ArticleBMC anesthesiology2024
Early-stage postoperative depression and anxiety following orthognathic surgery: a cross-sectional study.
Article in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of esketamine on perioperative anxiety in patients receiving anesthesia: a systematic review and meta-analysis of RCTs.Frontiers in psychiatry · 2026Pooled it
- Attitudes and practices regarding preoperative psychological evaluation in orthognathic surgery: a scenario-based national survey of Turkish oral and maxillofacial surgeons.BMC oral health · 2026Article
- Relationship Between Postoperative Pain in Surgery and the Onset of Psychological Symptoms Such as Mental Anxiety and Depression.Actas espanolas de psiquiatria · 2026Article
- Impacts of opioid use, postoperative pain, pain interference, and side effects on postoperative psychological distress: a retrospective study of the PAIN OUT registry in seven Asian regions.BioPsychoSocial medicine · 2026Article
- Somatic and psychiatric aspects of complications outside the surgical area in orthognathic surgery: A retrospective study of 429 patients.Medicina oral, patologia oral y cirugia bucal · 2026Article
- Individualized perioperative nutritional management in orthognathic surgery: an evidence-graded, integrated framework linking upper-airway change, feeding function, and psychological status.Frontiers in nutrition · 2026Review
- Impact of Scrub Color on Patient Perceptions of Oral and Maxillofacial Surgeons: A Cross-Sectional Study.Patient preference and adherence · 2026Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to observe the incidence and potential risk factors of postoperative depression and anxiety in patients during the early period after undergoing orthognathic surgery.
methodsFrom March 7 to September 7, 2023, patients ≥ 18 years of age who were scheduled for elective orthognathic surgery under general anesthesia in Peking University School and Hospital of Stomatology were included in this study. We prospectively evaluated their degrees of pre- and postoperative depression and anxiety using the Patient Health Questionnaire-9 and the State Trait Anxiety Inventory. Associations between the perioperative factors and occurrences of postoperative anxiety and depression were evaluated using a multivariate logistic regression model.
resultsA total of 371 patients were included in the analysis. Within five days after surgery, we observed the occurrence of depression in 32% (116) of the patients and anxiety in 72.8% (270) of them. Their preoperative depression score on the Pain Catastrophizing Scale and intraoperative urine output were significantly associated with a higher risk of postoperative depression. The presence of preoperative anxiety, postoperative moderate-to-severe pain, postoperative nausea and vomiting and postoperative insomnia were significantly associated with a higher risk of postoperative anxiety. Furthermore, a monthly income ≥ ¥10000 was found to be significantly associated with a lower risk of postoperative anxiety.
conclusionsPostoperative depression and anxiety are common among patients who undergo orthognathic surgery. Moreover, preoperative psychological status and incidence of postoperative adverse events were associated with an increased risk of depression and anxiety after surgery. The results of the present study suggest that careful psychological assessment and appropriate management are necessary to improve patients' recovery following orthognathic surgery.
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