A longitudinal study of changes in psychosocial well-being during orthognathic treatment

Abstract The aim was to evaluate changes in the psychosocial well-being of orthognathic surgery patients ( n = 22) during treatment and to compare results with those of adults not requiring orthognathic treatment ( n = 22). Patient data were collected before treatment (T0), after the first orthodont...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2017-11, Vol.46 (11), p.1380-1386
Main Authors: Alanko, O, Tuomisto, M.T, Peltomäki, T, Tolvanen, M, Soukka, T, Svedström-Oristo, A.L
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Adult
Dentistry
Female
Humans
Longitudinal Studies
Male
Middle Aged
orthognathic
Orthognathic Surgical Procedures
Prospective Studies
psychosocial
Quality of Life
Self Concept
Surgery
Surveys and Questionnaires
Treatment Outcome
well-being
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Summary:Abstract The aim was to evaluate changes in the psychosocial well-being of orthognathic surgery patients ( n = 22) during treatment and to compare results with those of adults not requiring orthognathic treatment ( n = 22). Patient data were collected before treatment (T0), after the first orthodontic examination (T1), three times during treatment (T2–T4), and 1 year after surgery (T5). In this article, only data corresponding to patient stage T5 are reported for the control subjects. Participants filled in a structured diary and the modified version of the Secord and Jourard body image questionnaire, the Orthognathic Quality of Life Questionnaire, the Rosenberg Self-Esteem Scale, and the Acceptance and Action Questionnaire II. Moreover, patients filled in the Symptom Checklist-90. After the placement of orthodontic appliances (T2), orthognathic quality of life, self-esteem, and psychological flexibility were lower and psychiatric symptoms increased. Improvements were observed from T2 to T5 in orthognathic quality of life, body image, self-esteem, psychological flexibility, and psychiatric symptoms. Treatment resulted in improvements from T0 to T5 in orthognathic quality of life, body image, and psychiatric symptoms. At T5, patient psychosocial well-being was comparable to or even better than that of control subjects. Orthognathic treatment seems to support psychological well-being, but the range of individual variation is wide.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2017.05.004