Psychopathologic Evaluation in Patients With Nasal Bone Fractures.

Songul Demir, M Mahir Akbudak, Bilal Sizer
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Abstract

Background: Nasal bone fractures are pretty common. The most common causes include interpersonal violence, traffic accidents, sports injuries, and falls. This study aimed to assess patients presenting with nasal bone fractures not only for nasal trauma but also for personality disorders, impulsivity, and attention-deficit/hyperactivity disorder (ADHD) using psychiatric questionnaires. Methods: The study included 41 patients, and the control group consisted of 43 volunteers without nasal bone fracture; neither the patients nor the volunteers had previously been diagnosed with or treated for psychiatric disorders. The psychiatric questionnaires administered were the Eysenck Personality Questionnaire Revised-Short Form (EPQR-S), the Barratt Impulsivity Scale-Short Form (BIS-11-SF), and Turgay's Adult ADD/ADHD DSM-IV-based Scale. Results: The most common cause of nasal bone fractures in our study was violence (41.5%), followed by traffic accidents (29.3%), falls (17%), and sports injuries (12.2%). In the EPQR-S assessment, the nasal bone fracture (NBF) group had significantly-higher total scores than the control group (CG) (P < .001). In the subscales of the questionnaire, extroversion, psychoticism, and lie subscale scores were higher in the NBF group than in the CG. In the BIS-11-SF assessment, the NBF group had higher total scores than the CG (P < .001). Assessment using Turgay's adult ADD/ADHD DSM IV-based diagnostic screening and rating scale revealed no statistically-significant difference between the NBF group and the CG in terms of attention deficit and hyperactivity. Conclusion: We found that psychoticism patterns and impulsivity were more prevalent in the patient group, whereas ADD/ADHD was not. The results of our study suggest that performing a psychiatric assessment may be the right decision in patients presenting with NBFs caused by violence, whether they are the aggressor or the victim.

鼻骨骨折患者的心理病理学评估
背景介绍鼻骨骨折相当常见。最常见的原因包括人际暴力、交通事故、运动损伤和跌倒。本研究旨在使用精神科问卷评估鼻骨骨折患者不仅是否有鼻部创伤,还包括人格障碍、冲动和注意力缺陷/多动症(ADHD)。研究方法研究对象包括 41 名患者,对照组包括 43 名没有鼻骨骨折的志愿者;患者和志愿者之前均未被诊断出患有精神障碍或接受过精神障碍治疗。所使用的精神病学问卷包括艾森克人格问卷修订版-简表(EPQR-S)、巴拉特冲动量表-简表(BIS-11-SF)和基于 DSM-IV 的图尔盖成人注意力缺失/多动症量表。研究结果在我们的研究中,最常见的鼻骨骨折原因是暴力(41.5%),其次是交通事故(29.3%)、跌倒(17%)和运动损伤(12.2%)。在 EPQR-S 评估中,鼻骨骨折组(NBF)的总分明显高于对照组(CG)(P < .001)。在问卷的分量表中,NBF 组的外向性、精神病性和谎言分量表得分均高于对照组。在 BIS-11-SF 评估中,NBF 组的总分高于 CG 组(P < .001)。使用 Turgay 基于 DSM IV 的成人注意力缺失/多动症诊断筛查和评级量表进行的评估显示,在注意力缺失和多动方面,NBF 组与 CG 组之间没有显著的统计学差异。结论我们发现,精神病模式和冲动在患者组中更为普遍,而注意力缺陷障碍/多动症则不然。我们的研究结果表明,对于因暴力引起的 NBF 患者,无论他们是施暴者还是受害者,进行精神病学评估都可能是正确的决定。
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