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Psychological impact of visible differences in patients with congenital craniofacial anomalies

Singh, Varun Pratap; Moss, Timothy P.

Psychological impact of visible differences in patients with congenital craniofacial anomalies Thumbnail


Authors

Varun Pratap Singh

Tim Moss Tim.Moss@uwe.ac.uk
Director of PGR Studies and Associate Professor



Abstract

© 2015, Singh and Moss; licensee Springer. Background: Patients with craniofacial anomalies often have appearance concerns and related social anxiety which can affect their quality of life. This study assessed the psychological impact of facial and dental appearance in patients with craniofacial anomalies in comparison to a general population control group. Methods: The study involved 102 adult patients (51% male) with congenital craniofacial anomalies and 102 controls (49% male). Both groups completed the Nepali version of Derriford Appearance Scale (DAS) and the Psychological Impact of Dental Aesthetic Questionnaire (PIDAQ) in a clinical setting to assess appearance-related distress, avoidance, and anxiety. Results: There was a significant difference between patients and controls on both PIDAQ (mean score for patients 33.25 ± 9.45 while for controls 27.52 ± 5.67, p < 0.001) and DAS59 scores (mean score for patients 159.16 ± 31.54 while for controls 77.64 ± 6.57, p < 0.001), indicating that patients experienced greater negative psychological impact of living with their appearance (PIDAQ) and more appearance-related distress (DAS) than controls. DAS scores were not associated with gender. There was no association of the place of residence (rural vs. urban) with PIDAQ or DAS59 scores. Conclusions: There is a significant psychological impact of altered facial and dental appearance in patients with craniofacial anomalies compared to controls. There was no effect of locality (rural/urban) on the psychological impact of facial and dental appearance in patients.

Journal Article Type Article
Publication Date Dec 1, 2015
Deposit Date Mar 9, 2015
Publicly Available Date Feb 11, 2016
Journal Progress in Orthodontics
Print ISSN 1723-7785
Electronic ISSN 2196-1042
Publisher SpringerOpen
Peer Reviewed Peer Reviewed
Volume 16
Issue 1
DOI https://doi.org/10.1186/s40510-015-0078-9
Keywords craniofacial anomalies, dental aesthetics, facial aesthetics, orthodontic, psychosocial, derriford, visible difference
Public URL https://uwe-repository.worktribe.com/output/835678
Publisher URL http://dx.doi.org/10.1186/s40510-015-0078-9
Contract Date Feb 11, 2016