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CLEFT LIP AND PALATE IN ADOLESCENCE IDENTIFYING VARIABLES RELATING TO PSYCHOSOCIAL CONCERNS

Persson, Martin LU (2007) In Lund University Faculty of Medicine Doctoral Dissertation Series 2007:139.
Abstract
In study I, 55 adolescents with cleft lip and palate and 31 adolescents without cleft filled out two questionnaires: the Tennessee Self-Concept Scale to assess self-concept, and the Eysenck Personality Questionnaire Inventory to assess the degree of introversion. In studies II & III, data regarding physical characteristic and general intellectual capacity were obtained from the Swedish National Service Enrolment Register for the years 1991-97. Data concerned 335 men with cleft lip with or without clef palate and 88 with cleft palate. They were compared with a control group of 272 879 men without cleft. In study IV, data regarding academic achievement at the time of leaving compulsory education were obtained by linking the Swedish... (More)
In study I, 55 adolescents with cleft lip and palate and 31 adolescents without cleft filled out two questionnaires: the Tennessee Self-Concept Scale to assess self-concept, and the Eysenck Personality Questionnaire Inventory to assess the degree of introversion. In studies II & III, data regarding physical characteristic and general intellectual capacity were obtained from the Swedish National Service Enrolment Register for the years 1991-97. Data concerned 335 men with cleft lip with or without clef palate and 88 with cleft palate. They were compared with a control group of 272 879 men without cleft. In study IV, data regarding academic achievement at the time of leaving compulsory education were obtained by linking the Swedish Medical Birth Register for the years 1973-86 with the Swedish School Grade Register. Data concerned 651 individuals with cleft lip, 830 with cleft lip and palate, and 511 with cleft palate. They were compared with a control group consisting of 1 249 404 individuals without cleft.



In summary, we found that adolescents with cleft seem to have a normal to high self-concept without an accentuated degree of introversion (I). A cleft influences body dimensions, particularly in the cleft palate group where weight, statue, and muscle strength (II) showed lowered values, this may be correlated to their reduced achievement in physical education at school (IV). The general intellectual capacity (III) supports other studies that individuals with cleft palate have certain cognitive difficulties while the academic achievement (IV) indicated that adolescents with cleft experience difficulties in their educational achievements. (Less)
Abstract (Swedish)
Popular Abstract in Swedish

Det kan finnas en risk för att enskilda individer med läpp-käk-gomsplalt (LKG) kan möta problem ur psykosocial synpunkt som en konsekvens av den medfödda avvikelsen. LKG är en av de vanligaste medfödda avvikelserna och sett ut den synpunkten synes det viktigt att närmre undersöka detta antagande. Detta leder till den viktiga frågan om det är LKG-spalten som sådan som är avgörande eller om det även



finns andra faktorer i bilden som spelar roll. Även om psyklogiska och funktionella aspekter som är direkt relaterade till spalten kan vara viktiga, så valde vi att inom föreliggande arbete också belysa andra faktorer som skulle kunna bidra till en försvårad anpassning ur psykosocial... (More)
Popular Abstract in Swedish

Det kan finnas en risk för att enskilda individer med läpp-käk-gomsplalt (LKG) kan möta problem ur psykosocial synpunkt som en konsekvens av den medfödda avvikelsen. LKG är en av de vanligaste medfödda avvikelserna och sett ut den synpunkten synes det viktigt att närmre undersöka detta antagande. Detta leder till den viktiga frågan om det är LKG-spalten som sådan som är avgörande eller om det även



finns andra faktorer i bilden som spelar roll. Även om psyklogiska och funktionella aspekter som är direkt relaterade till spalten kan vara viktiga, så valde vi att inom föreliggande arbete också belysa andra faktorer som skulle kunna bidra till en försvårad anpassning ur psykosocial synpunkt för den enskilde. Följande studier genomfördes därför:



I studie I fyllde 55 ungdomar (17 till 20 år gamla) med LKG och 33 ungdomar (16 till 19 år gamla) utan LKG i två enkäter; Tennessee Self-Concept Scale som uppskattar självkänsla, och Eysenck Personality Questionnaire Inventory som uppskattar introversion. I studierna II&III analyserades avidentifierade data angående fysiska karaktärer (vikt, längd, body mass index, muskel styrka) samt generell intellektuell kapacitet från mönstringsregistret under åren 1991 ? 1997. Materialet inkluderade 335 män med läppspalt med eller utan gomspalt och 88 med gomspalt. Dessa jämfördes med en kontroll grupp på 272 879 män utan spalt. I studie IV analyserades avidentifierade data angående utbildningsresultat (avgångsbetyg,



matematik, Engelska, Svenska, idrott, medelbetyg) vid avgång från grundskolan. Födelseregistret (1973-86) länkades därvid med betygsregistret och 651 ungdomar med läppspalt, 830 med LKG-spalt samt 511 med gomspalt kunde jämföras med en kontroll grupp på 1 249 404 ungdomar utan spalt. Allt som allt noterade vi att ungdomar med LKG-spalt har en normal till en hög självkänsla och ingen märkbar skillnad i introversion (I). LKG påverkar de fysiska karaktärerna, särskilt inom gomspaltgruppen där vikt, längd, och muskelstyrka hade lägre mätvärden (II) och den något lägre prestationen i grundskolans idrottsämne



kan ha samband med detta (IV). Den generella intellektuella kapaciteten (III) stödjer tidigare observationer att ungdomar med gomspalt som grupp betraktad har vissa kognitiva svårigheter medan den akademiska förmågan (IV) påverkade förmågan att hävda sig akademiskt påverkade alla inom LKG i någon utsträckning. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Professor Rumsey, Nichola, Center for Appearance Research, University of the West of England, Bristol.
organization
publishing date
type
Thesis
publication status
published
subject
keywords
self-concept, introversion, Surgery, orthopaedics, traumatology, traumatologi, ortopedi, Kirurgi, Psychiatry, psychosocial, cleft lip & palate, clinical psychology, psychosomatics, Psykiatri, klinisk psykologi, psykosomatik, Public health, epidemiology, Folkhälsa, Psykologi, Psychology, epidemiologi, psychology, academic achievement, muscle strength, intellectual capacity, weight, statue
in
Lund University Faculty of Medicine Doctoral Dissertation Series
volume
2007:139
pages
98 pages
publisher
Reconstructive Surgery
defense location
In the lecture hall at the Department of Medicine, entrance 35, Malmö University Hospital, Malmö
defense date
2007-11-09 13:00:00
ISSN
1652-8220
ISBN
978-91-85897-17-9
language
English
LU publication?
yes
id
6e30e1f0-3ef3-4a15-8af7-abb864c0049b (old id 599130)
date added to LUP
2016-04-01 16:47:08
date last changed
2023-04-18 19:26:23
@phdthesis{6e30e1f0-3ef3-4a15-8af7-abb864c0049b,
  abstract     = {{In study I, 55 adolescents with cleft lip and palate and 31 adolescents without cleft filled out two questionnaires: the Tennessee Self-Concept Scale to assess self-concept, and the Eysenck Personality Questionnaire Inventory to assess the degree of introversion. In studies II &amp; III, data regarding physical characteristic and general intellectual capacity were obtained from the Swedish National Service Enrolment Register for the years 1991-97. Data concerned 335 men with cleft lip with or without clef palate and 88 with cleft palate. They were compared with a control group of 272 879 men without cleft. In study IV, data regarding academic achievement at the time of leaving compulsory education were obtained by linking the Swedish Medical Birth Register for the years 1973-86 with the Swedish School Grade Register. Data concerned 651 individuals with cleft lip, 830 with cleft lip and palate, and 511 with cleft palate. They were compared with a control group consisting of 1 249 404 individuals without cleft.<br/><br>
<br/><br>
In summary, we found that adolescents with cleft seem to have a normal to high self-concept without an accentuated degree of introversion (I). A cleft influences body dimensions, particularly in the cleft palate group where weight, statue, and muscle strength (II) showed lowered values, this may be correlated to their reduced achievement in physical education at school (IV). The general intellectual capacity (III) supports other studies that individuals with cleft palate have certain cognitive difficulties while the academic achievement (IV) indicated that adolescents with cleft experience difficulties in their educational achievements.}},
  author       = {{Persson, Martin}},
  isbn         = {{978-91-85897-17-9}},
  issn         = {{1652-8220}},
  keywords     = {{self-concept; introversion; Surgery; orthopaedics; traumatology; traumatologi; ortopedi; Kirurgi; Psychiatry; psychosocial; cleft lip & palate; clinical psychology; psychosomatics; Psykiatri; klinisk psykologi; psykosomatik; Public health; epidemiology; Folkhälsa; Psykologi; Psychology; epidemiologi; psychology; academic achievement; muscle strength; intellectual capacity; weight; statue}},
  language     = {{eng}},
  publisher    = {{Reconstructive Surgery}},
  school       = {{Lund University}},
  series       = {{Lund University Faculty of Medicine Doctoral Dissertation Series}},
  title        = {{CLEFT LIP AND PALATE IN ADOLESCENCE IDENTIFYING VARIABLES RELATING TO PSYCHOSOCIAL CONCERNS}},
  url          = {{https://lup.lub.lu.se/search/files/4779880/600478.pdf}},
  volume       = {{2007:139}},
  year         = {{2007}},
}