A1 Journal article – refereed
A longitudinal study of changes in psychosocial well-being during orthognathic treatment

List of Authors: Alanko Outi, Tuomisto Martti T., Peltomäki Timo, Tolvanen Mimmi, Soukka Tero, Svedström-Oristo Anna-Liisa
Publisher: Churchill Livingstone
Publication year: 2017
Journal: International Journal of Oral and Maxillofacial Surgery
Journal name in source: International Journal of Oral and Maxillofacial Surgery
Volume number: 46
Issue number: 11
Number of pages: 7
ISSN: 1399-0020


The aim was to evaluate changes in the psychosocial well-being of orthognathic surgery patients (n = 22) during treatment and to compare results with those of adults not requiring orthognathic treatment (n = 22). Patient data were collected before treatment (T0), after the first orthodontic examination (T1), three times during treatment (T2–T4), and 1 year after surgery (T5). In this article, only data corresponding to patient stage T5 are reported for the control subjects. Participants filled in a structured diary and the modified version of the Secord and Jourard body image questionnaire, the Orthognathic Quality of Life Questionnaire, the Rosenberg Self-Esteem Scale, and the Acceptance and Action Questionnaire II. Moreover, patients filled in the Symptom Checklist-90. After the placement of orthodontic appliances (T2), orthognathic quality of life, self-esteem, and psychological flexibility were lower and psychiatric symptoms increased. Improvements were observed from T2 to T5 in orthognathic quality of life, body image, self-esteem, psychological flexibility, and psychiatric symptoms. Treatment resulted in improvements from T0 to T5 in orthognathic quality of life, body image, and psychiatric symptoms. At T5, patient psychosocial well-being was comparable to or even better than that of control subjects. Orthognathic treatment seems to support psychological well-being, but the range of individual variation is wide.

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Last updated on 2019-21-08 at 20:44