Evaluation of facial appearance in patients with repaired cleft lip and palate: comparing the assessment of laypeople and healthcare professionals / 대한악안면성형재건외과학회지

BACKGROUND: The present study aimed to determine whether laypeople and professionals rate the facial appearance of individuals with repaired complete unilateral or bilateral cleft lip and palate (UCLP, BCLP) similarly based on viewing full facial images. METHODS: The study followed a cross-sectional analytical design where five young patients aged 10 to 14 years, who had completed all stages of their unilateral or bilateral cleft lip and palate treatment (bilateral: three, unilateral: two), were evaluated by two groups. The assessment was done by laypeople and 97 qualified professionals (33 orthodontists, 32 plastic surgeons, and 32 oral and maxillofacial surgeons). Professionals were not involved in any stage of the patients’ treatment. RESULTS: The facial appearance assessment of the professional groups on different facial aesthetics was significantly lower than that of laypeople, and they had higher perceived need for further treatment. On the other hand, laypeople had higher aesthetic ratings and lower perceived need for further treatment. Differences were also observed between the assessments of the professional groups. Participants who had lower aesthetic assessments of the repair tended to report a higher influence of cleft lip and palate on social activities and professional life. CONCLUSION: Differences in perception exist between healthcare professionals and laypeople. The discrepancies between the professional groups could be attributed to different treatment modalities and protocols.

The relationships between character strengths and life fulfillment in the view of lay-people in Argentina

Se examinó la importancia de las fortalezas del carácter para el desarrollo positivo desde el punto de vista de las personas legas. Una muestra de 687 adultos evaluó la importancia de las 24 fortalezas del carácter de la clasificación Values in Action para cinco áreas: bienestar personal, metas personales, relaciones personales y laborales y contribuir a un país mejor. Se diseñó un instrumento basado en la metodología de la encuesta que estaba compuesto por 24 ítems. Cada uno evaluaba una fortaleza en cada una de las cinco áreas comentadas. La confiabilidad global del mismo fue igual a .98. Los datos se analizaron mediante la inspección de las frecuencias (por ej.: grado de respaldo a cada una de las fortalezas en relación con el desarrollo positivo), considerando aquellas fortalezas que se encontraban por encima del percentil 90. En general, los resultados han mostrado que la fortaleza del carácter honestidad es un importante recurso personal para las cinco áreas consideradas en este estudio. Específicamente, amor, honestidad y vitalidad son las fortalezas del carácter más importantes para el bienestar personal; perseverancia y autorregulación, para lograr metas vitales, honestidad y gratitud para el desarrollo de relaciones positivas; compañerismo e imparcialidad para las relaciones laborales positivas, e imparcialidad y honestidad para contribuir a un país mejor. Se analizaron las diferencias por género y edad y se encontró que las mujeres consideraban a las fortalezas mucho más importantes que los varones para la mayoría de las áreas vitales consideradas. Este estudio señala que las concepciones implícitas de las personas legas deberían ser tomadas en cuenta a la hora de diseñar estrategias de intervención positivas basadas en las fortalezas del carácter.

The idea underlying this work is that character strengths are an essential component for achieving life fulfillment. In order to determine the extent to which strengths of character are essential to living a good life, this study was conducted from lay-people’s point of view. This work took as theoretical framework Seligman’s recent theory, known under the acronym of PERMA, which proposes that human strengths are vehicles for achieving positive emotions, engagement (flow), enriching relationships, meaning in life, and accomplishment of personal goals. This study considered life fulfillment beyond the hedonic conception of subjective well-being emphasizing the importance of both individual and social meaning; the relationship with others; and the achievement of personal goals, among others. A sample of 687 adults evaluated the importance of 24 character strengths from the Values in Action classification for the five areas that contribute to a fulfilling life: personal well-being, personal goals, personal relationships, work relationships, and contributing to a better country. This study used a similar methodology to Biswas-Diener (2006), who studied the attitudes towards the 24 VIA character strengths with members of dissimilar cultural groups. An instrument was designed comprising 24 items in a survey-format. Each item assessed one character strength for each of the five areas under study. Cronbach’s alpha reliability test for the overall scale was .98. Data was analyzed by calculating frequencies (e.g., the degree of endorsement to the character strengths in relation to life fulfillment) and conducting chi-square tests (e.g., gender and age differences). The character strengths over the 90th percentile were considered. The results showed that the character strength honesty is an important personal resource for the five areas studied. Specifically, love, honesty and zest were the major character strengths for personal well-being; persistence and self-regulation for achieving life goals; honesty and gratitude for developing positive personal relationships; citizenship and fairness for positive work relationships; and, fairness and honesty for contributing to a better country. Differences by gender were found. For the majority of the areas of life explored, women placed more importance on character strengths than men. The main finding of this study is that people consider the strengths of character from the VIA classification as important elements for life fulfillment. Most participants in this study showed a high degree of endorsement (60 to 70%) to each of the character strengths of the VIA classification for all the areas, i.e., achieving personal well-being, accomplishing life goals, enriching personal relationships, working well with others, and contributing to a better country. Based on these results, it can be concluded that from the point of view of lay-people, character strengths are not only fundamental to feel good but also to function well both in relation to themselves and to the world. Overall, intervention strategies, from the Positive Psychology perspective, tend to be generic and unspecific, without considering individuals’ particular points of view. Knowing people’s implicit ideas in relation to the strengths that contribute most to life fulfillment would allow generating more accurate and culturally adjusted interventions to the particular group in question. This adjustment not only operates as a key motivational aspect but also a reinforcement of the effect of the intervention. Future studies should experimentally compare the effectiveness of generic interventions on character strengths versus interventions focused on those strengths that the group under study deems important, especially in Latino populations in which the efficacy of these interventions has not been tested yet, and little has been studied in relation to this topic.