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The impact of dental appearance and anxiety on self‐esteem in adult orthodontic patients
Author(s) -
RomeroMaroto M.,
SantosPuerta N.,
González Olmo M. J.,
PeñacobaPuente C.
Publication year - 2015
Publication title -
orthodontics and craniofacial research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.664
H-Index - 55
eISSN - 1601-6343
pISSN - 1601-6335
DOI - 10.1111/ocr.12091
Subject(s) - self esteem , anxiety , clinical psychology , psychology , intervention (counseling) , population , psychological intervention , dentistry , medicine , psychiatry , environmental health
Structured Abstract Objectives To analyse the relationship between different dimensions of dental appearance impact and self‐esteem in adult patients undergoing orthodontic treatment, with special attention to the possible mediating role of anxiety. Setting and Sample Population A quasi‐experimental design was used with a matched control group (without orthodontic treatment). In each group (experimental and control), there were 85 patients. Material and Methods The impact of dental appearance was measured using the P sychosocial I mpact of D ental A esthetics Q uestionnaire ( PIDAQ ). State anxiety was assessed with the S tate A nxiety I nventory ( STAI ‐ S ) and self‐esteem with R osenberg's self‐esteem scale. Results In both groups (experimental and control), self‐esteem correlates negatively, ranging between 0.26 and 0.43, with all dimensions of dental appearance impact (except for the positive dental self‐confidence dimension, where all correlations were positive). Anxiety correlates positively, ranges between 0.35 and 0.44, with social impact, psychological impact and aesthetic concern, although it maintains no significant correlations with dental self‐confidence. Nevertheless, in patients undergoing orthodontic treatment, anxiety plays a mediating role between dental impact dimensions and self‐esteem, whilst for the control group anxiety only plays a mediator role between psychological impact and self‐esteem. Conclusion Anxiety plays a fundamental role in the effect of perceived dental impact on self‐esteem in adult patients undergoing orthodontic treatment. These results have important practical implications for the design of bio‐psycho‐social intervention programs that contemplate cognitive‐affective variables as an essential part of orthodontic treatment in adults.