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Orthognathic surgery improves quality of life and depression, but not anxiety, and patients with higher preoperative depression scores improve less.
- Source :
-
International journal of oral and maxillofacial surgery [Int J Oral Maxillofac Surg] 2016 Jan; Vol. 45 (1), pp. 26-34. Date of Electronic Publication: 2015 Sep 08. - Publication Year :
- 2016
-
Abstract
- 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.<br /> (Copyright © 2015 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Age Factors
Anxiety Disorders prevention & control
Female
France
Humans
Male
Marital Status
Prospective Studies
Risk Factors
Severity of Illness Index
Surveys and Questionnaires
Anxiety Disorders psychology
Depressive Disorder prevention & control
Depressive Disorder psychology
Maxillofacial Abnormalities psychology
Maxillofacial Abnormalities surgery
Orthognathic Surgical Procedures
Quality of Life
Subjects
Details
- Language :
- English
- ISSN :
- 1399-0020
- Volume :
- 45
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International journal of oral and maxillofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 26359548
- Full Text :
- https://doi.org/10.1016/j.ijom.2015.07.020