Shared Surgical Decision Making and Youth Resilience Correlates of Satisfaction With Clinical Outcomes

Abstract

The aim of this study was to identify factors associated with youth satisfaction with surgical procedures performed to address oral cleft or craniofacial conditions (CFC). It was hypothesized that youth mental health, participation in decision-making, perceived consequences of living with a CFC, and coping strategies would be associated with satisfaction with past surgeries. Two hundred and three youth between the ages of 11 and 18 (Mean age = 14.5. SD = 2.0; 61% male; 78% oral cleft) completed a series of questionnaires measuring depression, self-esteem, participation in decision-making, condition severity, negative and positive consequences of having a CFC, coping, and satisfaction with past surgeries. Multiple Regression Analysis using boot-strapping techniques found that youth participation in decision making, youth perception of positive consequences of having a CFC, and coping accounted for 32% of the variance in satisfaction with past surgeries (p < .001). Youth age, sex, and assessment of condition severity were not significantly associated with satisfaction with surgical outcome. Depression, self-esteem, and negative consequences of having a CFC were not associated with satisfaction with past surgeries. Youth should be actively involved in the decision for craniofacial surgery. Youth who were more satisfied with their surgical outcomes also viewed themselves as having gained from the experience of living with a CFC. They felt that having a CFC made them stronger people and they believed that they were more accepting of others and more in touch with others’ feelings because of what they had been through.

Resilience in children and their parents enduring pediatric medical traumatic stress

“…Children should be included in decision‐making as their age and developmental stage allows. Children who feel a part of the decision‐making trust they benefit from the surgery . Consequently, they are more satisfied with the surgical outcome, feel stronger as people, and are more accepting of others.…”

“…Consequently, they are more satisfied with the surgical outcome, feel stronger as people, and are more accepting of others. When children are satisfied with the surgical outcome, they have better mental health . After understanding the surgery and their situation, children can adjust to their illness over time …”

“…Children who feel a part of the decision-making trust they benefit from the surgery. 28 Consequently, they are more satisfied with the surgical outcome, feel stronger as people, and are more accepting of others. When children are satisfied with the surgical outcome, they have better mental health.…”

“…When children are satisfied with the surgical outcome, they have better mental health. 28 After understanding the surgery and their situation, children can adjust to their illness over time. 20,24,25 In children, an array of emotions occurs during the perioperative period.…”

Effect of Cosmetic Surgery on Self-Concept and Self-Esteem

“…To this end Kapp-Simon et al (2015) recently did a study on 203 youth between the ages of 11 and 18 years to identify factors associated with youth satisfaction with surgical procedures performed to address oral or facial conditions. They hypothesized that mental health of youth, participation in decision making, perceived consequences of living with their condition and coping strategies may be associated with satisfaction of past surgeries; a questionnaires were completed by all patients to assess depression, self-esteem, participation in decision making, severity of condition, negative and positive consequences of having a condition, coping, and satisfaction with their operations.…”