Abstract | PURPOSE: This study sought to identify sociodemographic, psychosocial, and clinical factors associated with increased postsurgery depressive symptoms among inner-city minority patients recovering from a mandibular fracture. PATIENTS AND METHODS: Surveys of African American and Hispanic adults receiving treatment at King/Drew Medical Center for a mandible fracture (n=98) are used to identify factors associated with increased postsurgery depressive symptoms. Using correlation coefficients and t tests, bivariate relationships between patient characteristics and depressive symptoms at first follow-up were examined. Multiple regression analysis was used, predicting depressive symptoms at 1 month postadmission by entering covariates that were found to be significant at the bivariate level. RESULTS: Consistent with the etiology of maxillofacial trauma, the majority of study participants were male (88%), unmarried (92%), unemployed (57%), and experienced some type of interpersonal violence resulting in their broken jaw (77%). Patient characteristics significantly associated with depressive symptoms at first follow-up included age (r=0.26, P= .011), symptoms of post-traumatic stress (r=0.31, P= .003), prior dental problems (r=0.24, P= .022), current pain (r=0.38, P<0.001), and oral health problems during healing (GOHAI) (r= 0.34, P= .001). Two of the 5 significant covariates ( pain and GOHAI) remained significant at the multivariate level (adjusted R(2)=0.33). CONCLUSION: Findings from this study show that depressive symptoms increase immediately after oral surgery for jaw fracture. This increase is associated with pain and quality of life during recovery.
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Authors | Melanie W Gironda, Claudia Der-Martirosian, Thomas R Belin, Edward E Black, Kathryn A Atchison |
Journal | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
(J Oral Maxillofac Surg)
Vol. 67
Issue 2
Pg. 328-34
(Feb 2009)
ISSN: 1531-5053 [Electronic] United States |
PMID | 19138607
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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Topics |
- Adult
- Age Factors
- Aged
- Depression
(diagnosis, etiology)
- Female
- Fracture Fixation, Internal
(psychology)
- Humans
- Male
- Mandible
(surgery)
- Mandibular Fractures
(psychology, surgery)
- Middle Aged
- Minority Groups
- Oral Health
- Pain, Postoperative
(complications)
- Postoperative Complications
(psychology)
- Poverty Areas
- Prognosis
- Regression Analysis
- Risk Factors
- Socioeconomic Factors
- Stress Disorders, Post-Traumatic
(diagnosis, etiology)
- Stress, Psychological
(complications)
- Surveys and Questionnaires
- Young Adult
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