Coping With a Cleft II: Factors Associated With Psychosocial Adjustment of Adolescents With a Cleft Lip and Palate and Their Parents
Coping With a Cleft II: Factors Associated With Psychosocial Adjustment of Adolescents With a Cleft Lip and Palate and Their Parents
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DOI：
10.1597/08-094
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发表时间：
2011-01-01
期刊：
影响因子：
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通讯作者：
Dalton, Louise J.
中科院分区：
文献类型：
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作者：
Berger, Zoe E.;Dalton, Louise J.
目的：探讨影响腭裂青少年及其父母心理社会适应的因素。设计，参与者，环境：该研究采用横断面邮政问卷设计，涉及11至16岁的年轻人及其来自两个唇腭裂服务的父母。提供了91名青少年及其母亲的数据。主要结果测量：参与者完成了心理适应、应对、社会经历、外貌满意度、生活压力事件、唇裂相关因素和人口统计信息的测量。结果：青少年的社会经历和母亲幸福感对其心理社会适应具有预测作用。对外表的满意度、言语问题的感知和回避应对策略的使用也是影响其适应的重要因素。对于母亲来说，除了孩子的听力问题和经历过的压力生活事件的数量之外，还可以通过使用诸如自责、发泄和接受等应对策略来预测调整。结论：本研究探讨了适应、应对、外貌满意度与产妇心理健康的关系。概述了未来研究的方向，并讨论了有关为这一年龄组及其家庭提供及时干预措施的腭裂服务的一些机遇和挑战。
Objective: To explore the factors that predict psychosocial adjustment in young people with a cleft and their parents.Design, Participants, Setting: The study used a cross-sectional postal questionnaire design involving young people aged between 11 and 16 and their parents from two cleft services. Data are presented for 91 adolescents and their mothers.Main Outcome Measures: Participants completed measures of psychological adjustment, coping, social experiences, satisfaction with appearance, stressful life events, cleft-related factors, and demographic information.Results: Psychosocial adjustment in adolescents was predicted by their social experiences and maternal well-being. Satisfaction with appearance, perceived speech problems, and the use of avoidant coping strategies were also important factors relating to their adjustment. For mothers, adjustment was predicted by use of coping strategies such as self-blame, venting, and acceptance, in addition to perceived problems with their child's hearing and the number of stressful life events experienced.Conclusions: The findings are discussed in relation to the concepts of adjustment, coping, satisfaction with appearance, and maternal mental health. Directions for future research are outlined, and a number of opportunities and challenges for cleft services regarding the provision of timely interventions for this age group and their families are discussed.