Mafi Sahar, Rezaei Farzad, Bahari Bandari Arash, Bonyadi Navid, Soltani Sara
Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, TeMs.C, Islamic Azad University, Tehran, Iran.
Department of Oral and Maxillofacial Surgery, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Oral Maxillofac Surg. 2025 Sep 16;29(1):152. doi: 10.1007/s10006-025-01451-2.
Cosmetic surgery rates have shown a marked increase globally over the past few decades. Patient satisfaction is closely link to individuals' ability to communicate expectations about surgical outcomes. However, people with alexithymia (a condition marked by difficulty in recognizing and expressing emotions) often struggle to articulate their desires or specific concerns about their appearance. This study aimed to evaluate the impact of alexithymia on patient satisfaction following cosmetic surgery, addressing a gap in the existing literature.
This is a cross-sectional observational study incorporated multivariate analysis. The sample was selected by using convenience sampling, based on predefined inclusion and exclusion criteria. Statistical analyses included p-values, independent t-tests, Pearson's correlation coefficients, and multivariate linear regression.
Among 304 participants, 29.9% exhibited high levels of alexithymia, 17.4% moderate, and 52.6% low. Regression analysis indicated that higher alexithymia scores were significantly associated with lower patient satisfaction (β = -0.20, 95% CI: -0.33 to -0.07, p = 0.001). While statistically significant, the effect size was small. Other variables such as age, marital status, and history of mental disorders were not significant predictors of satisfaction. The number of cosmetic surgeries showed a borderline positive association with satisfaction (β = 3.42, 95% CI: -0.02 to 6.86, p = 0.05), suggesting a possible relationship that warrants further investigation.
Alexithymia may modestly influence satisfaction with cosmetic surgery, highlighting the importance of emotional awareness in patient-provider communication. Our findings provide compelling evidence that individuals with alexithymia are more likely to report lower levels of satisfaction with their cosmetic procedure outcome.
在过去几十年中，全球整容手术率显著上升。患者满意度与个人表达对手术效果期望的能力密切相关。然而，患有述情障碍（一种以难以识别和表达情感为特征的病症）的人往往难以清晰表达他们对自己外表的愿望或具体担忧。本研究旨在评估述情障碍对整容手术后患者满意度的影响，以填补现有文献中的空白。
这是一项纳入多变量分析的横断面观察性研究。根据预先定义的纳入和排除标准，采用便利抽样法选取样本。统计分析包括p值、独立t检验、皮尔逊相关系数和多变量线性回归。
在304名参与者中，29.9%表现出高水平的述情障碍，17.4%为中度，52.6%为低水平。回归分析表明，述情障碍得分越高，患者满意度越低（β = -0.20，95%置信区间：-0.33至-0.07，p = 0.001）。虽然具有统计学意义，但效应量较小。年龄、婚姻状况和精神障碍史等其他变量不是满意度的显著预测因素。整容手术的次数与满意度呈临界正相关（β = 3.42，95%置信区间：-0.02至6.86，p = 0.05），表明可能存在一种值得进一步研究的关系。
述情障碍可能会适度影响对整容手术的满意度，凸显了情感意识在医患沟通中的重要性。我们的研究结果提供了令人信服的证据，表明患有述情障碍的个体更有可能报告对其整容手术结果的满意度较低。
