Impact of orthognathic surgery on quality of life: a comparison between orthodontics-first and surgery-first approaches

Publication date: Available online 25 January 2020Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): H. Saghafi, P. Benington, A. AyoubAbstractThe aim of this study was to compare the impact that the orthodontics-first approach and the surgery-first approach have on quality of life, anxiety, and depression in patients treated for dentofacial deformities. Data were collected on 32 patients (aged 17–47 years) who were all treated at a single multidisciplinary orthognathic clinic. They completed a 22-item Orthognathic Quality of Life Questionnaire (OQLQ), a seven-item Generalised Anxiety Disorder (GAD-7) questionnaire, and a nine-item Patient Health Questionnaire (PHQ-9), at one week preoperatively (T1), and at six weeks (T2) and six months (T3) postoperatively. Quality of life was significantly better in the surgery-first group preoperatively (p = 0.010, ES = 0.96). The mean score and the individual domain scores of the OQLQ showed significant improvements at six weeks and six months postoperatively. The facial aesthetic domain showed the largest improvement (orthodontics-first group: ES = 2.5; surgery-first group: ES = 2.2). Patients in the orthodontics-first group had a poorer quality of life and greater deterioration in social life immediately before surgery. Postoperatively, the scores for anxiety and depression did not reduce significantly in either group. Our results do not support the assumption that all psyc...
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research

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This study examines the 12-month prevalence of mental disorders stratified by duration of sleep. Data were drawn from face-to-face interviews conducted in the National Epidemiologic Survey on Alcohol and Related Conditions III, a nationally representative survey of US adults (N = 36,309). There were 1893 (5.26%) participants who reported
Source: Journal of Psychiatric Research - Category: Psychiatry Source Type: research
CONCLUSIONS: In patients with depressive disorder, hopelessness explains suicidal ideation, but largely because it covaries with depressive symptoms. The role of hopelessness as a central determinant of suicidal ideation in depression may have been overestimated. Symptoms of anxiety moderate the association between hopelessness and suicidal ideation. Severity of depressive symptoms may predict suicidal ideation more accurately than hopelessness. PMID: 32074414 [PubMed - in process]
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
DiscussionStepped wedge designs are increasingly used a design to evaluate the real-life effectiveness of interventions. To the best of our knowledge, this is the first SW-CRCT in a low- and middle-income country evaluating the impact of the implementation of a community mental health intervention. The results of this study will contribute to the evidence on scaling-up lay health worker models for mental health interventions and contribute to the SW-CRCT literature in low- and middle-income countries.Trial registrationThe trial is registered prospectively with the Clinical Trial Registry in India and the Clinical Trial Reg...
Source: Trials - Category: Research Source Type: clinical trials
Conclusions: Most pregnant women with OUD were diagnosed with at least one non-opioid SUD and tobacco use disorder. Generalized anxiety disorder and major depressive disorder were also common, suggesting that mental health screenings should be prioritized for pregnant women with OUD. PMID: 32067526 [PubMed - as supplied by publisher]
Source: Journal of Psychosomatic Obstetrics and Gynaecology - Category: OBGYN Tags: J Psychosom Obstet Gynaecol Source Type: research
This study aimed to identify the psychosocial factors related to sleep quality among liver transplant patients during outpatient follow-up. MATERIAL AND METHODS A retrospective cross-sectional study was performed in 124 liver transplant patients during outpatient follow-up. All participants completed a general demographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the Generalized Anxiety Disorder-7 scale (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the perceived social support scale (PSSS). RESULTS The mean global PSQI score was 6.57 (SD, 4.28), which was significantly higher than the mean score ...
Source: Annals of Transplantation - Category: Transplant Surgery Authors: Tags: Ann Transplant Source Type: research
Childhood trauma occurs in 70.3% of patients with conversion disorder/FND. Childhood sexual abuse is significantly associated with poor treatment outcome for physical symptoms in patients with conversion disorder/FND. Randomized clinical trials evaluating treatment models addressing childhood sexual abuse in conversion disorder/FND are needed. AbstractObjectiveExplore trauma, stress, and other predictive factors for treatment outcome in conversion disorder/functional neurological disorder (CD/FND).MethodsProspective observational design. Clinical cohort study among consecutive outpatients with DSM ‐IV CD/FND in a special...
Source: Brain and Behavior - Category: Neurology Authors: Tags: ORIGINAL RESEARCH Source Type: research
ConclusionsPassive screen time use was associated with mood and anxiety disorders, whereas active screen time was not. Further research is needed to better understand the underlying processes contributing to differential risk associated with passive versus active screen time use and adolescent mood and anxiety disorders.
Source: Social Psychiatry and Psychiatric Epidemiology - Category: Psychiatry Source Type: research
Authors: Dolan-Soto DR, Jonas DE, Reed RM, Weil AB Abstract Evidence-based depression treatment in primary care is well established. However, clinicians are less likely to be trained to diagnose and treat anxiety disorder, which is frequently comorbid, poses an independent risk for suicidality, and complicates disease management. The University of North Carolina's Internal Medicine Clinic developed a measurement-guided approach to identifying and treating anxiety disorder using the seven-item Generalized Anxiety Disorder Scale, treatment algorithms, medication charts, case-based training for best practices, onsite ...
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
Abstract Clinical factors associated with daytime sleepiness and insomnia in persons with epilepsy (PWE) were examined in this cross-sectional study of 126 participants (men, 50.8%). Excessive daytime sleepiness (EDS; score of ≥11 on the Epworth Sleepiness Scale (ESS)) was noted in 17.5% of participants (mean score, 6.1 ± 4.2), and moderate-to-severe insomnia (Insomnia Severity Index (ISI) scores of ≥15) was noted in 20.6% (mean score, 7.8 ± 6.4). Linear regression analyses revealed that ESS scores were independently associated with obstructive sleep apnea (OSA; snoring, tiredness, obse...
Source: Epilepsy and Behaviour - Category: Neurology Authors: Tags: Epilepsy Behav Source Type: research
Childhood trauma occurs in 70.3% of patients with conversion disorder/FND. Childhood sexual abuse is significantly associated with poor treatment outcome for physical symptoms in patients with conversion disorder/FND. Randomized clinical trials evaluating treatment models addressing childhood sexual abuse in conversion disorder/FND are needed. AbstractObjectiveExplore trauma, stress, and other predictive factors for treatment outcome in conversion disorder/functional neurological disorder (CD/FND).MethodsProspective observational design. Clinical cohort study among consecutive outpatients with DSM ‐IV CD/FND in a special...
Source: Brain and Behavior - Category: Neurology Authors: Tags: ORIGINAL RESEARCH Source Type: research
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