Br J Health Psychol. May;10(Pt 2) The DAS a short form of the Derriford Appearance Scale DAS59 to measure individual responses to living. The Derriford Appearance Scale (DAS) is QoL measure developed for assessing concern about physical appearance. This is a standardized, psychometrically. To measure the spectrum of psychological distress and dysfunction that is characteristic of disfigurements, deformities and aesthetic problems of appearance To.
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These specific items would intuitively be of importance to a patient with a facial difference having surgery — feeling self-conscious of their feature, avoiding having their face photographed or viewed in scaale mirror, feeling unattractive, lacking confidence and feelings of security as well as concern with being in public spaces such as pubs or restaurants.
National Center for Biotechnology InformationU. In part, this may be due to scake fact that this subscale, which on the surface sounds like an important concept, includes content that is not targeted to a rhinoplasty sample. They may not be sufficiently sensitive to measure the success of the intervention, or change specific to the condition of interest 7.
DAS59 – Derriford Appearance Scale
Secondary rhinoplasty, one of the final procedures in addressing the stigma of the cleft lip and palate CLPhas both functional and aesthetic objectives. Patient-reported outcomes PROs are concepts that are important to patients with different health conditions.
Distress from being unable to wear favorite clothes. Total scores for this CLP group indicated greater concern about appearance than the general population. A new scale to measure individual responses to living with problems of appearance. All analyses were performed using SAS version 9.
Table 3 shows the mean values pre- and postoperatively at the item level. Item-by-item analysis showed a significant reduction in score in scal 11 appearace 59 items Table 4.
Internal consistency is high 0. Measuring outcomes in aesthetic surgery: Test-retest reliability 6 months was good 0.
The DAS59 offers benefits for patient selection in both cosmetic and reconstructive plastic surgery and in the evaluation of outcome.
This outcome assessment may include photographic analysis, anatomical measurements and complications. Completed questionnaires were scored according to the DAS manual. Distress from being unable to answer the front door.
Distress when not being able to go to social events.
Table sxale Comparisons of Derriford appearance Scale 59 DAS scores of appearance pre- and postsecondary cleft rhinoplasty surgery according to subscale. These normative data enabled a comparison with the study population Table 1. Factor analysis of data sets general population and clinical population identified three factors that are not feature specific and two that are bodily and sexual features, facial features.
Measuring quality of life in cleft lip and palate patients: To identify DAS content most relevant to measuring change following surgery, paired t tests and Wilcoxon signed-rank tests were computed for each item. However, a small number of items within this generic scale contributing to this difference may suggest the need for a more patient specific measure for assessment of surgical outcomes in the cleft population.
Cross-sectional survey designs using clinical out-patient and in-patient zppearance general population samples. Psychological profile of Chinese with cleft lip and palate deformities. Duke University Press; Adult psychological functioning of individuals born with craniofacial anomalies. Such a measure would allow meaningful evaluation of outcomes after surgery and more accurately measure change in health-related QoL.
Derriford Appearance Scale – Short form (DAS24)
Across all subscales of the measure, there was a reduction in scores after secondary rhinoplasty suggesting less patient concern with appearance and a positive effect of surgery on patient quality of life.
Measuring outcomes in craniofacial and pediatric plastic surgery. Author information Copyright and License information Disclaimer. Neither the decreases in facial self-consciousness FSC nor Phys were statistically significant in this group.
The study was approved by the hospital research ethics board. Self-reported social, speech, and facial concerns and personality adjustment of adolescents with cleft lip and palate. Br J Health Psych. Many PRO instruments defriford been used in plastic surgery; however, for a PRO instrument to be scientifically sound it should assess the impact of surgical intervention in a clinically meaningful manner 7.
We found that appearane with normative data, cleft patients in our study generally had higher DAS scores than the general population, suggesting greater concern with appearance generally in this group. Objective measures by a physician may not reflect patient perception of surgical success. Because the DAS is a generic tool that was designed with all types of cosmetic surgery patients in mind and, therefore, not developed specifically for the cleft population, change at the item level was examined to identify content that is relevant to the cleft population.
Patients willing to participate completed the DAS questionnaire before their surgery and then subsequently 11 months postsurgery range six to 42 months.
Psychosocial functioning in children with and without orofacial clefts and their parents. In addition to the DAS, demographic data age, sex, occupation, family status, nationality and ethnicity were appeaarance as well as type of cleft unilateral, bilateral, cleft lip and or palate alone.