Real-time screening tool for identifying post-traumatic stress disorder in facial trauma patients in a UK maxillofacial trauma clinic |
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| Institution: | 1. Oral and Maxillofacial Surgery Department, King’s College Hospital, Denmark Hill, London, UK;2. IMPARTS Mind and Body Programme, Psychological Medicine and Integrated Care Clinical Academic Group, King’s College London, London, UK;3. Faculty of Dentistry, Oral & Craniofacial Sciences;1. Department of Oral Surgery, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology, National Clinical Research Center of Stomatology, Shanghai, China;2. Department of Radiology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;1. Instituto Português da Face, Lisbon, Portugal;2. Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal;3. Gabinetes Auditivos Portugueses, Lisbon, Portugal;4. Centro de Estatística e Aplicações, Faculdade de Ciências, Universidade de Lisboa, Lisbon, Portugal;5. Department of Computer Science and Quantitative Methods, School of Management and Technology, Polytechnic Institute of Santarém, Portugal;1. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Haidian District, Beijing, PR China;2. Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, Haidian District, Beijing, PR China;3. Department of Oral and Maxillofacial Surgery, Inner Mongolia People’s Hospital, Saihan District, Huhhot, Inner Mongolia, PR China;4. Department of Oral and Maxillofacial Surgery, Zhangzhou Municipal Hospital of Fujian Province and Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, Fujian, PR China;1. Department of Radiotherapy and Medical Oncology, University Hospital for Tumours, University Hospital Center ‘Sisters of Mercy’, Zagreb, Croatia;2. University of Zagreb School of Medicine, Department of Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia |
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| Abstract: | Post-traumatic stress disorder (PTSD) is a distressing consequence of a traumatic event associated with an increased suicide risk and reduced quality of life. Surgeons often have low confidence in identifying psychological problems. The prevalence of PTSD following facial trauma ranges from 23% to 41%. This highlights the importance of identifying and managing at-risk patients to optimize both mental and physical recovery. IMPARTS (Integrating Mental and Physical healthcare: Research, Training and Services) provides electronic screening tools to guide the non-mental health clinician in the ‘real-time’ identification, documentation, and management of potential mental health problems. The bespoke IMPARTS facial trauma screening tool was piloted in a UK oral and maxillofacial surgery trauma clinic from July 2015 to November 2017. A total of 199 patients completed screening, with 48 (24%) screening positive for possible PTSD. Further analysis of these 48 patients revealed that four (8%) had PTSD symptoms alone; three (6%) also screened positive for depression, 17 (35%) for co-existing symptoms of anxiety, and 24 (50%) for PTSD, anxiety, and depression. IMPARTS was found to be a highly effective tool aiding the non-mental health clinician to screen for PTSD and initiate prompt management. The data captured informs planning of the psychological support service. |
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| Keywords: | maxillofacial injuries mental health screening post-traumatic stress disorder anxiety depression facial injuries PHQ-9 GAD-7 TSQ |
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