Parent reports of psychosocial functioning of children with cleft lip and/or palate

Orlagh Hunt, Donald Burden, Peter Hepper, Michael Stevenson, Christopher Johnston

Research output: Contribution to journalArticlepeer-review

92 Citations (Scopus)
385 Downloads (Pure)

Abstract

Objectives:
(1) to determine the opinion of parents regarding the psychosocial functioning of their child with cleft lip and/or palate (CLP); (2) to identify predictors of psychosocial functioning; and (3) to determine the level of agreement between children with CLP and their parents.
Participants:
One hundred twenty-nine parents of children with CLP and 96 parents of children without CLP participated in this cross-sectional study.
Outcome measures:
Parental opinion of the child's self-esteem, anxiety, happiness, and problems caused by facial appearance were assessed using visual analogue scales. Parents completed the Child Behavior Checklist and were interviewed.
Results:
Children with CLP were more anxious (p < 0.05), less happy with their appearance (p < 0.001), and in general (p < 0.05) had lower self-esteem (p < 0.05) and greater behavioral problems (p < 0.001) compared with non-CLP children. Parents reported that their child with CLP was teased more often (p < 0.001) and was less satisfied with his/her speech (p < 0.01) compared with reports of parents in the control group. A number of factors affected parents’ ratings of their child's psychosocial functioning (presence of CLP, appearance happiness, previous history of CLP, and visibility of scar). Children who had been teased were more anxious (p ≤ 0.01), less happy with their appearance (p < 0.001) and had greater behavioral problems (p < 0.001).
Conclusions:
Parents of children with CLP reported various psychosocial problems among their children. Parents considered children who had been teased to have greater psychosocial problems.
Original languageEnglish
Pages (from-to)304-311
Number of pages8
JournalThe Cleft Palate-Craniofacial Journal
Volume44
Issue number3
DOIs
Publication statusPublished - 01 May 2007

ASJC Scopus subject areas

  • Surgery
  • General Dentistry

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