Social Desirability in Patients Seeking Surgical Treatment for Dentofacial Disharmony: Associations with Psychological Distress and Motivation for Treatment

The role of socially desirable responding in the report of treatment motivation and psychological distress by patients seeking surgical treatment for dentofacial disharmony was explored. Participants completed the Balanced Inventory of Desirable Responding (BIDR; Paulhus, 1988), which measures two components of socially desirable responding (SDR): impression management (IM), which is the purposeful tailoring of answers in order to create the most positive social image, and self-deceptive positivity (SDE), which is an honest, but overly positive self-presentation. When simple bivariate relationships were examined, statistically significant inverse associations were observed between socially desirable responding and specific motives for treatment and between SDR and psychological distress. However, the relationship between socially desirable responding and motives for treatment disappeared when the effect of psychological distress was controlled. The positive relationship between psychological distress and the report of social well-being, and self-image motives for treatment remained statistically significant even after the variance attributable to socially desirable responding was removed. Implications of the findings for the evaluation of psychological distress and treatment motivation in this population are discussed.     

Psychological aspects of orthognathic surgery

Abstract

With the dramatic growth in the number of adults undergoing orthodontics to correct malocclusion, and those undergoing surgical orthodontics or orthognathic surgery to correct skeletal discrepancies in the orofacial region, it is important to examine the psychological characteristics of these patients before and after treatment is completed. This paper serves as a general review and summarizes the findings of two major longitudinal studies of patients seeking surgical correction and compares them with people who underwent conventional orthodontics, those who rejected any treatment, and those who sought cosmetic surgery. Both studies revealed that most women seeking surgical orthodontics focused on aesthetic improvement as a motive, whereas men sought to improve their appearance and mastication. Women were also more likely to report problems with the temporomandibular joint as a motive. Men and women scored similarly on a measure of body image, although women reported lower facial image presurgically and higher postsurgically than did men. The greatest gains following surgery were in facial and profile image for both men and women. Orthodontic patients showed less improvement, while those rejecting treatment experienced a decline in body image. Many functional improvements did not occur until 24 months postoperatively; lingering paraesthesia was described by 49% of the sample. Emotional reactions included anxiety preoperatively, and depression postoperatively, especially among patients scoring high on neuroticism and those experiencing other major life events. These studies reveal that people seeking surgical orthodontics are within the normal range of most personality measures and experience greater gains psychologically than do conventional orthodontic patients.     

Similar minds in the family: COVID-19 centrality and relationship quality

We examined whether perceived similarity in COVID-19 centrality (i.e., the extent to which one thinks of the pandemic as shaping current and future life) is associated with family relationship quality during the pandemic. Thinking that other family members are similar to oneself regarding the pandemic's centrality may improve the quality of family relationships. We collected data from Turkish family triads (i.e., mother, father, 18–25 years old child) and had 481 participants from 180 families. Participants rated their similarity in COVID-19 centrality with the other two family members and reported the general and daily quality of their relationship with them (relationship satisfaction, closeness, conflict). We analyzed the data using the Social Relations Model. We found that family members who, on average, perceived more similarity in COVID-19 centrality reported higher levels in positive attributes of general relationship quality (i.e., satisfaction and closeness). The effects on conflict and daily relationship quality were less conclusive. This research confirms that family members' reactions during the COVID-19 pandemic are interdependent. Perceiving that other family members are of similar minds about the centrality of the pandemic relates positively to some aspects of relationship quality.