Coping with a Cleft II: Factors Associated with Psychosocial Adjustment of Adolescents with a Cleft Lip and Palate and Their Parents

Objective To explore the factors that predict psychosocial adjustment in young people with a cleft and their parents. Design, Participants, Setting The study used a cross-sectional postal questionnaire design involving young people aged between 11 and 16 and their parents from two cleft services. Da...

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Veröffentlicht in:The Cleft palate-craniofacial journal 2011-01, Vol.48 (1), p.82-90
Hauptverfasser: Berger, Zoe E., Dalton, Louise J.
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creator Berger, Zoe E.
Dalton, Louise J.
description Objective To explore the factors that predict psychosocial adjustment in young people with a cleft and their parents. Design, Participants, Setting The study used a cross-sectional postal questionnaire design involving young people aged between 11 and 16 and their parents from two cleft services. Data are presented for 91 adolescents and their mothers. Main Outcome Measures Participants completed measures of psychological adjustment, coping, social experiences, satisfaction with appearance, stressful life events, cleft-related factors, and demographic information. Results Psychosocial adjustment in adolescents was predicted by their social experiences and maternal well-being. Satisfaction with appearance, perceived speech problems, and the use of avoidant coping strategies were also important factors relating to their adjustment. For mothers, adjustment was predicted by use of coping strategies such as self-blame, venting, and acceptance, in addition to perceived problems with their child's hearing and the number of stressful life events experienced. Conclusions The findings are discussed in relation to the concepts of adjustment, coping, satisfaction with appearance, and maternal mental health. Directions for future research are outlined, and a number of opportunities and challenges for cleft services regarding the provision of timely interventions for this age group and their families are discussed.
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Design, Participants, Setting The study used a cross-sectional postal questionnaire design involving young people aged between 11 and 16 and their parents from two cleft services. Data are presented for 91 adolescents and their mothers. Main Outcome Measures Participants completed measures of psychological adjustment, coping, social experiences, satisfaction with appearance, stressful life events, cleft-related factors, and demographic information. Results Psychosocial adjustment in adolescents was predicted by their social experiences and maternal well-being. Satisfaction with appearance, perceived speech problems, and the use of avoidant coping strategies were also important factors relating to their adjustment. For mothers, adjustment was predicted by use of coping strategies such as self-blame, venting, and acceptance, in addition to perceived problems with their child's hearing and the number of stressful life events experienced. Conclusions The findings are discussed in relation to the concepts of adjustment, coping, satisfaction with appearance, and maternal mental health. Directions for future research are outlined, and a number of opportunities and challenges for cleft services regarding the provision of timely interventions for this age group and their families are discussed.</description><identifier>ISSN: 1055-6656</identifier><identifier>EISSN: 1545-1569</identifier><identifier>DOI: 10.1597/08-094</identifier><identifier>PMID: 20500070</identifier><identifier>CODEN: CPJOEG</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adaptation, Psychological ; Adolescent ; Biological and medical sciences ; Child ; Cleft Lip - psychology ; Cleft Palate - psychology ; Cross-Sectional Studies ; Deformities ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Humans ; Life Change Events ; Male ; Medical sciences ; Mothers - psychology ; Non tumoral diseases ; Otorhinolaryngology. 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Design, Participants, Setting The study used a cross-sectional postal questionnaire design involving young people aged between 11 and 16 and their parents from two cleft services. Data are presented for 91 adolescents and their mothers. Main Outcome Measures Participants completed measures of psychological adjustment, coping, social experiences, satisfaction with appearance, stressful life events, cleft-related factors, and demographic information. Results Psychosocial adjustment in adolescents was predicted by their social experiences and maternal well-being. Satisfaction with appearance, perceived speech problems, and the use of avoidant coping strategies were also important factors relating to their adjustment. For mothers, adjustment was predicted by use of coping strategies such as self-blame, venting, and acceptance, in addition to perceived problems with their child's hearing and the number of stressful life events experienced. 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Stomatology</topic><topic>Parents &amp; parenting</topic><topic>Patient Satisfaction</topic><topic>Psychology, Adolescent</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berger, Zoe E.</creatorcontrib><creatorcontrib>Dalton, Louise J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business &amp; Current Affairs Database</collection><collection>Canadian Business &amp; Current Affairs Database (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>CBCA Reference &amp; Current Events</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The Cleft palate-craniofacial journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berger, Zoe E.</au><au>Dalton, Louise J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coping with a Cleft II: Factors Associated with Psychosocial Adjustment of Adolescents with a Cleft Lip and Palate and Their Parents</atitle><jtitle>The Cleft palate-craniofacial journal</jtitle><addtitle>Cleft Palate Craniofac J</addtitle><date>2011-01</date><risdate>2011</risdate><volume>48</volume><issue>1</issue><spage>82</spage><epage>90</epage><pages>82-90</pages><issn>1055-6656</issn><eissn>1545-1569</eissn><coden>CPJOEG</coden><abstract>Objective To explore the factors that predict psychosocial adjustment in young people with a cleft and their parents. Design, Participants, Setting The study used a cross-sectional postal questionnaire design involving young people aged between 11 and 16 and their parents from two cleft services. Data are presented for 91 adolescents and their mothers. Main Outcome Measures Participants completed measures of psychological adjustment, coping, social experiences, satisfaction with appearance, stressful life events, cleft-related factors, and demographic information. Results Psychosocial adjustment in adolescents was predicted by their social experiences and maternal well-being. Satisfaction with appearance, perceived speech problems, and the use of avoidant coping strategies were also important factors relating to their adjustment. For mothers, adjustment was predicted by use of coping strategies such as self-blame, venting, and acceptance, in addition to perceived problems with their child's hearing and the number of stressful life events experienced. Conclusions The findings are discussed in relation to the concepts of adjustment, coping, satisfaction with appearance, and maternal mental health. Directions for future research are outlined, and a number of opportunities and challenges for cleft services regarding the provision of timely interventions for this age group and their families are discussed.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20500070</pmid><doi>10.1597/08-094</doi><tpages>9</tpages></addata></record>
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source Access via SAGE; MEDLINE
subjects Adaptation, Psychological
Adolescent
Biological and medical sciences
Child
Cleft Lip - psychology
Cleft Palate - psychology
Cross-Sectional Studies
Deformities
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Life Change Events
Male
Medical sciences
Mothers - psychology
Non tumoral diseases
Otorhinolaryngology. Stomatology
Parents & parenting
Patient Satisfaction
Psychology, Adolescent
Studies
Surveys and Questionnaires
Teenagers
title Coping with a Cleft II: Factors Associated with Psychosocial Adjustment of Adolescents with a Cleft Lip and Palate and Their Parents
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