Self-esteem and depression in patients presenting angle class III malocclusion submitted for orthognathic surgery.

OBJECTIVE To assess self-esteem and depression in patients submitted for orthognathic surgery. METHODS Assessment was realized on 29 patients, male and female, aged 17 to 46, presenting Angle Class III malocclusion and referred for surgical treatment, during the preoperative (orthodontic preparation) and postoperative (six-month postoperative) periods. Either maxillomandibular or isolated procedures were performed. Two previously validated standardized measurement instruments for this area were used: the UNIFESP-EPM Rosenberg Self-Esteem Scale and the Self-Report Questionnaire-20 (SRQ-20). Descriptive and inferential statistical analysis (Repeated Measures Analysis of Variance and the Bonferroni test) verified possible interactions between the pre and postoperative periods, genders and types of surgery. Significance was determined at 5%. RESULTS Females showed improved self-esteem, presenting lower mean values after surgery (8.9 to 6.3). Regarding depression, a significant reduction in the number of depressive symptoms (p=0.002) occurred for female patients. CONCLUSIONS Female patients presented improved self-esteem and diminished depressive symptoms due to surgical intervention; whereas male patients showed no alteration in self-esteem and depression with surgical intervention.

[1]  L. Ferreira,et al.  [Questionnaire of the psychosocial profile of the patient with anophthalmia with indication of ocular prosthesis]. , 2006, Arquivos Brasileiros de Oftalmologia.

[2]  L. Ferreira,et al.  Quality of Life and Self-Esteem Outcomes Following Rhytidoplasty , 2005, Annals of plastic surgery.

[3]  J. Garvill,et al.  Psychological factors in orthognathic surgery. , 1992, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[4]  T. D. Stewart,et al.  Depression: a possible complication of orthognathic surgery. , 1987, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[5]  J. de Jesus Mari,et al.  A Validity Study of a Psychiatric Screening Questionnaire (SRQ-20) in Primary Care in the city of Sao Paulo , 1986, British Journal of Psychiatry.

[6]  R. McNeill,et al.  The emotional impact of orthognathic surgery and conventional orthodontics. , 1985, American journal of orthodontics.

[7]  J. Rugh,et al.  Health-related quality of life and psychosocial function 5 years after orthognathic surgery. , 2003, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[8]  C. Phillips,et al.  Assessment of health-related quality of life for patients with severe skeletal disharmony: a review of the issues. , 1999, The International journal of adult orthodontics and orthognathic surgery.

[9]  P. Fodor.  Facial disfigurement: Problems and management of social interaction and implications for mental health , 1991 .

[10]  S. Cunningham.  The psychology of facial appearance. , 1999, Dental update.

[11]  H. Gift,et al.  Oral health, health, and health-related quality of life. , 1995, Medical care.

[12]  M Bullinger,et al.  The World Health Organization WHOQOL-100: tests of the universality of Quality of Life in 15 different cultural groups worldwide. , 1999, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[13]  H. Aro.  Risk and protective factors in depression: a developmental perspective , 1994, Acta psychiatrica Scandinavica. Supplementum.

[14]  L. Gerzanic,et al.  Psychologic implications of orthognathic surgery in patients with skeletal Class II or Class ill malocclusion. , 2002, The International journal of adult orthodontics and orthognathic surgery.

[15]  W. Ngeow,et al.  Satisfaction of orthognathic surgical patients in a Malaysian population. , 2002, Journal of oral science.

[16]  B. Melsen,et al.  Long-term assessment of psychologic outcomes of orthognathic surgery. , 2003, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[17]  S. Cunningham,et al.  Perceptions of outcome following orthognathic surgery. , 1996, The British journal of oral & maxillofacial surgery.

[18]  V Frost,et al.  Psychological aspects of orthognathic surgery: how people respond to facial change. , 1991, Oral surgery, oral medicine, and oral pathology.

[19]  L. M. Ferreira,et al.  Formulário do perfil psicossocial do paciente anoftálmico com indicação de prótese ocular , 2006 .