliance with changes or difficulties in practice, and 58 surgeons experienced it already. CONCLUSIONS: Despite several limitations, the results of this study suggest that oral and maxillofacial surgeons have a great interest and experience in posttraumatic psychological problems. Psychological professionals in charge will improve surgical care quality. Well-designed studies with larger sample size are desirable to confirm our results. Ethical issues of maxillofacial trauma care are also discussed. |
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| domaine : |
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langue du texte
intégral : |
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Anglais |
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| ISSN : |
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1878-4119 |
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| type de publication : |
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Articles dans des revues avec comité de lecture |
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| DOI : |
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10.1016/j.jcms.2010.11.007 |
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| journal : |
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| Journal of Cranio-Maxillofacial Surgery (J Craniomaxillofac Surg) |
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Elsevier |
| ISSN |
1010-5182 |
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| Audience : |
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internationale |
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| date de publication : |
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31/12/2010 |
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date de publication
électronique : |
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31/12/2010 |
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| page, identifiant, ... : |
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epub ahead of print |
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| mots-clés auteur : |
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Psychological problem – Maxillofacial trauma – Practice evaluation – Survey – Medical ethics |
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