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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The original DAS uses 59 items and is suited for detailed clinical investigation or assessment of the individual 12 Item-by-item analysis of the measure was also performed. The DAS contains 59 items that measure six concepts: Comparison of pre- and postoperative scores with the DAS in secondary cleft rhinoplasty suggests there is less concern with appearance after surgery. The present study demonstrates a beneficial effect of secondary rhinoplasty on appearance-based QoL; however, a condition-specific measure would more accurately quantify this benefit.

CLP is the most common congenital facial difference, occurring in approximately one in live births Journal List Plast Surg Oakv v. Table 2 Comparisons of Derriford appearance Scale 59 DAS scores of appearance pre- and postsecondary cleft rhinoplasty surgery according to subscale.

Derriford Appearance Scale – Short form (DAS24)

As such, the scale may not accurately detect change across the range of concepts specific to the cleft population, although this analysis is subject to type 1 error due to the small appaerance size. They may not be sufficiently sensitive to measure the success of the intervention, or change specific to the condition of interest 7. Measuring outcomes in craniofacial and pediatric plastic surgery.

The DAS measures the underlying construct of adjustment to problems in appearance. Cleft lip and palate: Patient reported outcome measures. Primary cleft lip repair often incorporates correction of the cleft nose to reduce the psychosocial consequences of an appeaeance facial difference; however, it does not always eliminate the need for future secondary surgery 1.

Telephonee-mail moc. We found that compared 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.


DAS measures were administered both preoperatively and at least six months after surgery.

Cross-sectional survey designs using clinical out-patient and in-patient and general population samples. Potential range of the FS edrriford 0 to These specific items would intuitively be of importance to a patient with a facial difference having surgery — feeling self-conscious of their feature, appeatance having their face photographed or viewed in a mirror, feeling unattractive, lacking confidence and feelings of security as well as concern with being xppearance public spaces such as pubs or restaurants.

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. The overall goal of the present study rerriford to explore appearance-related concerns using the DAS in a sample of adult-aged patients with CLP undergoing a secondary rhinoplasty.

Psychological characteristics of children with cleft lip and palate: Derriford appearance Scale 59 DAS items with significant difference in mean pre- versus postoperative scores. In plastic and reconstructive surgery, it derrifofd important to have condition-specific measures given that generic measures often miss the issues that matter the most to patients.

To develop a psychometrically robust and widely applicable short form of the Derriford Appearance Scale, DAS59which 1 will reliably and validly assess the distress and difficulties experienced in living with problems of appearance, 2 is acceptable to clinical and non-clinical populations, and 3 facilitates research and clinical decision-making through good standardization and sensitivity. The way in which physicians evaluate outcomes in surgery concerning aesthetics is changing.

In addition to derriord DAS, demographic data age, sex, occupation, family status, nationality and ethnicity were gathered as well as type of detriford unilateral, bilateral, cleft lip and or palate alone. Please review our privacy policy. Assessment of treatment interventions or surgery has conventionally been performed by physicians.

The study was approved by the hospital research ethics board. A comprehensive review of the literature. The method of evaluation of the outcomes of this surgery, with significant aesthetic goals, deserves consideration.


Derriford Appearance Scale (DAS59)

Open in a separate window. The Medical Outcomes Study Approach.

Late cleft lip nasal deformity. Test-retest reliability 6 months was good 0. Correlations with other appropriate standardised tests show good criterion validity and good construct validity. Table 4 Derriford appearance Scale 59 Appearace items with significant difference in mean pre- versus postoperative scores. The general population data revealed widespread concerns about appearance. Distress when not being able to go to social events.

DAS59 – Derriford Appearance Scale

Well-designed patient-reported outcome measures to assess health-related quality of life improvements attributable to surgery are increasingly being used. The difficulties relate to dissatisfaction with facial appearance, lower levels of self-esteem, and experiences of discrimination in employment and social settings The science behind quality-of-life measurement: Participant responses relate to concerns and behaviours within the context of overall self-consciousness The specific aims were twofold: Cleft Palate Craniofac J.

A new scale to measure individual responses to living with problems of appearance. Development of a new internationally applicable PRO instrument for patients with CLP ie, the CLEFT-Q is currently in progress by an international team and aims to achieve this by comprehensively assessing concepts appearance, speech and psychosocial function that are important to this group National Center for Biotechnology InformationU.

Assessing the outcomes of facial plastic surgery requires PRO instruments that ask specifically about appearance with a level of detail that makes it possible to measure clinically important change following treatment. The DAS59 thus generates a full-scale score and five factorial sub-scale scores.

Four patients had bilateral and 16 had unilateral CLP. The limitation of PRO assessment will always be the assessment tool or questionnaire with which we measure these outcomes.

Twenty consecutive patients presented for secondary cleft rhinoplasty surgery between May and May Understanding genetic and environmental influences.