Social Interaction Patterns of Children and Adolescents with and without Oral Clefts during a Videotaped Analogue Social Encounter

Slifer, Keith J.; Amari, Adrianna; Diver, Tanya; Hilley, Lisa; Beck, Melissa; Kane, Alana; Mcdonnell, Sharon

doi:10.1597/02-084

Cited by 34 publications

(26 citation statements)

References 36 publications

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“…No differences between personality ratings given to children with clefts vs controls Slifer et al (2004) Children w/CLP (n = 23), CPO (n = 5), CLO (n = 6), and healthy controls (n = 34) …”

Section: Summary and Critiquementioning

confidence: 96%

“…interviewed children about hypothetical social encounters and found that those with CFAs gave fewer "friendly"responses than did controls. In a recent observational study, Slifer et al (2004) found that children with clefts were less likely than controls to state a choice/preference during social interaction and to answer a peer's questions. The authors suggest that these features may reflect a passive and selfconscious pattern of interaction.…”

Section: Kappmentioning

confidence: 99%

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Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Collett

Speltz

2006

Infants & Young Children

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Children with orofacial clefts are believed to have distinctly elevated risk for a variety of adverse social-emotional outcomes including behavior problems, poor self-concept, and parent-child relationship difficulties. This assumption has been based primarily on theories of facial appearance and social bias, a handful of empirical studies, and clinical impressions. Studies of these children have been limited by methodological problems such as diagnostic heterogeneity, ascertainment bias, and absent or poorly matched control groups. In an attempt to address at least some of these methodological problems, the longitudinal research described in this article examined the developmental course of infants with unilateral cleft lip & palate (CLP) and cleft palate only (CPO). We followed these infants to age 7, with ongoing comparisons to a demographically matched group of typical children. Outcome measures targeted child attachment, maternal/child interaction during feeding and teaching tasks, parent satisfaction with surgical outcomes, parent and teacher behavior rating scales, and child self-concept and behavioral adaptation. Although our findings have provided limited support for the hypothesis that infants and young children with CLP/CPO are at greater risk for social-emotional problems than their peers, we have found that among infants with clefts, early assessment can predict subsequent social-emotional outcomes. In this article, we review theory and data in this area of study, summarize our longitudinal findings, describe our success and failures with respect to methodological rigor, and discuss emerging research and areas for further inquiry.

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“…No differences between personality ratings given to children with clefts vs controls Slifer et al (2004) Children w/CLP (n = 23), CPO (n = 5), CLO (n = 6), and healthy controls (n = 34) …”

Section: Summary and Critiquementioning

confidence: 96%

Section: Kappmentioning

confidence: 99%

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Collett

Speltz

2006

Infants & Young Children

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“…Cleft lip and palate patients are more concerned with visible defects than with functional problems. However, keeping in mind that patients with repaired cleft lip and palate malformations feel as socially accepted as do peers without such malformations this low number of patients who decided to have corrective surgery is not surprising [19]. In addition, there are studies that show that patients with cleft lip and palate malformations seem to be relatively satisfied with their body image [8].…”

Section: Discussionmentioning

confidence: 99%

Do cleft lip and palate patients opt for secondary corrective surgery of upper lip and nose, frequently?

et al. 2013

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PurposeThis prospective study was aimed at assessing cleft lip and palate (CLP) patients’ opinions and attitudes towards their upper lip and nose and the number of secondary corrective surgical interventions electively undertaken to upper lip and nose that were carried out during a 2 year follow-up period.Materials and methodsDuring a 2 year follow-up period CLP outpatients were recruited for the study who attended follow-up examinations at a cleft lip and palate craniofacial center and received a recommendation for secondary corrective facial surgery. The participants filled in a questionnaire that included questions regarding the patients’ opinions and attitudes towards appearance of lip and nose and need for secondary corrective facial surgery. During an additional interval of 2 years the rate of patients who underwent secondary corrective surgery to lip and nose was documented.ResultsOut of 362 CLP patients 37 (mean age 13.6 ± 7.6 years) received a recommendation for secondary corrective surgery to upper lip and/or nose. 22 patients (mean age 12.6 ± 6.3 years) filled in the questionnaire (response rate of 62.1%). The satisfaction with the overall facial appearance following the first corrective operation was statistically significantly better than the satisfaction with the nose (p = .016). The satisfaction with facial symmetry (5.6 ± 2.0) did not differ statistically significantly from the overall satisfaction with the facial appearance (6.2 ± 1.8; p = .093). Significantly fewer patients (n = 9) opted for corrective surgery compared to the number of patients who got the recommendation to have secondary corrective surgery done (n = 22, p < .0005).ConclusionsThe findings of the present study may reflect a high overall patient satisfaction with the primary treatment outcome following surgery for CLP. Perceived patient need for secondary operation for the lip/nose may be as low as 5%.

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“…However, the data on psychosocial problems in this population are mixed (Slifer et al, 2004). For instance, a thorough review of the literature on psychosocial functioning in ICLP concluded that self-esteem is high among individuals with ICLP (Hunt et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Social motivation in individuals with isolated cleft lip and palate

Plas

Koscik

Conrad

et al. 2013

Journal of Clinical and Experimental Neuropsychology

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Social isolation is common among individuals with isolated cleft lip and palate (ICLP), but the available data on why this may be are mixed. We present a novel theory relating to reduced social motivation in ICLP, called the social abulia hypothesis. Based on this hypothesis, we predicted that reduced social motivation would lead to reduced responsiveness to negative social feedback, both in terms of explicit responses and non-controlled, psychophysiological responses. Twenty males with ICLP and 20 normal comparison males (NC group) between 13 and 25 years old participated in the study. Social motivation was examined by measuring participants’ response to negative social feedback (social exclusion). Additionally, psychophysiological reactivity to positive and negative social stimuli was measured. In order to rule out other potential contributors to social isolation, we tested basic social perception, emotion recognition, and social anxiety. In line with the social abulia hypothesis, we show that negative social feedback had less of an effect on males with ICLP relative to healthy male peers, which was evident in explicit responses, and non-controlled, psychophysiological responses to negative social feedback. Our results could not be attributed to problems in social perception, a lack of understanding facial expressions, or increased social anxiety, as groups did not differ on these constructs. This study suggests that current views on social isolation in ICLP may need to be reconsidered to include the possibility that isolation in this population may be the direct result of reduced social motivation.

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Social Interaction Patterns of Children and Adolescents with and without Oral Clefts during a Videotaped Analogue Social Encounter

Abstract: Differing patterns of overt social behavior as well as parent and self-perception can be measured between children with and without oral clefts. Such results may be helpful in developing interventions to enhance social skills and parent/child adjustment.

Cited by 34 publications

References 36 publications

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Social-Emotional Development of Infants and Young Children With Orofacial Clefts

Do cleft lip and palate patients opt for secondary corrective surgery of upper lip and nose, frequently?

Social motivation in individuals with isolated cleft lip and palate

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