Shared surgical decision making and youth resilience correlates of satisfaction with clinical outcomes

Autor: Kathleen A. Kapp-Simon, Nichola Rumsey, Caroline Ruta, Claudia Crilly Bellucci, Cassandra L. Aspirnall, Todd C. Edwards, Donald L. Patrick, Tari D. Topolski, Ronald P. Strauss
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Male
Coping (psychology)
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Decision Making
Emotions
Youth participation
Self-concept
Article
Craniofacial Abnormalities
Interpersonal relationship
Sex Factors
Patient satisfaction
Adaptation
Psychological
Humans
Medicine
Formerly Health & Social Sciences
Interpersonal Relations
Patient participation
Child
Psychiatry
media_common
Depression
business.industry
oral cleft
craniofacial conditions
resilience
decision-making
surgery satisfaction
visible difference
Centre for Appearance Research
Age Factors
General Medicine
Plastic Surgery Procedures
Resilience
Psychological
Mental health
Self Concept
Mental Health
Otorhinolaryngology
Feeling
Patient Satisfaction
Quality of Life
Female
Surgery
Patient Participation
business
Attitude to Health
Clinical psychology
ISSN: 1049-2275
1536-3732
Popis: The aim of this study was to identify factors associated with youth satisfaction with surgical procedures performed to address oral cleft or craniofacial conditions (CFCs). It was hypothesized that youth mental health, participation in decision making, perceived consequences of living with a CFC, and coping strategies would be associated with satisfaction with past surgeries. A total of 203 youth between the ages of 11 and 18 years (mean age = 14.5, standard deviation = 2.0, 61% male participants, 78% oral cleft) completed a series of questionnaires measuring depression, self-esteem, participation in decision making, condition severity, negative and positive consequences of having a CFC, coping, and satisfaction with past surgeries. Multiple regression analysis using boot-strapping techniques found that youth participation in decision making, youth perception of positive consequences of having a CFC, and coping accounted for 32% of the variance in satisfaction with past surgeries (P < 0.001). Youth age, sex, and assessment of condition severity were not significantly associated with satisfaction with surgical outcome. Depression, self-esteem, and negative consequences of having a CFC were not associated with satisfaction with past surgeries. Youth should be actively involved in the decision for craniofacial surgery. Youth who were more satisfied with their surgical outcomes also viewed themselves as having gained from the experience of living with a CFC. They felt that having a CFC made them stronger people and they believed that they were more accepting of others and more in touch with others' feelings because of what they had been through.
Databáze: OpenAIRE
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