Self-image, self-esteem, anxiety, and functional capacity in patients undergoing open-structure rhinoplasty

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-09-12 DOI:10.1016/j.bjps.2024.09.023

Thamy Harumi Cardoso Motoki , Eduardo Nascimento Silva , Felipe Contoli Isoldi , Lydia Masako Ferreira

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引用次数: 0

Abstract

Background

Rhinoplasty may improve negative psychological aspects, such as mild to moderate body dysmorphic disorder; however, the repercussions on the self-image and quality of life of patients after the procedure are unknown.

Objective

To evaluate self-image, self-esteem, anxiety, and functional capacity of patients undergoing open-structure rhinoplasty.

Methods

A primary, analytical, clinical, longitudinal, and prospective study was conducted, which included 30 female patients, aged between 18 and 50 years with elongated nose and nasal hump, who underwent open and structured rhinoplasty. All procedures were performed by a team from the Rhinology DCP/Unifesp. The Rosenberg Self-Esteem Scale - EPM, BDSS, BDD-YBOCS, SF-36, SRQ-20, and STAI (T/E) questionnaires were administered before the surgery and at 6, 12, and 18 months after surgery.

Results

The results showed statistically significant differences in the Rosenberg scale - EPM (p = 0.017), BDSS (p < 0.001), BDD (p = 0.006), SF-36 (p = 0.041), SRQ-20 (p = 0.012), and STAI-T (p = 0.001) scores in general analyses. Additionally, the statistically significant changes persisted in various stratified postoperative periods. In the qualitative analysis, there was only statistical significance for the classification of the BDSS score, where the “Absent” (absence of body dysmorphism) index increased from 70.0% in the preoperative state to 96.7% in 18 months postoperatively. The “Present” (presence of body dysmorphism) index fell from 30.0% to 3.3% in the same period (p = 0.001).

Conclusion

Open-structure rhinoplasty improved the patients’ self-image, self-esteem, anxiety, and mental health.

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接受开放式结构鼻整形术患者的自我形象、自尊、焦虑和功能能力。

背景：鼻整形术可改善患者的负面心理，如轻度至中度的身体畸形障碍；但术后对患者自我形象和生活质量的影响尚不清楚：评估接受开放式结构鼻整形术患者的自我形象、自尊、焦虑和功能能力：该研究包括 30 名女性患者，年龄在 18 岁至 50 岁之间，患有鼻部过长和鼻驼峰，接受了开放式和结构式鼻整形术。术前和术后 6、12 和 18 个月分别进行了罗森伯格自尊量表 - EPM、BDSS、BDD-YBOCS、SF-36、SRQ-20 和 STAI（T/E）问卷调查：结果显示，罗森伯格量表-EPM（P = 0.017）、BDSS（P = 0.017）、SF-36（P = 0.017）和STAI（T/E）的差异具有统计学意义：开放结构鼻整形术改善了患者的自我形象、自尊、焦虑和心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.