Effect of Mindful Self‑Care Training on Body Image Concern and Self‑Esteem of Patients Before and After Orthognathic Surgery

Abstract

Background: Some studies among orthognathic surgery candidates revealed that the patients doing orthognathic surgery suffer from Body Image Concern (BIC) and impaired Self‑Esteem (SE) before and after surgery. Despite the merits behind orthognathic surgery, self‑care training in such patients seems logical. The present study was performed to outline the effect of Mindful Self‑Care Training on Body Image Concern and Self‑Esteem of Patients before and after Orthognathic Surgery. Materials and Methods: This semiexperimental study with a pretest–posttest design was conducted in Babol‑based Shahid Beheshti Hospital in 2020. The eligible patients, who were referred from the Orthognathic Surgery Clinic of Babol‑located Shahid Beheshti Hospital, were conveniently divided into two 25‑person groups. The BIC and SE were measured using the Body Image Concern Inventory (BICI) and Coopersmith Self‑Esteem Inventory (CSEI) before and after holding eight 90‑minute mindful self‑care training sessions (before surgery) and 3 months after surgery (follow‑up) in the two groups. The data were analyzed at the significance level of 0.05 using the independent t‑test and Repeated Measure Analysis of Variance (RM ‑ANOVA) by SPSS‑26. Results: The findings revealed that in the intervention group, the mean score of the overall BIC after training (before surgery) and follow‑up (3 months after surgery) decreased. The independent t‑test showed that the mean score of the overall BIC after training and follow‑up was significantly different between the two groups (t48 = 1.68, p = 0.02) and (t48 = 3.64, p = 0.001), respectively. Also, the mean score of the SE increased after training and follow‑up in the intervention group. The independent t‑test indicated that the mean score of the SE after training and follow‑up meaningfully differed between the two groups (t48 = 3.93, p < 0.001, t48 = 5.40, p < 0.001). The RM‑ANOVA results displayed significant differences in the overall BIC and SE in the two groups over time (F (2,48) = 71.30, p < 0.001) and (F2,48 = 38.17, p < 0.001), respectively. Conclusions: Considering the effects of mindful self‑care training on the BIC and SE of the patients undergoing orthognathic surgery, it is proposed that presurgery mindful self‑care training is useful and prevents common pre and postsurgery psychological problems among the patients as the orthognathic surgery candidates.