0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Facial Plastic Surgical Outcomes and Clinical Depression

David Reiter, MD
Arch Facial Plast Surg. 2010;12(6):434-435. doi:10.1001/archfacial.2010.74.
Text Size: A A A
Published online

Extract

I greatly appreciate the work by Hessler et al1 recently reported in the Archives. However, I believe that their conclusion about a possible relationship between clinical depression and patient satisfaction with facial plastic surgical procedures is not supported by their data and could lead to ill-advised surgery. The broad spectrum of severity of depression and the diverse management methods used (eg, medication, electroconvulsive therapy, psychotherapy) make it imperative that the facial plastic surgeon has a complete history and a confirmed diagnosis before recommending treatment. One assumes that each patient in this study and in the authors' practices provided a complete medical history and received a physical examination, and that the nature, severity, and treatment of depression (and all other medical problems) were documented in the medical record. Unfortunately, the authors were “unable to corroborate the reports of patients of having a history of depression beyond their self-reported history. . . . ”1(pp195-196) The lack of a confirmed diagnosis invalidates any analysis, observations, or conclusions because the disease is not even known to be present.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();