Psychological Adjustment in Children after Traumatic Disfiguring Injuries: A 12-Month Follow-Up
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 d...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2000-12, Vol.106 (7), p.1451-1458 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | Rusch, Mark D Grunert, Brad K Sanger, James R Dzwierzynski, William W Matloub, Hani S |
| description | 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. (Plast. Reconstr. Surg. 1061451, 2000.) |
| doi_str_mv | 10.1097/00006534-200012000-00001 |
| format | Article |
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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. (Plast. Reconstr. 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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. (Plast. Reconstr. 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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Accidents, Home Adaptation, Psychological Age Factors Analysis of Variance Animals Anxiety - etiology Arm Injuries - psychology Arm Injuries - surgery Bites and Stings - complications Body Image Chi-Square Distribution Child Child, Preschool Depression - etiology Dogs Facial Injuries - psychology Facial Injuries - surgery Fear - physiology Female Follow-Up Studies Humans Leg Injuries - psychology Leg Injuries - surgery Male Memory - physiology Mood Disorders - etiology Prospective Studies Self Concept Sex Factors Sleep Wake Disorders - etiology Social Adjustment Stress Disorders, Post-Traumatic - etiology |
| title | Psychological Adjustment in Children after Traumatic Disfiguring Injuries: A 12-Month Follow-Up |
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