Psychosocial outcome of craniofacial surgery in children.

Psychosocial outcome of craniofacial surgery in children.
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儿童颅面手术的心理社会结果。

DOI:
10.1097/00006534-198811000-00001
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发表时间:
1988
影响因子:
3.6
通讯作者:
Whitaker,LA
Whitaker,LA
中科院分区:
医学1区
文献类型:
--
作者:
Pertschuk,MJ;Whitaker,LA

文献摘要

相似文献

34名7至15岁的先天性颅面畸形儿童在术前和术后12至18个月接受了社会心理评估。还评估了健康的儿童相匹配的颅面科目的性别,年龄,智力和经济背景。术前评估显示颅面组有多种但不严重的心理社会限制。在随访中,只有社会功能的措施仍然区分组,颅面科目经历更多的负面社会遭遇。颅面组的初始和随访分数的比较显示,特质焦虑显着减少,并有减少父母报告的抑制和多动行为的趋势。只有对照组的外向性和社会功能得分与年龄呈正相关。结果表明,术后心理调整有适度改善,但社会功能仍有残留,可能会增加。
Thirty-four children between the ages of 7 and 15 years with congenital craniofacial anomalies underwent psychosocial evaluation before and 12 to 18 months after surgery. Also evaluated were healthy children matched to the craniofacial subjects by sex, age, intelligence, and economic background. Preoperative assessment revealed the craniofacial group to have multiple but not severe psychosocial limitations. At follow-up, only a measure of social functioning still differentiated the groups, with the craniofacial subjects experiencing more negative social encounters. Comparison of initial and follow-up scores for the craniofacial group revealed a significant reduction in trait anxiety and trends toward reduction in parent-reported inhibited and hyperactive behavior. Scores on measures of extraversion and social functioning tended to be positively correlated with age for the comparison subjects only. Results suggest a modest improvement in psychological adjustment following surgery with a residual, possibly increasing, deficit in social functioning.