GENDER FEATURES OF TRAUMATIC EXPERIENCE IN MAXILLOFACIAL TRAUMA

  • Denis Semenov PhD-student of Zaporizhzhya State Medical University. Address: 26, Mayakovsky Ave., Zaporizhzhya, 69035
Keywords: maxillofacial injuries, traumatic experience, anxiety, dissociation

Abstract

Relevance. Injuries to the maxillofacial area is one of the most relevant medical problems of industrial society. In addition to surgical methods of medical care for people with this trauma type, an important role is dedicated to psychological methods that focused on traumatic experience, postoperative pain and reactions on post-traumatic defects.
Aim: to establish the gender characteristics of psychological response to traumatic experience in injuries of the maxillofacial area.
Materials and methods. The study was conducted in prospective design on 40 patients of the City Clinical Hospital for Emergency Care (Zaporizhzhya, Ukraine), who were is in the postoperative period of reconstructive surgery for injuries of the maxillofacial area.
Study results. According to the results of the psychological status analysis 6 reaction variants to the traumatic experience were found: undifferentiated
negative emotions, motor and sensory reactions, somatofunctional reactions, stomatoform reactions, behavioral reactions, psychosensory reactions.
Conclusions. Insignificant differences were found between psychological reactions to traumatic experience in injuries of the maxillofacial region between men and women. Men have a lower level of manifestation of fear and respiratory symptoms of anxiety, but more in terms of gastrointestinal
symptoms of anxiety. Men also have a lower level of disturbances in the feeling of their own body and disturbances in the perception of the environment.

References

1. Afzelius L. E., Rosén C. Facial fractures. A review of 368 cases // Int. J. Oral Surg. 1980. № 9 (1). Р. 25–32.
2. Briggs M., Closs J. S. A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients // J. Pain Symptom Manage. 1999. № 18. Р. 438–446.
3. Elhammali N., Bremerich A., Rustemeyer J. Demographical and clinical aspects of sports-related maxillofacial and skull base fractures in hospitalized patients // Int. J. Oral Maxillofac. Surg. 2010. № 39 (9). Р. 857–862.
4. Motamedi M. H. An assessment of maxillofacial fractures: a 5-year study of 237 patients // J. Oral. Maxillofac. Surg. 2003. № 61 (1). Р. 61–64.
5. Riley J. L., Gilbert G. H. Orofacial pain symptoms: an interaction between age and sex // Pain. 2001. № 90. Р. 245–256.
6. Slade G. D., Diatchenko L., Bhalang K. et al. Influence of psychological factors on risk of temporomandibular disorders // J. Dent. Res. 2007. № 86. Р. 1120–1125.
7. Sloman R., Wruble A. W., Rosen G., Rom M. Determination of clinically meaningful levels of pain reduction in patients experiencing acute postoperative pain // Pain Manag. Nurs. 2006. № 7. Р. 153–158.
Published
2019-12-27
How to Cite
Semenov, D. (2019). GENDER FEATURES OF TRAUMATIC EXPERIENCE IN MAXILLOFACIAL TRAUMA. Men’s Health, Gender and Psychosomatic Medicine, (2), 21-27. https://doi.org/10.37321/UJMH.2019.02-03