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Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma

Marije van Dalen1, Mireille M Hermans2, Willem H Leemreis1

  • 1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC Sophia Children's Hospital, University Medical Center Rotterdam, the Netherlands.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|July 23, 2021
PubMed

Insights

Parents reported fewer emotional and behavioral problems in children with cleft lip (CL ± P) or infantile hemangioma (IH) than expected. Condition visibility did not impact problems, but parental affect was linked to internalizing issues.

Area of Science:

  • Pediatric Psychology
  • Developmental Psychology
  • Medical Sociology

Background:

  • Children with visible differences, such as cleft lip (CL ± P) or infantile hemangioma (IH), may face emotional and behavioral challenges.
  • Understanding these challenges is crucial for providing appropriate support.

Purpose of the Study:

  • To investigate emotional and behavioral problems in children with CL ± P or IH.
  • To examine the influence of condition visibility, related issues, and parental affect on these problems.

Main Methods:

  • Cross-sectional study conducted at a Dutch academic medical hospital.
  • 309 parents of children aged 1.5–12 years with CL ± P or IH completed questionnaires.
  • Parental reports on child emotional and behavioral problems were compared to normative data.

Main Results:

  • Parents reported fewer child problems than normative data, mainly related to learning difficulties.
  • Condition visibility did not significantly influence reported problems.
  • Parental negative affect correlated with child internalizing problems.

Conclusions:

  • Reported child problems were lower than expected, contradicting previous research.
  • Potential explanations include protective parenting, parental response shifts, or delayed problem onset.
  • Further research is needed to understand these discrepancies.
Abstract

Keywords:
capillary hemangiomachild behaviorcleft lipvascular malformationsvascular tissue neoplasmsvisible differences

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