Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery

Background: Orthognathic Surgery (OGS) is a surgery for patients with dento-facial deformity but not all patients are satisfied with its outcome. The purpose of this study is to find out the short-term and long-term psychological impact and quality-of-life of OGS. Methods: 77 participants receiving...

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Main Authors: Cheng-Hui Lin, Wei-Chih Chin, Yu-Shu Huang, Yu-Ray Chen, Pearlie W.W. Tan, Jonathan Y.J. Chen, Nan-Wen Yu, Chih-Huan Wang, Pang-Yun Chou
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Biomedical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417021000688
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author Cheng-Hui Lin
Wei-Chih Chin
Yu-Shu Huang
Yu-Ray Chen
Pearlie W.W. Tan
Jonathan Y.J. Chen
Nan-Wen Yu
Chih-Huan Wang
Pang-Yun Chou
author_facet Cheng-Hui Lin
Wei-Chih Chin
Yu-Shu Huang
Yu-Ray Chen
Pearlie W.W. Tan
Jonathan Y.J. Chen
Nan-Wen Yu
Chih-Huan Wang
Pang-Yun Chou
author_sort Cheng-Hui Lin
collection DOAJ
description Background: Orthognathic Surgery (OGS) is a surgery for patients with dento-facial deformity but not all patients are satisfied with its outcome. The purpose of this study is to find out the short-term and long-term psychological impact and quality-of-life of OGS. Methods: 77 participants receiving OGS and 32 age and gender-matched controls were enrolled. The data of questionnaires were collected before OGS, one month and 9 months after OGS, including short form of the Derriford-Appearance-Scale (DAS-24), Big-Five-Inventory (BFI), Hospital-Anxiety-and-Depression-Scale (HADS), Pittsburgh-sleep-quality-index (PSQI), and 36-Item Short-Form-Health-Survey (SF-36). Variables were presented as mean ± standard deviation or frequency. Paired t-test, ANOVA and MANOVA were used to evaluate the pre-and post-surgery data. Results: Short-term and long-term satisfaction of OGS was high. Before OGS, BFI showed the extraversion had significant difference between the male and female OGS subgroups. Several domains of DAS-24 were significantly different between the OGS and the control groups. Both groups had no significant difference in PSQI, HADS and SF-36, except sleep-efficiency. After OGS, many domains of DAS-24 were significantly improved and the improvement persisted to 9 months later. Sleep-latency, physical-function, role-limitations-due-to-physical-health and social-functioning exacerbated after OGS. Sleep-latency, physical-function, and social-functioning were improved 9 months after OGS, but sleep-efficiency and role-limitations-due-to-physical-health were still significantly worse than controls. Conclusion: People received OGS for unfavorable appearance and the surgery could decrease their distress of appearance and impact to their daily living. Through long-term assessment, we should pay attention to sleep problems and role-limitations-due-to-physical-health after OGS.
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spelling doaj.art-95283a1d30c745d2a82e3e3d5bc04c3f2022-12-22T03:09:33ZengElsevierBiomedical Journal2319-41702022-06-01453549556Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgeryCheng-Hui Lin0Wei-Chih Chin1Yu-Shu Huang2Yu-Ray Chen3Pearlie W.W. Tan4Jonathan Y.J. Chen5Nan-Wen Yu6Chih-Huan Wang7Pang-Yun Chou8Department of Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Corresponding author. Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital, 5, Fusing, Gueishan, Taoyuan 333, Taiwan.Department of Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Corresponding author. Department of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linkou, 5, Fusing St., Gueishan, Taoyuan 333, Taiwan.Plastic, Reconstructive & Aesthetic Surgery, Sengkang General Hospital, SingaporeDepartment of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Child Psychiatry and Sleep Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Department of Psychology, Zhejiang Normal University, Zhejiang, China; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanBackground: Orthognathic Surgery (OGS) is a surgery for patients with dento-facial deformity but not all patients are satisfied with its outcome. The purpose of this study is to find out the short-term and long-term psychological impact and quality-of-life of OGS. Methods: 77 participants receiving OGS and 32 age and gender-matched controls were enrolled. The data of questionnaires were collected before OGS, one month and 9 months after OGS, including short form of the Derriford-Appearance-Scale (DAS-24), Big-Five-Inventory (BFI), Hospital-Anxiety-and-Depression-Scale (HADS), Pittsburgh-sleep-quality-index (PSQI), and 36-Item Short-Form-Health-Survey (SF-36). Variables were presented as mean ± standard deviation or frequency. Paired t-test, ANOVA and MANOVA were used to evaluate the pre-and post-surgery data. Results: Short-term and long-term satisfaction of OGS was high. Before OGS, BFI showed the extraversion had significant difference between the male and female OGS subgroups. Several domains of DAS-24 were significantly different between the OGS and the control groups. Both groups had no significant difference in PSQI, HADS and SF-36, except sleep-efficiency. After OGS, many domains of DAS-24 were significantly improved and the improvement persisted to 9 months later. Sleep-latency, physical-function, role-limitations-due-to-physical-health and social-functioning exacerbated after OGS. Sleep-latency, physical-function, and social-functioning were improved 9 months after OGS, but sleep-efficiency and role-limitations-due-to-physical-health were still significantly worse than controls. Conclusion: People received OGS for unfavorable appearance and the surgery could decrease their distress of appearance and impact to their daily living. Through long-term assessment, we should pay attention to sleep problems and role-limitations-due-to-physical-health after OGS.http://www.sciencedirect.com/science/article/pii/S2319417021000688Orthognathic surgeryPsychological impactQuality of lifeLong-term follow-up
spellingShingle Cheng-Hui Lin
Wei-Chih Chin
Yu-Shu Huang
Yu-Ray Chen
Pearlie W.W. Tan
Jonathan Y.J. Chen
Nan-Wen Yu
Chih-Huan Wang
Pang-Yun Chou
Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery
Biomedical Journal
Orthognathic surgery
Psychological impact
Quality of life
Long-term follow-up
title Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery
title_full Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery
title_fullStr Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery
title_full_unstemmed Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery
title_short Short-term and long-term psychological impact and quality of life of patients undergoing orthognathic surgery
title_sort short term and long term psychological impact and quality of life of patients undergoing orthognathic surgery
topic Orthognathic surgery
Psychological impact
Quality of life
Long-term follow-up
url http://www.sciencedirect.com/science/article/pii/S2319417021000688
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