Tress W, Michaely W, Schulz P
MMW Munch Med Wochenschr. 1981 Feb 13;123(7):255-8.
In a prospective study of 54 prognathic patients the psychological effects of this condition, which occurs typically at puberty, were investigated in postoperative follow-up examinations and the psychological effect of a corrective operation investigated. For this purpose standardized questionnaires and a semistructured psychiatric interview were used. The hypothetically expected personality disturbance of a "dysmorphophobia" was found in only some of our patients. With an inconspicuous premorbid personality they reacted to the psychological trauma of their facial deformity with depressive crises of self-assessment in the occupational and private spheres. Here, convincing postoperative improvements occur beside which the "psychological scars" are still recognizable owing to the earlier deformity.
在一项针对54例凸颌患者的前瞻性研究中，对这种通常在青春期出现的病症的心理影响在术后随访检查中进行了调查，并对矫正手术的心理影响进行了研究。为此使用了标准化问卷和半结构化精神科访谈。仅在部分患者中发现了假设预期的“畸形恐惧症”人格障碍。他们病前人格不明显，对面部畸形的心理创伤表现为在职业和个人领域自我评估的抑郁危机。术后有明显改善，与此同时，由于早期畸形，“心理创伤”仍可识别。
