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- Title
Psychosocial Outcomes in Children With and Without Non-Syndromic Craniosynostosis: Findings From Two Studies.
- Authors
Cloonan, Yona K.; Collett, Brent; Speltz, Matthew L.; Anderka, Marlene; Werler, Martha M.
- Abstract
Objective: To evaluate the hypothesis that children with craniosynostosis and their parents have differences in psychosocial outcomes, as compared with an unaffected control group. Design: Two studies were conducted, both which followed children born with and without craniosynostosis. Study 1 ascertained affected children from clinics, and study 2 ascertained affected children from a population-based study of birth defects. Participants: Study 1 included 22 children with single-suture craniosynostosis and 18 controls, ages 4 to 5 years. Study 2 included 24 children with nonsyndromic craniosynostosis and 124 unaffected controls, ages 5 to 9 years. Main Outcome Measures: Outcome measures included the Child Behavior Checklist, Social Competence Scale, Pediatric Quality of Life Inventory, and Parenting Stress Index. Results: We observed lower scores on measures of health-related quality of life in cases versus controls, with adjusted effect sizes ranging from -0.72 to -0.44 (p < .05) on summary measures. Small but statistically nonsignificant increases in behavioral problems were observed in cases versus controls, with no apparent differences in social competence or parenting stress. Conclusions: Results provide preliminary evidence suggesting that children with nonsyndromic craniosynostosis may have elevated risk for psychosocial difficulties, particularly health-related quality of life. Continued follow-up through preadolescence and adolescence is warranted.
- Subjects
CRANIOSYNOSTOSES; ATTITUDE testing; CHILD Behavior Checklist; CONFIDENCE intervals; HEALTH outcome assessment; QUALITY of life; REGRESSION analysis; RESEARCH funding; TREATMENT effectiveness; CASE-control method; DESCRIPTIVE statistics; PSYCHOLOGY
- Publication
Cleft Palate Craniofacial Journal, 2013, Vol 50, Issue 4, p406
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1597/11-074