Citation

Rusch MD, Grunert BK, Sanger JR, Dzwierzynski WW, Matloub HS. Plast. Reconstr. Surg. 2000; 106(7): 1451-8; discussion 1459-60.

Affiliation

Department of Plastic and Reconstructive Surgery at the Medical College of Wisconsin, Milwaukee 53226, USA. mrusch@mcw.edu

Copyright

(Copyright © 2000, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

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.

Keywords: Animal Bites; Dog Bites

Language: en