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الرئيسية > Psychosocial Impacts of Cleft...>الوصف

Psychosocial Impacts of Cleft Lip and Palate in Adolescents and Adults : A Systematic Review

المؤلف الرئيسي: Al Khunaizi, Yosra (Author)
مؤلفين آخرين: Baker, Sarah (Advisor)
التاريخ الميلادي: 2013
موقع: شفيلد
الصفحات: 1 - 130
رقم MD: 752121
نوع المحتوى: رسائل جامعية
اللغة: الإنجليزية
الدرجة العلمية: رسالة ماجستير
الجامعة: University of Sheffield
الكلية: School of Clinical Dentistry
الدولة: بريطانيا
قواعد المعلومات: +Dissertations
مواضيع:
المراهقين
أمراض الفم
مشقوق الشفة
رابط المحتوى:
صفحة العنوان     
المستخلص     
قائمة المحتويات     
24 صفحة الأولى     

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المستخلص: Objective: The primary purpose of the current review was to update the systematic review of (Hunt et al., 2005) by systematically searching for the latest scientific evidence relating to adults and adolescents with CLP. In addition, this review included studies relating to health-related quality of life in CL/P, which was not included in the original review. Methods: An updated search of the literature from January 2004 until the 4th week of October 2012 was completed using the databases Medline, PsycINFO, PubMed, and Web of Science. Results: A total of 961 abstracts were initially identified through the search. From these abstracts, 16 papers were found to be suitable for full review. These 16 papers included studies with CLP patients living in ten countries with sample sizes ranging from 9 to 196 participants. The studies were cross-sectional, case-controlled, longitudinal, or randomized controlled in nature. The study’s results show that CLP adults receiving maxillary distraction surgery were significantly more satisfied with their lives compared to the non-cleft control group. Adolescents with Visible cleft had significantly more positive views of friendship and less distress compared to control group. BCLP and UCLP individuals were significantly less content with facial appearance in comparison to non-cleft control group. There were no significant age or sex differences in the CLP sample’s SF-36 and OHIP-14 scores. Participants with UCLP showed lower value in the mental health subscales than in the norm data. Younger age groups with UCLP consistently had greater negative differences to matched norm data than older age groups in social function subscales, emotional role function, and physical role function.

Conclusions: Findings of the studies showed that the majority of CLP individuals including adolescents and adults have not reported psychological problems above that of normative data. However, some evidence implied that individuals may face psychosocial difficulties as a result of having CLP. Examples of these difficulties included problems reklated to satisfaction with facial appearance, self-esteem, and anxiety. Additionally, some evidence showed positive correlations between patients’ satisfaction for facial esthetics and improvement in self-esteem and satisfaction with life and lower in social distress and anxiety and improves in health related QoL. Furthermore, health-related quality of life as measured by the SF-36 among adults with repaired CLP was similar to that of normative data. Though, a few differences were found in UCLP subjects. The variations were found between women and men, and among different age groups. Little evidence showed that the age of CLP population influences the presence of psychological problems. However, due to the limited number of studies in the present review together with heterogeneity of the studies and lack of uniformity, a future review is recommended for understanding of the psychosocial problems of CLP individuals. Furthermore, it is important to include longitudinal studies with a wide range of age and mixed types of clefts based on a higher quality of evidence in future systematic reviews.

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