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Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
Body-image, self-concept and mental exposure in patients with pectus excavatum
Barbara Hadolt1, A Wallisch, J W Egger
1Department of Behavioural Medicine, Psychology of Health and Empirical Psychosomatics, University Clinic of Medical Psychology and Psychotherapy, Graz, Austria. barbara.hadolt@alumni.uni-graz.at
Pediatric Surgery International
|February 4, 2011
Summary
The Nuss procedure significantly improves psychological well-being and body image in patients with pectus excavatum. This minimally invasive repair leads to high patient confidence and positive long-term effects on mental health.
Area of Science:
- Thoracic surgery
- Psychological medicine
- Congenital anomalies
Background:
- Pectus excavatum is a common chest wall deformity, more prevalent in males, often impacting self-esteem despite minimal physical symptoms.
- Psychological data on patients before and after surgical correction are scarce.
Purpose of the Study:
- To evaluate psychological changes in body image, self-concept, and mental well-being post-Nuss procedure for pectus excavatum.
- To compare psychological outcomes based on pectus excavatum severity.
Main Methods:
- Seventeen patients (13 male, 4 female) with pectus excavatum underwent psychological assessments (OPE-FB, FKKS, SCL-90-R) in 2003 and 2007.
- Patients were grouped by lower (n=10) and higher (n=7) severity indices.
- Structured interviews with parents and content analysis of interview data were performed.
Main Results:
- Postoperative patient expectations regarding surgical benefits were largely confirmed.
- Patients with lower pectus excavatum severity reported improved self-assurance, self-acceptance, and body acceptance.
- Mental exposure scores (SCL-90-R) were within normal ranges; interviews suggested external attribution influenced OPE-FB data.
Conclusions:
- The Nuss procedure demonstrates positive long-term physical and psychological benefits for young adults with pectus excavatum.
- High patient satisfaction with cosmetic outcomes underscores the effectiveness of this minimally invasive repair.
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