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

Marije van Dalen; Mireille M Hermans; Willem H Leemreis; Vivian Kraaij; P.C.J. de Laat; Suzanne G M A Pasmans; Sarah L Versnel; Maarten J Koudstaal; Manon H J Hillegers; Lisbeth Utens; J.M.E. Okkerse

doi:10.1177/10556656211031411

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

Marije van Dalen, Mireille M Hermans, Willem H Leemreis, Vivian Kraaij, P.C.J. de Laat, Suzanne G M A Pasmans, Sarah L Versnel, Maarten J Koudstaal, Manon H J Hillegers, Lisbeth Utens, J.M.E. Okkerse^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

OBJECTIVE: Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL ± P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect.

SETTING: This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children's Hospital, the Netherlands.

PARTICIPANTS: A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL ± P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old.

RESULTS: Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures.

CONCLUSIONS: Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.

Original language	English
Pages (from-to)	S74-S83
Journal	Cleft Palate-Craniofacial Journal
Volume	59
Issue number	4_suppl2
DOIs	https://doi.org/10.1177/10556656211031411
Publication status	Published - Apr 2022

Bibliographical note

Funding Information:
First, we thank Prof. Dr Oranje, the initiator of the present study who regretfully passed away during the writing of this article. Furthermore, we thank Gerard Madern, Claartje Plaisier, and Ditta van Dijk for their collaboration in the study design and data gathering. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by “Stichting In Face”.

Publisher Copyright:
© 2021, American Cleft Palate-Craniofacial Association.

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Cite this

van Dalen, M., Hermans, M. M., Leemreis, W. H., Kraaij, V., de Laat, P. C. J., Pasmans, S. G. M. A., Versnel, S. L., Koudstaal, M. J., Hillegers, M. H. J., Utens, L., & Okkerse, J. M. E. (2022). Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma. Cleft Palate-Craniofacial Journal, 59(4_suppl2), S74-S83. https://doi.org/10.1177/10556656211031411

@article{b147d8922bc34cc6b3cd75d58b80be02,

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

abstract = "OBJECTIVE: Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL ± P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect.SETTING: This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children's Hospital, the Netherlands.PARTICIPANTS: A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL ± P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old.RESULTS: Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures.CONCLUSIONS: Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.",

author = "{van Dalen}, Marije and Hermans, {Mireille M} and Leemreis, {Willem H} and Vivian Kraaij and {de Laat}, P.C.J. and Pasmans, {Suzanne G M A} and Versnel, {Sarah L} and Koudstaal, {Maarten J} and Hillegers, {Manon H J} and Lisbeth Utens and J.M.E. Okkerse",

note = "Funding Information: First, we thank Prof. Dr Oranje, the initiator of the present study who regretfully passed away during the writing of this article. Furthermore, we thank Gerard Madern, Claartje Plaisier, and Ditta van Dijk for their collaboration in the study design and data gathering. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by “Stichting In Face”. Publisher Copyright: {\textcopyright} 2021, American Cleft Palate-Craniofacial Association.",

year = "2022",

month = apr,

doi = "10.1177/10556656211031411",

language = "English",

volume = "59",

pages = "S74--S83",

number = "4_suppl2",

}

van Dalen, M , Hermans, MM, Leemreis, WH, Kraaij, V, de Laat, PCJ , Pasmans, SGMA , Versnel, SL, Koudstaal, MJ, Hillegers, MHJ , Utens, L & Okkerse, JME 2022, 'Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma', Cleft Palate-Craniofacial Journal, vol. 59, no. 4_suppl2, pp. S74-S83. https://doi.org/10.1177/10556656211031411

TY - JOUR

T1 - Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma

AU - van Dalen, Marije

AU - Hermans, Mireille M

AU - Leemreis, Willem H

AU - Kraaij, Vivian

AU - de Laat, P.C.J.

AU - Pasmans, Suzanne G M A

AU - Versnel, Sarah L

AU - Koudstaal, Maarten J

AU - Hillegers, Manon H J

AU - Utens, Lisbeth

AU - Okkerse, J.M.E.

N1 - Funding Information: First, we thank Prof. Dr Oranje, the initiator of the present study who regretfully passed away during the writing of this article. Furthermore, we thank Gerard Madern, Claartje Plaisier, and Ditta van Dijk for their collaboration in the study design and data gathering. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by “Stichting In Face”. Publisher Copyright: © 2021, American Cleft Palate-Craniofacial Association.

PY - 2022/4

Y1 - 2022/4

N2 - OBJECTIVE: Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL ± P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect.SETTING: This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children's Hospital, the Netherlands.PARTICIPANTS: A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL ± P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old.RESULTS: Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures.CONCLUSIONS: Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.

AB - OBJECTIVE: Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL ± P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect.SETTING: This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children's Hospital, the Netherlands.PARTICIPANTS: A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL ± P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old.RESULTS: Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures.CONCLUSIONS: Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.

UR - http://www.scopus.com/inward/record.url?scp=85111149834&partnerID=8YFLogxK

U2 - 10.1177/10556656211031411

DO - 10.1177/10556656211031411

M3 - Article

C2 - 34293942

SN - 1055-6656

VL - 59

SP - S74-S83

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

IS - 4_suppl2

ER -

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

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