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
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