Strauss R P, Mintzker Y, Feuerstein R, Wexler M R, Rand Y
School of Dentistry, University of North Carolina, Chapel Hill.
Plast Reconstr Surg. 1988 Jun;81(6):841-51. doi: 10.1097/00006534-198806000-00004.
This study examines how 277 normal adolescents from five Israeli schools perceive the Down syndrome face before and after plastic surgery. A seven-point Likert scale was used to rate slides of normal and Down syndrome faces on four dimensions. Down syndrome patients were seen as less attractive, intelligent, good-hearted, and socially appealing than normal individuals. The slides were in nonapparent order and contained preoperative and 1-year postoperative views of eight plastic surgical patients. Paired t tests were used to examine operative changes, and all four dimensions showed overall postoperative improvement (p less than 0.001), but case-to-case variation was considerable. A linear relationship was found between change in appearance ratings and change in intelligence ratings. Findings suggest that when improvements in facial appearance are realized, peer normal social perceptions of the Down syndrome child may be enhanced. The relationship between school placement, intellectual level, and surgical decision making is discussed.
本研究调查了来自以色列五所学校的277名正常青少年在整形手术前后如何看待唐氏综合征患者的面容。使用七点李克特量表从四个维度对正常面容和唐氏综合征面容的幻灯片进行评分。与正常人相比，唐氏综合征患者被认为吸引力、智力、善良程度和社交魅力更低。幻灯片以不明显的顺序排列，包含八名整形手术患者术前和术后一年的照片。采用配对t检验来检查手术效果，所有四个维度均显示术后总体有改善（p小于0.001），但个体差异相当大。发现外貌评分变化与智力评分变化之间存在线性关系。研究结果表明，当面部外观得到改善时，同龄人对唐氏综合征患儿的正常社会认知可能会增强。还讨论了学校安置、智力水平和手术决策之间的关系。
