Kok, Xiu Ling Florence;
(2023)
Do social support, resilience and coping styles impact on pre-operative anxiety in orthognathic patients?
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
Background: Increased pre-operative anxiety may have adverse effects, therefore identifying factors that can reduce this anxiety would be beneficial. This PhD examined anxiety in orthognathic patients, with a focus on social support, resilience, and coping. Methods: Part 1 was a systematic review exploring the effects of social support on pre-operative anxiety in elective surgery. Part 2 was a UK questionnaire study (n=70) investigating the impact of social support, resilience, and coping styles on pre-operative anxiety, also accounting for demographic variables and satisfaction with information from the clinical team. Pre- and post-operative anxiety were also compared. A similar study was undertaken in Singapore for comparison (n=54). Part 3 was an interview study involving a subset of UK patients from Part 2 (n=28), exploring factors affecting pre-operative anxiety. Clinicians (n=29) and support persons (n=9) were also interviewed for their perspectives on patient anxiety. Results: Part 1 Stronger social support was significantly, though weakly, associated with reduced pre-operative anxiety in elective surgery. Part 2 64.3% of UK patients were moderately or highly anxious pre-operatively, and state anxiety remained relatively unchanged post-operatively. Social support from a significant other (p=0.026), greater resilience (p<0.001), and satisfaction with the provided information (p=0.002) were significantly associated with reduced pre-operative anxiety. Coping through avoidance was significantly related to increased pre-operative anxiety (p<0.001). Resilience (p=0.021), and avoidance coping (p=0.005) were also significant factors in the Singapore study, where 74.1% of patients had moderate or high anxiety pre-operatively, although this reduced significantly post-operatively. Part 3 Factors influencing anxiety were described within 8 themes: time, control, fear, trust, information, expectations, coping styles, and support. Conclusions: The clinical team plays an important role in supporting the patient and their support network. There is evidence that social support, resilience, and certain coping styles may affect pre-operative anxiety; further research exploring these areas is recommended.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Do social support, resilience and coping styles impact on pre-operative anxiety in orthognathic patients? |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2022. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10184622 |
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