Orthognathic surgery improves quality of life and depression, but not anxiety, and patients with higher preoperative depression scores improve less
Autor: | N. Bedhet, Paul Brunault, J.-M. Mercier, B. Zagala-Bouquillon, A. Chabut, Robert Courtois, Dominique Goga, Christian Réveillère, C. Jonas, Catherine Potard, J. Battini |
---|---|
Přispěvatelé: | Service d’Addictologie « Moreau de Tours » [CH Sainte-Anne - APHP], Centre Hospitalier Sainte Anne [Paris]-GHU Paris Psychiatrie & Neurosciences, Université de Reims Champagne-Ardenne (URCA), Département de Psychologie, Université de Tours, CHU Trousseau [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université, Université de Tours (UT), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) |
Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Population Orthognathic surgery [SHS.PSY]Humanities and Social Sciences/Psychology Severity of Illness Index 03 medical and health sciences Orthognathic Surgical Procedures 0302 clinical medicine Quality of life Risk Factors Surveys and Questionnaires Severity of illness Medicine Humans Prospective Studies Prospective cohort study education Depression (differential diagnoses) ComputingMilieux_MISCELLANEOUS education.field_of_study Depressive Disorder Marital Status business.industry Age Factors 030206 dentistry Anxiety Disorders humanities 3. Good health Maxillofacial Abnormalities Otorhinolaryngology 030220 oncology & carcinogenesis [SDV.MHEP.PSM]Life Sciences [q-bio]/Human health and pathology/Psychiatrics and mental health Physical therapy Quality of Life Anxiety Surgery Female France Oral Surgery medicine.symptom business |
Zdroj: | International Journal of Oral and Maxillofacial Surgery International Journal of Oral and Maxillofacial Surgery, Elsevier, 2016, 45 (1), pp.26-34. ⟨10.1016/j.ijom.2015.07.020⟩ |
ISSN: | 0901-5027 1399-0020 |
Popis: | This study assessed quality of life (QoL), depression, and anxiety before and after orthognathic surgery and identified risk factors for poorer postoperative outcome. This multicentre prospective study included 140 patients from five French medical centres. We assessed patients before surgery (T1), 3 months after surgery (T2), and 12 months after surgery (T3). We assessed the severity of the orofacial deformity, physical, psychological, social, and environmental QoL (WHOQOL-BREF), and depression and anxiety (GHQ-28). Risk factors for poorer outcome were identified using linear mixed models. Between baseline and 12 months, there was significant improvement in psychological and social QoL and in depression (although below the norms reported in the general population), but not in anxiety. Physical QoL was poorer in patients who were younger, who had a mild orofacial deformity, and who were depressed. Psychological QoL was poorer in younger patients and in depressed patients. Social QoL was poorer in patients who were single, who had a mild orofacial deformity, and who were depressed. Although orthognathic surgery provides a moderate improvement in psychological and social QoL, the systematic screening and treatment of depression could further improve QoL after surgery because it is a major predictor of poor QoL in this population. |
Databáze: | OpenAIRE |
Externí odkaz: |