A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients
Orthognathic treatment is an important treatment modality to manage severe dentofacial discrepancies. Patients awaiting orthognathic surgery often experience increased anxiety, which may adversely affect post-operative recovery and treatment satisfaction. This study investigated the effects of a num...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/16/5305 |
| _version_ | 1797584257406730240 |
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| author | Xiu Ling Florence Kok Jamie Gwilliam Mark Sayers Elinor M. Jones Susan J. Cunningham |
| author_facet | Xiu Ling Florence Kok Jamie Gwilliam Mark Sayers Elinor M. Jones Susan J. Cunningham |
| author_sort | Xiu Ling Florence Kok |
| collection | DOAJ |
| description | Orthognathic treatment is an important treatment modality to manage severe dentofacial discrepancies. Patients awaiting orthognathic surgery often experience increased anxiety, which may adversely affect post-operative recovery and treatment satisfaction. This study investigated the effects of a number of factors on pre-operative anxiety in orthognathic patients. Seventy patients prospectively recruited from three orthognathic centres in the UK completed a pre-operative questionnaire that included validated scales for measuring anxiety, social support, resilience, and coping styles. Sociodemographic data and satisfaction with the information provided by the clinical team were also elicited from the questionnaire. Univariable analysis showed that social support from a significant other (<i>p</i> = 0.026), resilience (<i>p</i> < 0.001), and satisfaction with the information provided by the clinical team (<i>p</i> = 0.002) were significantly associated with reduced anxiety, whilst avoidance coping (<i>p</i> < 0.001) and coping through seeking social support (<i>p</i> = 0.006) were significantly related to increased anxiety. With the exception of coping by seeking social support, these relationships retained significance in a multivariable regression analysis. Neither gender nor ethnicity moderated the effects of social support on pre-operative anxiety. These findings suggest potential avenues for clinicians to address with future interventions to reduce pre-operative anxiety. Further qualitative research may provide greater clarity on the relationship between these variables and anxiety. |
| first_indexed | 2024-03-10T23:50:23Z |
| format | Article |
| id | doaj.art-5bf20568d70945fa931d2abd8041c2dd |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:50:23Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5bf20568d70945fa931d2abd8041c2dd2023-11-19T01:41:14ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011216530510.3390/jcm12165305A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic PatientsXiu Ling Florence Kok0Jamie Gwilliam1Mark Sayers2Elinor M. Jones3Susan J. Cunningham4Department of Orthodontics, UCL Eastman Dental Institute, 21 University Street, London WC1E 6DE, UKDepartment of Orthodontics, St George’s Hospital, St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UKDepartment of Orthodontics, Queen Mary’s Hospital Sidcup, King’s College Hospital NHS Foundation Trust, Sidcup DA14 6LT, UKDepartment of Statistical Science, University College London, London WC1E 6BT, UKDepartment of Orthodontics, UCL Eastman Dental Institute, 21 University Street, London WC1E 6DE, UKOrthognathic treatment is an important treatment modality to manage severe dentofacial discrepancies. Patients awaiting orthognathic surgery often experience increased anxiety, which may adversely affect post-operative recovery and treatment satisfaction. This study investigated the effects of a number of factors on pre-operative anxiety in orthognathic patients. Seventy patients prospectively recruited from three orthognathic centres in the UK completed a pre-operative questionnaire that included validated scales for measuring anxiety, social support, resilience, and coping styles. Sociodemographic data and satisfaction with the information provided by the clinical team were also elicited from the questionnaire. Univariable analysis showed that social support from a significant other (<i>p</i> = 0.026), resilience (<i>p</i> < 0.001), and satisfaction with the information provided by the clinical team (<i>p</i> = 0.002) were significantly associated with reduced anxiety, whilst avoidance coping (<i>p</i> < 0.001) and coping through seeking social support (<i>p</i> = 0.006) were significantly related to increased anxiety. With the exception of coping by seeking social support, these relationships retained significance in a multivariable regression analysis. Neither gender nor ethnicity moderated the effects of social support on pre-operative anxiety. These findings suggest potential avenues for clinicians to address with future interventions to reduce pre-operative anxiety. Further qualitative research may provide greater clarity on the relationship between these variables and anxiety.https://www.mdpi.com/2077-0383/12/16/5305orthognathic surgeryjaw surgeryanxietysocial supportresiliencecoping |
| spellingShingle | Xiu Ling Florence Kok Jamie Gwilliam Mark Sayers Elinor M. Jones Susan J. Cunningham A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients Journal of Clinical Medicine orthognathic surgery jaw surgery anxiety social support resilience coping |
| title | A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients |
| title_full | A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients |
| title_fullStr | A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients |
| title_full_unstemmed | A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients |
| title_short | A Cross-Sectional Study of Factors Influencing Pre-Operative Anxiety in Orthognathic Patients |
| title_sort | cross sectional study of factors influencing pre operative anxiety in orthognathic patients |
| topic | orthognathic surgery jaw surgery anxiety social support resilience coping |
| url | https://www.mdpi.com/2077-0383/12/16/5305 |
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