Psychosocial Functioning in Children with and without Orofacial Clefts and Their Parents

• DOI: 10.1597/10-007
• Publication Date: 2011-01-07T15:01:23Z
• Authors: Brent R. Collett; Yona Keich Cloonan; Matthew L. Speltz; Marlene Anderka; Martha M. Werler
• Keywords: CBCL

Objective To determine whether psychosocial functioning in children with orofacial clefts and their parents differs from that unaffected controls. Design The study used a nonrandomized, case-control design. Participants Outcomes were evaluated 93 cases 124 controls, aged 5 to 9 years, who part of the Massachusetts Center for Birth Defects Research Prevention registry. Main Outcome Measures included Child Behavior Checklist, PedsQL 4.0, Social Competence Scale, Parenting Stress Inventory. Results Group differences negligible all measures, findings changed little application inverse probability weighting adjust response bias. Stratified analyses revealed according both sex age, worse outcomes observed male 7 years. Conclusions In contrast previous studies, we found minimal among compared This may reflect ascertainment factors, be less apparent population-based versus clinic-based samples. Alternatively, social-emotional deficits become older school-aged children, making preschool early elementary school years an optimal time preventive interventions.