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Self-Reports of Psychosocial Functioning among Children and Young Adults with Cleft Lip and Palate

Hunt, Orlagh, Burden, Donald, Hepper, Peter, Stevenson, Mike, Johnston, Chris·2006·The Cleft Palate Craniofacial Journal

Abstract

Objective: A cross-sectional study was employed to determine the psychosocial effects of cleft lip and/or palate among children and young adults, compared with a control group of children and young adults without cleft lip and palate. Participants: The study comprised 160 children and young adults with cleft lip and/or palate and 113 children and young adults without cleft lip and/or palate. All participants were between 8 and 21 years of age. Outcome measures: Psychological functioning (anxiety, self-esteem, depression, and behavioral problems) was assessed using validated psychological questionnaires. Happiness with facial appearance was rated using a visual analog scale. Social functioning, including experience of teasing/bullying and satisfaction with speech, was assessed using a semistructured interview. Results: Participants with cleft lip and/or palate reported greater behavioral problems (p < .001) and more symptoms of depression (p < .01); they were teased more often (p < .001) and were less happy with their facial appearance (p < .01) and speech (p < .001), compared with controls. There were no significant difference between subjects with cleft lip and/or palate and subjects without cleft lip and/or palate in terms of anxiety (p > .05) or self-esteem (p > .05). Having been teased was a significant predictor of poor psychological functioning, more so than having a cleft lip and/or palate per se (p < .001). Conclusions: Teasing was greater among participants who had cleft lip and/ or palate and it was a significant predictor of poorer psychosocial functioning. Children and young adults with cleft lip and/or palate require psychological assessment, specifically focusing on their experience of teasing, as part of their routine cleft care.

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Metadata

Authors
Hunt, O., Burden, D., Hepper, P., Stevenson, M., & Johnston, C.
Venue
The Cleft Palate Craniofacial Journal
Published
2006-09
Volume
43
Issue
5
Pages
598-605
ISSN
  • 1055-6656 (ISSN-L)
  • 1545-1569
OpenAlex
W2127584483
Cited by
267
References
4
FWCI
1.51
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Self-Reports of Psychosocial Functioning among Children and Young Adults with Cleft Lip and Palate. https://app.cochat.ai/papers/10.1597/05-080
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Hunt, O., Burden, D., Hepper, P., Stevenson, M., & Johnston, C. (2006). Self-Reports of Psychosocial Functioning among Children and Young Adults with Cleft Lip and Palate. The Cleft Palate Craniofacial Journal. https://doi.org/10.1597/05-080

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