Department of Orthodontics, Gülbahar, University of İstanbul Okan, Oya Sk. 23/A, 34394, Şişli, İstanbul, Turkey.
J Orofac Orthop. 2021 Sep;82(5):338-343. doi: 10.1007/s00056-021-00289-z. Epub 2021 Mar 25.
The aim of this study was to evaluate orthodontists' knowledge and experience on referring orthognathic surgery patients to psychological support.
A 15-question questionnaire was sent to orthodontists who were members of the Turkish Orthodontic Society via e‑mail. The participants were informed about the purpose of the study and were provided a link to access the questionnaire via the internet. In order to increase the feedback rate, two reminders were sent to all addresses. Members who did not perform orthognathic surgery were not included in the study.
Of the 1615 members who were sent the link, 233 responded and filled out the electronic questionnaire, while 12 participants who stated that they did not treat orthognathic patients were excluded. Most of the participants stated that they did not refer their patients to psychological support. The main reasons for not recommending psychological support to patients was fear about the reaction of the patients and that patients might refuse to visit the psychologist/psychiatrist. The most common reasons for referring patients to psychological support were the following: patient had past/current psychological problem, unrealistic expectations, recent concerns regarding orthognathic surgery and see no significant need for surgery. In all, 98% of participants stated that they did not use psychological questionnaire forms for their patients. The vast majority of participants stated that they were not trained in psychological assessment/treatment, and a large majority of participants thought that it would be beneficial to receive training in this field.
Most orthodontists do not receive adequate training in psychology and do not refer orthognathic surgery patients to psychological support. It would be beneficial to offer clinicians training in this field.
本研究旨在评估正畸医生在向正颌手术患者转介心理支持方面的知识和经验。
通过电子邮件向土耳其正畸学会的正畸医生发送了一份包含 15 个问题的问卷。告知参与者研究目的，并提供了一个链接，以便通过互联网访问问卷。为了提高反馈率，向所有地址发送了两次提醒。未进行正颌手术的成员不包括在研究中。
在收到链接的 1615 名成员中，有 233 名做出了回应并填写了电子问卷，而有 12 名参与者表示他们不治疗正颌患者，因此被排除在外。大多数参与者表示他们没有将患者转介到心理支持机构。不向患者推荐心理支持的主要原因是担心患者的反应以及患者可能会拒绝看心理医生/精神病医生。向患者转介心理支持的最常见原因包括：患者过去/现在有心理问题、不切实际的期望、最近对正颌手术的担忧以及认为没有明显的手术需求。总的来说，98%的参与者表示他们没有为患者使用心理问卷表。绝大多数参与者表示他们没有接受过心理评估/治疗方面的培训，大多数参与者认为在这一领域接受培训将是有益的。
大多数正畸医生没有接受过足够的心理学培训，也没有将正颌手术患者转介到心理支持机构。为临床医生提供该领域的培训将是有益的。
