Nicodemo Denise, Pereira Max Domingues, Ferreira Lydia Masako
Post Graduation Program in Plastic Surgery, Federal University of São Paulo, Brasil.
Med Oral Patol Oral Cir Bucal. 2008 Jan 1;13(1):E48-51.
To assess self-esteem and depression in patients submitted for orthognathic surgery.
Assessment was realized on 29 patients, male and female, aged 17 to 46, presenting Angle Class III malocclusion and referred for surgical treatment, during the preoperative (orthodontic preparation) and postoperative (six-month postoperative) periods. Either maxillomandibular or isolated procedures were performed. Two previously validated standardized measurement instruments for this area were used: the UNIFESP-EPM Rosenberg Self-Esteem Scale and the Self-Report Questionnaire-20 (SRQ-20). Descriptive and inferential statistical analysis (Repeated Measures Analysis of Variance and the Bonferroni test) verified possible interactions between the pre and postoperative periods, genders and types of surgery. Significance was determined at 5%.
Females showed improved self-esteem, presenting lower mean values after surgery (8.9 to 6.3). Regarding depression, a significant reduction in the number of depressive symptoms (p=0.002) occurred for female patients.
Female patients presented improved self-esteem and diminished depressive symptoms due to surgical intervention; whereas male patients showed no alteration in self-esteem and depression with surgical intervention.
评估接受正颌手术患者的自尊和抑郁情况。
对29例年龄在17至46岁之间、患有安氏III类错牙合畸形且被转诊接受手术治疗的患者，在术前（正畸准备阶段）和术后（术后六个月）进行评估。手术方式包括上颌下颌联合手术或单独手术。使用了两种此前在该领域经过验证的标准化测量工具：圣保罗联邦大学罗森伯格自尊量表（UNIFESP-EPM）和自评问卷20（SRQ-20）。描述性和推断性统计分析（重复测量方差分析和邦费罗尼检验）验证了术前和术后阶段、性别及手术类型之间可能存在的相互作用。显著性水平设定为5%。
女性患者自尊有所改善，术后均值降低（从8.9降至6.3）。关于抑郁，女性患者的抑郁症状数量显著减少（p = 0.002）。
手术干预使女性患者自尊提高且抑郁症状减轻；而男性患者自尊和抑郁情况在手术干预后未发生改变。
