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Psychosocial functioning and sleep patterns in children and adolescents with cleft lip and palate (CLP) compared with

Serge Brand1, Anja Blechschmidt, Andreas Müller

  • 1Psychiatric University Clinics, Sleep Medicine and Neurophysiology, Basel, Switzerland. serge.brand@upkbs.ch

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|March 4, 2009
PubMed

Insights

Children and adolescents with cleft lip and palate (CLP) showed no differences in psychological issues but had more interaction difficulties. Sleep patterns were similar, though psychosocial strain impacted sleep.

Area of Science:

  • Pediatric Psychology
  • Developmental Psychology
  • Craniofacial Anomalies Research

Background:

  • Cleft lip and palate (CLP) can impact psychosocial development and well-being.
  • Limited research exists on the specific psychological functioning, interactional skills, and sleep patterns in children and adolescents with CLP compared to controls.

Purpose of the Study:

  • To assess psychological functioning, interactional competencies, and sleep patterns in children and adolescents with cleft lip and palate (CLP).
  • To compare these outcomes with age- and gender-matched controls.
  • To investigate potential associations between CLP and difficulties in these domains.

Main Methods:

  • A cohort of 32 children and adolescents with CLP and 34 controls (ages 6-16) participated.
  • Psychosocial assessment utilized the Strength and Difficulties Questionnaire (SDQ) and PIELCQ.
  • Sleep patterns were monitored using a 7-night sleep log.

Main Results:

  • No significant differences were found in emotional problems, conduct issues, or hyperactivity between groups.
  • Participants with CLP were six times more likely to report difficulties with interactional competencies.
  • Unfavorable sleep patterns correlated with psychosocial strain, not directly with CLP presence.

Conclusions:

  • Children and adolescents with CLP do not inherently have more sleep irregularities than controls.
  • The presence of CLP may be linked to increased interactional difficulties, particularly in adolescence.
  • Skill training to enhance social competencies may benefit adolescents with CLP.
Abstract

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