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Does severity predict distress? The relationship between subjective and objective measures of appearance and psychological adjustment, during treatment for facial lipoatrophy

Ong, J; Clarke, A; White, P; Johnson, M; Withey, S; Butler, PEM; (2007) Does severity predict distress? The relationship between subjective and objective measures of appearance and psychological adjustment, during treatment for facial lipoatrophy. Body Image , 4 (3) 239 - 248.

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Abstract

The intuitive or lay belief that the severity of a disfiguring condition predicts psychological distress is not demonstrated in clinical practice, nor in research studies. This within group study used standardised measures repeated at six month intervals, to investigate the relationship between subjective and objective measures of appearance and psychological adjustment in 51 patients undergoing treatment for facial lipoatrophy using a synthetic filler, Newfill®. Results demonstrate a dissociation between objective and subjective measures with only subjective assessment predicting psychological outcomes. It is recommended that Moss\'s (2005) hypothesis of discrete group membership (normal/not normal) should be adapted to include an internal standard for comparison, and that all evaluations of treatment modifying disfigurement should include a standardised subjective measure of appearance.

Type:Article
Title:Does severity predict distress? The relationship between subjective and objective measures of appearance and psychological adjustment, during treatment for facial lipoatrophy
Additional information:Times Cited: 3ArticleEnglishClarke, ARoyal Free Hosp, Pond St, London NW3 2QG, EnglandCited References Count: 31320NJELSEVIER SCIENCE BVPO BOX 211, 1000 AE AMSTERDAM, NETHERLANDSAMSTERDAM
Keywords:Facial disfigurement; Facial appearance; Facial lipoatrophy; Reconstructive surgery, ANXIETY, DISFIGUREMENT, facial appearance, facial disfigurement, facial lipoatrophy, LIPODYSTROPHY, PATHOGENESIS, reconstructive surgery, RISK-FACTORS, SCALE, SCANNER
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Surgery and Interventional Science (Division of)

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