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Psychiatric sequelae and psychosocial adjustment following ocular trauma: a retrospective pilot study
D A Alexander1, R V Kemp, S Klein
1University of Aberdeen and Centre for Trauma Research, Royal Cornhill Hospital, Aberdeen, UK. d.a.alexander@abdn.ac.uk
Aims:
To identify the prevalence of psychiatric and adjustment problems after ocular trauma and those factors related to a poor outcome.
Methods:
47 patients were assessed by structured interview, of whom 45 satisfactorily completed three standardised self report measures of psychological functioning, subjective distress, and social adjustment.
Results:
33% of patients displayed psychiatric "caseness". A number of features of the victim consistently resulted in poor outcome including a psychiatric history and peritraumatic dissociation.
Conclusion:
These preliminary findings suggest ocular trauma is associated with psychomorbidity and problems of adjustment. The improved management of such patients would benefit from a more detailed analysis by means of a longitudinal study involving larger samples.
