Assessment of self-esteem and psychological aspects in patients undergoing upper blepharoplasty

Abstract Objective: To evaluate the self-esteem and quality-of-life outcomes in patients undergoing upper blepharoplasty. Methods: A cross-sectional study was performed at Federal University of São Paulo. The self-esteem and quality-of-life of 29 patients undergoing upper blepharoplasty were compared with 20 age-matched volunteers from the general population. During preoperative assessment, the patients and volunteers underwent complete ophthalmological examinations and answered two questionnaires: the Rosenberg self-esteem scale (RSES) and the World Health Organization quality of life assessment (WHOQOL-BREF). The RSES is a ten-item questionnaire developed to measure self-esteem that are answered using a four-point scale. The scores range from 0 to 30, and lower scores indicate higher self-esteem. The WHOQOL-BREF is composed of 26 questions divided into four domains. Mean values greater than 5 are considered indicative of very good quality-of-life. Data from the RSES and quality-of-life scores were compared between the two groups using an unpaired t- test. Results: The mean self-esteem scores for the patients and volunteers were 10.31 ± 0.71 and 6.9 ± 0.99, respectively (p < 0.001). The mean response scores for the WHOQOL-BREF questionnaire for the patients and volunteers were 3.67 ± 0.08 and 3.76 ± 0.08, respectively (p = 0.449). For the psychological subscale of the WHOQOL-BREF questionnaire, the results for the patients and volunteers were 3.52 ± 0.09 and 3.78 ± 0.08, respectively (p = 0.041). Conclusions: Subjects who underwent upper blepharoplasty exhibited worse self-esteem based on the RSES. Regarding quality-of-life, as assessed using the WHOQOL-BREF questionnaire, significant differences between the groups were evident in the psychological aspects subscale. Our study confirms the importance of subjecting patients to psychological evaluation prior to upper blepharoplasty.

摘要 研究目的：本研究旨在评估接受上睑整形术（upper blepharoplasty）患者的自尊水平与生活质量结局。
研究方法：本研究在圣保罗联邦大学开展横断面研究。将29名接受上睑整形术的患者与20名年龄匹配的普通人群志愿者进行自尊水平与生活质量对比。术前评估阶段，所有受试者均接受全面眼科检查，并填写两份问卷：罗森伯格自尊量表（Rosenberg Self-Esteem Scale, RSES）与世界卫生组织生活质量评定简表（WHOQOL-BREF）。罗森伯格自尊量表为包含10个条目、采用4级计分的自尊测评问卷，总分范围为0~30分，得分越低提示自尊水平越高。WHOQOL-BREF共包含26个问题，划分为4个维度，平均分高于5分被认为代表极佳的生活质量。采用两独立样本t检验（unpaired t-test）对两组受试者的RSES得分与生活质量评分进行比较。
研究结果：患者组与志愿者组的平均自尊得分分别为10.31±0.71与6.9±0.99（p<0.001）。两组受试者的WHOQOL-BREF平均总得分分别为3.67±0.08与3.76±0.08（p=0.449）。在WHOQOL-BREF的心理子量表维度中，患者组与志愿者组得分分别为3.52±0.09与3.78±0.08（p=0.041）。
研究结论：基于罗森伯格自尊量表的测评结果，接受上睑整形术的受试者自尊水平更低。就WHOQOL-BREF评估的生活质量而言，两组在心理维度上存在显著差异。本研究证实了在上睑整形术前对患者开展心理评估的重要性。