Prevalence and Factors Associated with Behavioral Problems in 5-Year-Old Children Born with Cleft Lip and/or Palate from the Cleft Collective.
| Autor: | Berman, Samantha, Sharp, Gemma C., Lewis, Sarah J., Blakey, Rachel, Davies, Amy, Humphries, Kerry, Wren, Yvonne, Sandy, Jonathan R., Stergiakouli, Evie |
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| Předmět: |
HYPERKINESIA
SCIENTIFIC observation PSYCHOLOGY of mothers AGE distribution CLEFT palate HEALTH status indicators CLEFT lip BEHAVIOR disorders BEHAVIOR disorders in children RISK assessment INCOME SOCIAL security DISEASE prevalence QUESTIONNAIRES QUALITY of life RESEARCH funding ODDS ratio FAMILY relations SMOKING SOCIODEMOGRAPHIC factors PSYCHOLOGICAL stress MOTHER-child relationship EDUCATIONAL attainment PSYCHOSOCIAL factors CHILDREN |
| Zdroj: | Cleft Palate Craniofacial Journal; Jan2024, Vol. 61 Issue 1, p40-51, 12p |
| Abstrakt: | Objectives: To determine the UK prevalence of behavioral problems in 5-year-old children born with isolated or syndromic cleft lip and/or palate (CL/P) compared to the general population and identify potentially associated factors. Design: Observational study using questionnaire data from the Cleft Collective 5-Year-Old Cohort study and three general population samples. Main Outcome Measure: The Strengths and Difficulties Questionnaire (SDQ). Participants: Mothers of children (age: 4.9-6.8 years) born with CL/P (n = 325). UK general population cohorts for SDQ scores were: Millennium Cohort Study (MCS) (n = 12 511), Office of National Statistics (ONS) normative school-age SDQ data (n = 5855), and Avon Longitudinal Study of Parents and Children (ALSPAC) (n = 9386). Results: By maternal report, 14.2% of children born with CL/P were above clinical cut-off for behavioral problems, which was more likely than in general population samples: 7.5% of MCS (OR = 2.05 [1.49-2.82], P < 0.001), 9.8% of ONS (OR = 1.52 [1.10-2.09], P = 0.008), and 6.6% of ALSPAC (OR = 2.34 [1.70-3.24], P < 0.001). Children in the Cleft Collective had higher odds for hyperactivity, emotional and peer problems, and less prosocial behaviors. Maternal stress, lower maternal health-related quality of life and family functioning, receiving government income support, and maternal smoking showed evidence of association (OR range: 4.41-10.13) with behavioral problems, along with maternal relationship status, younger age, and lower education (OR range: 2.34-3.73). Conclusions: Findings suggest elevated levels of behavioral problems in children born with CL/P compared to the general population with several associated maternal factors similar to the general population. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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