Effects of sex, age, choice of surgical orthodontic treatment, and skeletal pattern on the psychological assessments of orthodontic patients

Abstract

We aimed to examine the effects of sex, age, choice of surgical orthodontic treatment, and skeletal pattern on psychological assessment scores of orthodontic patients before edgewise treatment. They completed the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI)-II, and the psychological domain of the World Health Organization Quality of Life 26 (Psych-QOL) for assessment of anxiety, depression, and body image, respectively. No significant effects on psychological assessment scores due to sex or age differences were found. Surgical orthodontic treatment patients and patients with skeletal Class III had significantly higher STAI-Trait and/or BDI-II scores and lower Psych-QOL score. Based on the linear mixed-effects model, the choice of surgical orthodontic treatment had a significant effect on the STAI-Trait, BDI-II, and Psych-QOL scores. No significant interaction effect was found between the choice of surgical orthodontic treatment and the skeletal pattern by ANB angle. Patients with skeletal Class I or III who chose surgical orthodontic treatment had higher STAI-Trait and/or BDI-II scores and/or lower body image score, respectively. These results suggest that patients who chose surgical orthodontic treatment, particularly those with skeletal Class I and III, may be more prone to experience anxiety and depression and have body image dissatisfaction.

Body Image and Psychological Impact of Dental Appearance in Adolescents with Malocclusion: A Preliminary Exploratory Study

“…In particular, age appeared to be correlated with self-confidence, highlighting the positive role of aging on confidence and quality of life. This datum appears to be in line with other published articles [69,96], even if some contrary results suggest the need for more attention on the phenomenon [91].…”

“…Psychological distress, aesthetics, self-perception, and satisfaction appeared to be prominent in those with dental conditions [65][66][67][68]. Regarding age and occlusal status, recent studies appeared to be in line with the current results [69][70][71][72], suggesting that malocclusion is associated with negative psychological outcomes [73][74][75]. Some studies highlighted the importance of psychological functioning with reference to malocclusion [76,77].…”

Application effect of behavioral cognition combined with psychological intervention on orthodontic patients: A prospective, randomized, controlled trial

“…[ 13 ] Psychological intervention as an important way of clinical nursing, it is main goal is to eliminate or reduce patients’ anxiety and tension by popularizing the knowledge related to orthodontic treatment. [ 10 ] Hino [ 14 ] study shows that the effect of orthodontic treatment is closely related to the psychological factors of patients, and proposed that effective psychological intervention can be adopted to improve the psychological state of patients. Behavioral cognitive intervention falls under the category of psychotherapy, which is based on behavioral and cognitive psychology and focuses on changing the patient’s cognitive distortions such as thoughts, beliefs, attitudes, and behaviors, improving individual’s emotional regulation.…”

Body Image and Orthognatic Surgery: A Dialogue Under Construction in Dentistry and Psychology

“…(Psychologist) The participation of the Psychologist in the pre and post is perceived as extremely important. Hino, Yagi and Miyawaki (2022) in a recent study, point out that patients with skeletal Class I and III have more symptoms of anxiety, depression and tend to have a negative body image. have a negative impact on self-confidence, social relationships.…”