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首页> 外文期刊>General hospital psychiatry >Survivors of violence-related facial injury: psychiatric needs and barriers to mental health care.
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Survivors of violence-related facial injury: psychiatric needs and barriers to mental health care.

机译：与暴力有关的面部损伤的幸存者：精神病的需求和心理保健的障碍。

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OBJECTIVE: This study examined mental health needs, receptivity to psychosocial aftercare, and barriers to care among survivors of violence-related facial injuries. METHODS: Face-to-face interviews were conducted with 25 consecutively treated individuals at a hospital-based specialty outpatient clinic one month after a violence-related facial injury. To participate in the study, patients had to screen positive for an alcohol use disorder (AUD), major depression or posttraumatic stress disorder (PTSD). Participants were questioned about receptivity to an aftercare program and perceived barriers to care. RESULTS: Of those screened for study eligibility (n=62), a substantial proportion met probable criteria for AUD (31%), PTSD (34%) and major depression (35%). Among those completing the core interview (n=25), 80% met probable criteria for two or more psychiatric disorders. The majority (84%) expressed interest in psychosocial aftercare. However, barriers such as cost, insufficient information about counseling and obtaining services, transportation and preferences for self-reliance were commonly endorsed. CONCLUSIONS: Survivors of violence-related facial injuries have substantial mental health needs and appear receptive to psychosocial aftercare. However, significant treatment barriers must be addressed. Findings underscore the value of a collaborative care model for treating violence-related facial trauma patients seeking care in specialty outpatient oral and maxillofacial clinics.
机译：目的：本研究调查了与暴力相关的面部损伤幸存者的心理健康需求，对心理社会后继治疗的接受度以及护理障碍。方法：在与暴力有关的面部损伤一个月后，在一家医院的专业门诊部对25名连续接受治疗的人进行了面对面的采访。为了参与该研究，患者必须筛查酒精使用障碍（AUD），重度抑郁或创伤后应激障碍（PTSD）阳性。参加者被问及对善后服务计划的接受程度和认为的护理障碍。结果：筛选出符合研究条件的患者（n = 62），其中很大一部分符合澳元（31％），创伤后应激障碍（34％）和严重抑郁症（35％）的可能标准。在完成核心访谈的受访者（n = 25）中，有80％符合两种或两种以上精神疾病的可能标准。多数（84％）对心理社会善后服务表示兴趣。但是，人们普遍认可诸如成本，关于咨询和获得服务的信息不足，交通运输以及对自力更生的偏好等障碍。结论：与暴力相关的面部损伤的幸存者对心理健康有大量需求，并且似乎愿意接受心理社会的后期护理。但是，必须解决重大的治疗障碍。研究结果强调了合作医疗模式在治疗与暴力相关的面部创伤患者中的价值，这些患者在专科门诊和颌面诊所就诊。

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