Oral clefts and behavioral health of young children

G L Wehby; M C Tyler; S Lindgren; P Romitti; J Robbins; P Damiano

doi:10.1111/j.1601-0825.2011.01847.x

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Oral clefts and behavioral health of young children

Journal article

Open access

Peer reviewed

Oral clefts and behavioral health of young children

G L Wehby, M C Tyler, S Lindgren, P Romitti, J Robbins and P Damiano

Oral diseases, Vol.18(1), pp.74-84

01/2012

DOI: 10.1111/j.1601-0825.2011.01847.x

PMCID: PMC3243788

PMID: 21883709

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https://www.ncbi.nlm.nih.gov/pmc/articles/3243788View

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Abstract

This study examined the behavioral health of young children with oral clefts, and effects of satisfaction with facial appearance, cleft team care, number of cleft-related surgeries, and socioeconomic status (SES). The study included a population-based sample of 104 children aged 2-12 years with isolated oral clefts from the state of Iowa. Behavior was evaluated with the Child Behavior Checklist or the Pediatric Behavior Scale 30, depending on age, compared with normative samples. Risks of behavioral problems were not significantly different from normative samples except for higher inattention/hyperactivity risks at age 6-12 years. Low satisfaction with facial appearance was associated with behavioral problems in all domains, except aggression. Team-care effects were not associated with behavioral problems. Number of cleft-related surgeries was associated with increased anxiety/depression and somatic symptom risks. Higher SES was associated with reduced inattention/hyperactivity, aggressive/oppositional behavior, and somatic symptoms. Most children with oral clefts may have similar behavioral health outcomes to unaffected children, except for increased inattention/hyperactivity risks at older ages. However, low satisfaction with facial appearance, increased exposure to surgeries, and lower SES may significantly increase behavioral problems. Also, the findings emphasize the need to study the representation of behavioral health professionals on cleft teams and access to behavioral health care.

Child Behavior Disorders - psychology

Cleft Lip - psychology

Humans

Child, Preschool

Patient Care Team

Aggression - psychology

Mothers

Case-Control Studies

Oral Surgical Procedures - psychology

Social Class

Child Behavior Disorders - etiology

Cleft Palate - psychology

Depression - etiology

Iowa

Child Behavior

Speech Disorders - etiology

Self Concept

Attention Deficit Disorder with Hyperactivity - etiology

Cleft Palate - complications

Cleft Lip - complications

Odds Ratio

Child

Anxiety - etiology

Details

Title: Subtitle: Oral clefts and behavioral health of young children
Creators: G L Wehby - Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA 52242, USA. george-wehby@uiowa.edu
M C Tyler
S Lindgren
P Romitti
J Robbins
P Damiano
Resource Type: Journal article
Publication Details: Oral diseases, Vol.18(1), pp.74-84
DOI: 10.1111/j.1601-0825.2011.01847.x
PMID: 21883709
PMCID: PMC3243788
NLM abbreviation: Oral Dis
ISSN: 1354-523X
eISSN: 1601-0825
Publisher: Denmark
Grant note: R03 DE018394-02 / NIDCR NIH HHS P60 DE-13076 / NIDCR NIH HHS U50 ⁄CCU 7132380 / PHS HHS R01 DE020895 / NIDCR NIH HHS R03 DE018394 / NIDCR NIH HHS 5 R01 DE020895 / NIDCR NIH HHS P60 DE013076-05 / NIDCR NIH HHS P60 DE013076 / NIDCR NIH HHS 1 R03 DE018394 / NIDCR NIH HHS
Language: English
Date published: 01/2012
Academic Unit: Preventive and Community Dentistry; Health Management and Policy; Stead Family Department of Pediatrics; Epidemiology; Economics; Biostatistics; Public Policy Center (Archive); University College Courses
Record Identifier: 9983917769502771

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