| Title | Psychosocial predictors of satisfaction among orthognathic surgery patients. | | Author(s) | Scott AA, Hatch JP, Rugh JD, Hoffman TJ, Rivera SM, Dolce C, Bays RA | | Institution | Department of Pediatrics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78284-7792, USA. scottaa@uthscsa.edu | | Source | Int J Adult Orthodon Orthognath Surg 2000; 15(1):7-15. | | MeSH | Adult
Age Factors
European Continental Ancestry Group
Female
Hispanic Americans
Humans
Jaw Fixation Techniques
Linear Models
Longitudinal Studies
Male
Malocclusion, Angle Class II
Oral Surgical Procedures
Patient Satisfaction
Personality Inventory
Psychometrics
Questionnaires
Research Support, U.S. Gov't, P.H.S.
Sex Factors
Sickness Impact Profile
Time Factors
United States
| | Abstract | This study assessed the usefulness of selected psychosocial tests and demographic measures in identifying satisfied versus dissatisfied patients who received orthognathic surgery. Data were collected prior to placement of orthodontic appliances, 1 to 2 weeks presurgery, and at 1 week, 8 weeks, 6 months, 12 months and and 2 years postsurgery. The Revised Symptom Checklist-90 (SCL-90-R) scales, the Eysenck Personality Inventory (EPI), the Sickness Impact Profile (SIP), and the Oral Health Status Questionnaire (OHSQ) were used as independent variables. Indicators from the Post-Surgical Patient Satisfaction Questionnaire (PSPSQ), which assesses patient satisfaction regarding psychosocial issues, oral functioning, and esthetics, served as a postsurgical dependent measure of patient satisfaction. Thirty-one male and 86 female subjects participated in the multisite randomized trial comparing rigid and wire fixation. Patient age was significantly correlated with patient satisfaction from 8 weeks postsurgery through 2 years postsurgery. Older patients appear to report greater postsurgical satisfaction in comparison to younger patients. The postsurgical OHSQ (esthetics subscale) and postsurgical PSPSQ (satisfaction) were significantly related at 8 weeks, 6 months, 12 months, and 2 years postsurgery. Additionally, PSPSQ (satisfaction) and postsurgical OHSQ (general oral health scale) were correlated at 12 months. The EPI, SIP, and SCL-90-R were not significantly associated with postsurgical satisfaction when assessing the entire study sample. Postsurgical qualitative data from the PSPSQ indicated that 50% of the patients reported positive outcomes in oral functioning. Sixty-five percent reported esthetic improvements, and 37% reported neurosensory loss. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
Multicenter Study
Randomized Controlled Trial
| | PubMed ID | 11307227 |
|
