Psychiatric assessment of children with nonsyndromic cleft lip and palate
General Hospital Psychiatry, cilt.33, sa.6, ss.594-603, 2011 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 6
- Basım Tarihi: 2011
- Doi Numarası: 10.1016/j.genhosppsych.2011.06.006
- Dergi Adı: General Hospital Psychiatry
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
- Sayfa Sayıları: ss.594-603
- Anahtar Kelimeler: Psychiatric assessment, Cleft lip and palate, Children and adolescents, Social anxiety, Depression
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The aim of the study was to determine whether children with nonsyndromic cleft lip and palate (NSCLP) are more likely to be diagnosed with psychiatric disorders and whether cleft-related factors are related to psychopathology. Method: Twenty children from 6 to 16 years of age with NSCLP, attending the Plastic, Reconstructive and Aesthetic Surgery Department of Cerrahpasa Medical Faculty between January and October 2010, were included as the case group. Forty healthy children who were matched on age and sex with the case group served as controls. Children were assessed by psychiatric interviews and scales. Results: Social anxiety disorder (SAD) (P=003) and major depressive disorder (MDD) (P=010) were more prevalent in children with NSCLP. The severity of dentofacial (P=035) and cleft lip nose deformities (P=002), appearance and competence of the lip (P=008), dental alignment (P=002), feeding (P=044) and articulation problems (P<.001) were associated with clinical global functioning. Conclusions: Children with NSCLP are at risk of developing psychopathology, especially SAD and MDD. The above cleft-related factors and articulation problems may be the target of interventions to prevent and treat psychiatric disorders in these children. © 2011 Elsevier Inc.