de Ávila Erica Dorigatti, de Molon Rafael Scaf, Loffredo Leonor Castro Monteiro, Massucato Elaine Maria Sgavioli, Hochuli-Vieira Eduardo
Department of Diagnosis and Surgery; Faculdade de Odontologia de Araraquara, Univ Estadual Paulista, Rua Humaitá, SP, Brazil.
Oral Maxillofac Surg. 2013 Sep;17(3):187-91. doi: 10.1007/s10006-012-0338-5. Epub 2012 Sep 4.
Patients with dentofacial deformities present difficulties at work and in social adaptation. At the same time, they often appear depressed, and as a consequence, the psychosocial aspects of surgery play an important role. The aim of this study was to investigate the effects that depression causes in the quality of life of patients with dentofacial deformity.
Filthy patients were recruited 1 year before undergoing orthognathic surgery and correlated oral and general health with the presence and absence of depression. In order to accomplish this, these patients received an adapted questionnaires of quality of life and Beck Depression Inventory to fill out. Fisher's test was applied, with a significance level of 5 %. Intercooled Stata version 9.0 was used to analyze data.
Among the eight domains of quality of life, there were three associated with depression status: vitality (p < 0.001), social aspects (p = 0.011), and mental health (p = 0.008).
There is growing interest in the impact of dentofacial deformity conditions on patients' quality of life. The scientific literature has discussed the social aspects of these deformities and showed that untreated patients had low self-esteem and suffered social restrictions before making the orthodontic and surgical treatments. This study concluded that the depression interferes significantly in vitality, social aspects of the individual, and mental health and, at the same time, emphasizes that the orthognathic surgery aims to not only restore esthetics and function to the patient but also improve the quality of life.
牙颌面畸形患者在工作和社会适应方面存在困难。同时，他们常常表现出抑郁情绪，因此，手术的社会心理方面起着重要作用。本研究的目的是调查抑郁对牙颌面畸形患者生活质量的影响。
在正颌手术前1年招募患者，将口腔及全身健康状况与是否存在抑郁相关联。为实现这一目的，这些患者接受了一份生活质量适应性问卷和贝克抑郁量表以填写。应用费舍尔检验，显著性水平为5%。使用Intercooled Stata 9.0版本分析数据。
在生活质量的八个领域中，有三个与抑郁状态相关：活力（p < 0.001）、社会方面（p = 0.011）和心理健康（p = 0.008）。
牙颌面畸形状况对患者生活质量的影响越来越受到关注。科学文献已经讨论了这些畸形的社会方面，并表明未经治疗的患者在接受正畸和手术治疗之前自尊心较低且受到社会限制。本研究得出结论，抑郁对个体的活力、社会方面和心理健康有显著影响，同时强调正颌手术不仅旨在恢复患者的美观和功能，还旨在提高生活质量。
