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Psychosocial evaluation of dissatisfaction with facial appearance and speech in adolescents with repaired cleft lip and palate

唇腭裂修复青少年面部外观和言语不满意的心理社会评价

基本信息

批准号：
16592091
负责人：
SATOH Koichi
金额：
$ 1.15万
依托单位：
Kyushu Dental College
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2004
资助国家：
日本
起止时间：
2004 至 2005
项目状态：
已结题

项目摘要

PURPOSE : Adolescence is a transitional period from childhood to adulthood. In this period, adolescents are always less at ease comparing their appearance and personality with others. There may be some individuals affected by clefts who are dissatisfied with their facial appearance and speech, and who may be at risk from psychosocial problems. The purpose of this study was to examine the extent to which the patient's psychosocial status is related to their dissatisfaction with facial appearance and speech.METHODS : Subjects were ten adolescents with repaired cleft lip and palate. Dissatisfaction with facial appearance and speech were evaluated using questionnaires which asked the subjects to rate themselves. The MMPI was used to evaluate the personality profile of each subject. Psychosocial adjustment was measured with eight psychological inventories consisting of a series of self-descriptive statement.RESULTS : Subject's self-rating scores of their facial appearance and speech were not related to dissatisfaction with them as well as the extent of their psychosocial problems. Subjects with greater dissatisfaction with their facial appearance and speech were apt to have higher scores in the scales of Depression, Interpersonal relationship, and Personal appearance. Among the factors evaluated in this study, the development of self-consciousness seemed to be the most powerful indicator in affecting their dissatisfaction and in predicting their anxiety and depression.CONCLUSION : The results suggested that the development of self-consciousness in adolescents with repaired clefts plays an important part in affecting their anxiety and depression resulting from their facial disfigurement and speech problem, and showed the importance of identifying psychological outcome as well as clinical outcome to improve the rehabilitation in patients with repaired cleft lip and palate.

目的：青春期是从童年到成年的过渡期。在这一时期，青少年总是不太容易将自己的外表和个性与其他人进行比较。可能会有一些受唇裂影响的人对自己的面部外观和言语不满意，并可能面临心理社会问题的风险。本研究的目的是考察患者的心理社会状况与他们对面部外貌和言语的不满程度之间的关系。方法：研究对象为10名唇腭裂修复青少年。对面部外貌和言语的不满通过问卷调查进行了评估，这些问卷要求受试者对自己进行评分。用MMPI对每个受试者的人格特征进行评估。采用由一系列自我描述构成的8个心理量表测量心理社会适应能力。结果：被试的面貌和言语的自评得分与对其的不满意程度以及心理社会问题的程度无关。对自己的外貌和言语越不满意的人，在抑郁、人际关系和个人外貌方面的得分越高。在本研究评价的因素中，自我意识的发展似乎是影响其满意度和预测其焦虑和抑郁的最有力的指标。结论：本研究结果表明，唇腭裂修复者的自我意识发展在影响其因面部畸形和言语问题而产生的焦虑和抑郁中起着重要作用，这表明识别心理结果和临床结果对于提高唇腭裂修复患者的康复具有重要意义。