Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip
BackgroundThis study aimed to explore the characteristics of appearance-related distress and the relationship between appearance-related distress, anxiety and depression symptoms in Chinese patients with cleft lip (CL).MethodsThe Derriford Appearance Scale 59 (DAS-59), Generalized Anxiety Disorder-7...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-01-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1484025/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832591012576362496 |
|---|---|
| author | Yichun Yang Renjie Yang Jiaying Wang Zhuojun Xie Yuan Zong Weiyao Xia Meijun Du Shiming Zhang Jiayi Yin Jiali Chen Bing Shi Caixia Gong Hanyao Huang |
| author_facet | Yichun Yang Renjie Yang Jiaying Wang Zhuojun Xie Yuan Zong Weiyao Xia Meijun Du Shiming Zhang Jiayi Yin Jiali Chen Bing Shi Caixia Gong Hanyao Huang |
| author_sort | Yichun Yang |
| collection | DOAJ |
| description | BackgroundThis study aimed to explore the characteristics of appearance-related distress and the relationship between appearance-related distress, anxiety and depression symptoms in Chinese patients with cleft lip (CL).MethodsThe Derriford Appearance Scale 59 (DAS-59), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) were used to screen for appearance-related distress, anxiety, and depression symptoms in Chinese patients with CL, respectively.ResultsA total of 63 patients with CL, comprising 43 unilateral and 20 bilateral cases, and 64 individuals without CL in the control group were included in the study. Appearance-related distress was compared between patients with CL and non-cleft individuals. The relationship between appearance-related distress and two psychological symptoms was estimated. The DAS-59 scores in patients with CL were significantly higher than those in non-cleft individuals. The DAS-59 scores in patients with CL who had anxiety or depression symptoms were significantly higher than those without symptoms, and the DAS-59 scores were correlated with GAD-7 and PHQ-9 scores. After adjustment for demographic variables, the DAS-59 scores were also positively associated with GAD-7 and PHQ-9 scores in patients with CL.ConclusionMore significant appearance-related distress was observed in Chinese patients with CL compared to the control group, but it did not exhibit a correlation with the patients’ diagnosis (unilateral or bilateral), sex, age, or other demographic characteristics. Furthermore, appearance-related distress plays a significant role in psychological symptoms and may serve as a predictor of anxiety and depressive symptoms. |
| format | Article |
| id | doaj-art-15f64fbebd384acbaf33d5d85fc17d54 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-15f64fbebd384acbaf33d5d85fc17d542025-01-23T05:10:08ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14840251484025Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lipYichun Yang0Renjie Yang1Jiaying Wang2Zhuojun Xie3Yuan Zong4Weiyao Xia5Meijun Du6Shiming Zhang7Jiayi Yin8Jiali Chen9Bing Shi10Caixia Gong11Hanyao Huang12State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Eastern Clinic, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaState Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, ChinaBackgroundThis study aimed to explore the characteristics of appearance-related distress and the relationship between appearance-related distress, anxiety and depression symptoms in Chinese patients with cleft lip (CL).MethodsThe Derriford Appearance Scale 59 (DAS-59), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) were used to screen for appearance-related distress, anxiety, and depression symptoms in Chinese patients with CL, respectively.ResultsA total of 63 patients with CL, comprising 43 unilateral and 20 bilateral cases, and 64 individuals without CL in the control group were included in the study. Appearance-related distress was compared between patients with CL and non-cleft individuals. The relationship between appearance-related distress and two psychological symptoms was estimated. The DAS-59 scores in patients with CL were significantly higher than those in non-cleft individuals. The DAS-59 scores in patients with CL who had anxiety or depression symptoms were significantly higher than those without symptoms, and the DAS-59 scores were correlated with GAD-7 and PHQ-9 scores. After adjustment for demographic variables, the DAS-59 scores were also positively associated with GAD-7 and PHQ-9 scores in patients with CL.ConclusionMore significant appearance-related distress was observed in Chinese patients with CL compared to the control group, but it did not exhibit a correlation with the patients’ diagnosis (unilateral or bilateral), sex, age, or other demographic characteristics. Furthermore, appearance-related distress plays a significant role in psychological symptoms and may serve as a predictor of anxiety and depressive symptoms.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1484025/fullcleft lipmental healthanxietydepressionquality of life |
| spellingShingle | Yichun Yang Renjie Yang Jiaying Wang Zhuojun Xie Yuan Zong Weiyao Xia Meijun Du Shiming Zhang Jiayi Yin Jiali Chen Bing Shi Caixia Gong Hanyao Huang Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip Frontiers in Public Health cleft lip mental health anxiety depression quality of life |
| title | Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip |
| title_full | Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip |
| title_fullStr | Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip |
| title_full_unstemmed | Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip |
| title_short | Appearance-related distress impacts psychological symptoms in Chinese patients with cleft lip |
| title_sort | appearance related distress impacts psychological symptoms in chinese patients with cleft lip |
| topic | cleft lip mental health anxiety depression quality of life |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1484025/full |
| work_keys_str_mv | AT yichunyang appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT renjieyang appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT jiayingwang appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT zhuojunxie appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT yuanzong appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT weiyaoxia appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT meijundu appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT shimingzhang appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT jiayiyin appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT jialichen appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT bingshi appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT caixiagong appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip AT hanyaohuang appearancerelateddistressimpactspsychologicalsymptomsinchinesepatientswithcleftlip |