Psychological adjustment in children after traumatic disfiguring injuries: a 12-month follow-up.
Plast Reconstr Surg
; 106(7): 1451-8; discussion 1459-60, 2000 Dec.
Article
en En
| MEDLINE
| ID: mdl-11129171
ABSTRACT
The psychological adjustment of 57 children (age range, 3 to 12 years) who sustained mutilating traumatic injuries to the face or upper or lower extremities was assessed over a 12-month interval. The injuries had occurred as a result of boating, lawn mower, or home accidents or dog bites. Within 5 days of the traumatic event, 98 percent of the children were symptomatic for posttraumatic stress disorder, depression, or anxiety. One month after the injury, 82 percent were symptomatic. Symptom frequency had declined by the time of the 3-month and 6-month evaluations, but 44 percent of the children continued to report symptoms at 12-month follow-up visits, and 21 percent met the diagnostic criteria for posttraumatic stress disorder. Typical symptoms included flashbacks, fear of re-injury, mood disorders, body-image changes secondary to disfigurement, sleep disturbances, and anxiety. These findings support the importance of psychological evaluation and treatment of children who suffer mutilating injuries that require the attention of plastic surgeons.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos del Brazo
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Ajuste Social
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Adaptación Psicológica
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Traumatismos Faciales
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Traumatismos de la Pierna
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Animals
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Plast Reconstr Surg
Año:
2000
Tipo del documento:
Article
País de afiliación:
Estados Unidos