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Predictors of depressive symptoms following mandibular fracture repair.

AbstractPURPOSE:
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.
AuthorsMelanie W Gironda, Claudia Der-Martirosian, Thomas R Belin, Edward E Black, Kathryn A Atchison
JournalJournal 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
PMID19138607 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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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