上脸纹的心理影响：一项以患者为中心的定性研究。

The Psychological Impacts of Upper Facial Lines: A Qualitative, Patient-Centered Study.

作者信息

Dayan Steven, Yoelin Steven G, De Boulle Koenraad, Garcia Julie K

机构信息

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Illinois at Chicago, Chicago, IL, USA, and is the Medical Director of DeNova Research, Chicago, IL.

private practice in Newport Beach, CA, USA.

出版信息

Aesthet Surg J Open Forum. 2019 May 6;1(2):ojz015. doi: 10.1093/asjof/ojz015. eCollection 2019 Jun.

BACKGROUND

The 11-item Facial Line Outcomes (FLO-11) questionnaire is content validated for measuring the negative psychological impacts of crow's feet lines (CFL).

OBJECTIVES

The aims of this study were to determine psychological impacts of forehead lines (FHL) alone and upper facial lines (UFL: FHL + CFL + glabellar lines [GL]) and to assess adequacy of FLO-11 to measure these impacts.

METHODS

Participants aged at least 18 years participated in concept elicitation and cognitive interviews to identify and define psychological impacts of UFL. They completed the FLO-11 questionnaire to assess its ability to measure psychological impacts of facial lines and its comprehensiveness in doing so.

RESULTS

Forty interviews were completed by 29 participants. Twenty participants each provided interviews for FHL and for UFL. The most commonly reported psychological impacts for FHL and UFL, respectively, were feeling unattractive (85%, 80%), looking less attractive than desired (85%, 70%), feeling bothered (80%, 70%), feeling good/bad about appearance (80%, 70%), looking older than actual age (75%, 65%), and feeling stressed (70%, 70%). For FHL, 70% of participants also reported looking older than desired as a psychological impact. More than 50% of participants agreed that all 11 FLO-11 items measured a psychological impact for FHL. More than 50% reported that 9 of 11 items measured a psychological impact for UFL. The majority of participants (FHL, 65%; UFL, 60%) reported that the FLO-11 questionnaire is comprehensive in measuring psychological impacts of facial lines.

CONCLUSIONS

FHL and UFL have psychological impacts on patients, and FLO-11 is a content valid, comprehensive instrument for measuring them.

背景

11项面部线条结果（FLO - 11）问卷在内容上经过验证，可用于测量鱼尾纹（CFL）的负面心理影响。

目的

本研究的目的是确定单独的额纹（FHL）和上面部线条（UFL：FHL + CFL +眉间纹[GL]）的心理影响，并评估FLO - 11测量这些影响的充分性。

方法

年龄至少18岁的参与者参加了概念引出和认知访谈，以识别和定义UFL的心理影响。他们完成了FLO - 11问卷，以评估其测量面部线条心理影响的能力及其在这方面的全面性。

结果

29名参与者完成了40次访谈。20名参与者分别就FHL和UFL提供了访谈。FHL和UFL最常报告的心理影响分别是感觉缺乏吸引力（85%，80%）、看起来比期望的缺乏吸引力（85%，70%）、感觉烦恼（80%，70%）、对外观感觉良好/不好（80%，70%）、看起来比实际年龄老（75%，65%）以及感觉有压力（70%，70%）。对于FHL，70%的参与者还报告看起来比期望的老也是一种心理影响。超过50%的参与者同意FLO - 11的所有11项都测量了FHL的心理影响。超过50%的人报告说，11项中的9项测量了UFL的心理影响。大多数参与者（FHL为65%；UFL为60%）报告说，FLO - 11问卷在测量面部线条的心理影响方面是全面的。