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Risk and protective factors for psychological distress in families following a diagnosis of cleft lip and/or palate

Stock, NM; Costa, B; White, P; Rumsey, N

Authors

Paul White Paul.White@uwe.ac.uk
Associate Professor in Applied Statistics



Abstract

Objectives: Despite the potential psychological impact of a diagnosis of cleft lip and/or palate (CL/P) on parents, few large-scale studies currently exist. Utilising data extracted from The Cleft Collective Birth Cohort Study, the current study aimed to examine the psychological impact of the diagnosis on parent and family functioning, and to identify risk and/or protective factors contributing to parental adjustment in order to inform future psychological intervention.

Methods: Parent-reported questionnaire data were extracted for 1,163 parents (644 mothers and 519 fathers). Outcome measures included the PedsQL-Family Impact Module, the Perceived Stress Scale, the Hospital Anxiety and Depression Scale, and a condition-specific tool designed by the Psychology Clinical Excellence Network.

Results: Overall, findings suggest that parents adjust well to the diagnosis. Factors found to be protective against psychological distress for both mothers and fathers included a positive life orientation, satisfaction with healthcare, and relationship satisfaction. Close friendships were also protective against depression in mothers. Risk factors for mothers included the presence of a prior mental health condition, and stressful life events during pregnancy. Risk factors for fathers included being older at the time of conception, and recently being absent from work.

Conclusions: Findings suggest a need for appropriate psychological screening of both parents following a diagnosis of CL/P and emphasise the importance of coordinated multidisciplinary care for psychological health. Preventative models of intervention to strengthen familial relationships and build resilience require further investigation.

Journal Article Type Article
Journal Cleft Palate-Craniofacial Journal
Print ISSN 1055-6656
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Institution Citation Stock, N., Costa, B., White, P., & Rumsey, N. (in press). Risk and protective factors for psychological distress in families following a diagnosis of cleft lip and/or palate. Cleft Palate-Craniofacial Journal, https://doi.org/10.1177/1055665619862457
DOI https://doi.org/10.1177/1055665619862457
Keywords cleft lip and palate, cohort study, parental wellbeing, family resilience, The Cleft Collective, visible difference
Additional Information Additional Information : © 2019. Reprinted by permission of SAGE Publications

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