Arndt E M, Travis F, Lefebvre A, Niec A, Munro I R
Br J Plast Surg. 1986 Jan;39(1):81-4. doi: 10.1016/0007-1226(86)90009-3.
Patients' pre- and postoperative self-reports were compared with reports of non-medical observers to investigate whether improved self-esteem is a direct result of increased social acceptance in maxillo- and craniofacial patients. Twenty-two children and adolescents undergoing reconstructive surgery for a variety of facial deformities were asked to rate their physical appearance on the Hay's Scale and fill out the Piers-Harris Self-Concept Scale. Their ratings were compared with scores given by a panel of lay volunteers on random presentation of pre- and postoperative photographs of the same patients. Patients rated their appearance as noticeably improved after surgery, their self-esteem rose significantly and they reported more social adeptness and acceptance at home and school. Raters observed only relatively subtle changes. Apparently, quality of life improved for the postsurgical facial patient because of increased self-esteem and confidence, which free him to overcome social barriers.
将患者术前和术后的自我报告与非医学观察者的报告进行比较，以调查自尊的提高是否是颌面和颅面患者社会接受度提高的直接结果。22名因各种面部畸形接受重建手术的儿童和青少年被要求根据海氏量表对自己的外貌进行评分，并填写皮尔斯-哈里斯自我概念量表。他们的评分与一组外行志愿者在随机展示同一患者术前和术后照片时给出的分数进行比较。患者认为术后外貌有明显改善，自尊显著提高，他们报告在家庭和学校的社交能力和接受度更高。评分者只观察到相对细微的变化。显然，术后面部患者的生活质量因自尊和自信的增强而得到改善，这使他能够克服社会障碍。
