This study was conducted to examine relationships of facial and speech ratings to behavior at three ages.
Design:
Multiple correlations to control for gender, IQ, and socioeconomic status (SES). Partial correlations between speech or facial ratings and behavior.
Setting:
A university hospital interdisciplinary cleft/craniofacial center.
Patients:
Sixty-five children with CP or CLP and no other anomalies seen at ages 6,9, and 12 years.
Interventions:
Speech ratings, facial ratings, hearing assessment, and SES ratings, were collected at ages 6,9, and 12.
Main Outcome Measure:
The Behavior Problem Checklist was used and internalizing problems were expected.
Results:
Less severe speech problems associated with behavioral inhibition were noted at age 9 years (p < .01). Greater facial disfigurement was correlated with greater inhibition at age 12 (p < .001).
Conclusions:
Longitudinal data indicates different associations of speech and facial variables were made to behavior at different ages (9 and 12). No significant relationships were identified at age 6.
BroderH.StraussR.P.Self-concept of early primary school children with visible or indivisible defects.Cleft Palate J1989; 26: 114–117.
2.
BroderH.L.StraussR.P.SmithF.B.Comparing teacher behavior ratings of children with and without craniofacial anomalies, Presented at the annual meeting of the American Cleft Palate Association, Pittsburgh, Pennsylvania, April 1993.
3.
DavisH.SilvermanS.R.Hearing and deafness.New York: Holt, 1960.
4.
EbelR.Estimation of the reliability of ratings.Psychometrika1951; 16: 407–424.
5.
EstesR.E.MorrisH.L.Relationships among intelligence, speech proficiency and hearing sensitivity in children with cleft palates.Cleft Palate J1970; 7: 763–773.
6.
HarperD.C.RichmanL.C.Personality profiles of physically impaired adolescents.J Clin Psychol1978; 34: 636–642.
7.
HarperD.C.RichmanL.C.SniderB.C.School adjustment and degree of physical impairment.J Pediatr Psychol1980; 5: 377–382.
8.
HollingsheadA.RedlichF.Social class and mental illness.New York: Wiley, 1961.
9.
KappK.Self-concept of the cleft lip and/or palate child.Cleft Palate J1979; 16: 171–176.
10.
Kapp-SimonK.A.Simon DJ, Kristovich S. Self-perception, social skills, adjustment, and inhibition in young adolescents with craniofacial anomalies.Cleft Palate Craniofac J1992; 29: 352–356.
11.
LeonardB.J.BoustJ.D.AbrahamsG.SielaffB.Self-concept of children with cleft lip and/or palate.Cleft Palate Craniofac J1991; 28: 347–353.
12.
McWilliamsB.J.MusgraveR.H.Psychological implications of articulation disorders in cleft palate children.Cleft Palate J1972; 9: 294–303.
13.
MeichenbaumD.Toward a cognitive theory of self control In: SchwartzG.ShapiroD., eds. Consciousness and self-regulation: advances in research.New York: Plenum Press, 1975.
14.
PertschukM.J.WhitakerL.A.Psychosocial adjustment and craniofacial malformations in childhood.Plast Reconstr Surg1985; 75: 177–182.
15.
QuayH.C.PetersonD.R.Manual for the Behavior Problem Checklist.Coral Gables, FL: University of Miami, 1975.
16.
RichmanL.C.Behavior and achievement of the cleft palate child.Cleft Palate J1976; 13: 4–10.
17.
RichmanL.C.Parents and teachers: differing views of behavior of cleft palate children.Cleft Palate J1978; 15: 360–364.
18.
RichmanL.C.Self-reported social, speech, and facial concerns and personality adjustment of adolescents with cleft lip and palate, Cleft Palate J1983; 20: 108–112.
19.
RichmanL.C.EliasonM.J.Communication disorders in children. In: WalkerC.E.RobertsM.C., eds. Handbook of child clinical psychology (chapter 29).New York: John Wiley & Sons, 1983.
20.
RichmanL.C.HarperD.C.School adjustment of children with observable disabilities.J Abnorm Child Psychol1978; 6: 11–18.
21.
RichmanL.C.HolmesC.S.EliasonM.J.Adolescents with cleft lip and palate: self-perceptions of appearance and behavior related to personality adjustment.Cleft Palate J1985; 22: 93–96.
22.
RichmanL.C.LindgrenS.D.Verbal mediation deficits: relation to behavior and achievement in children.J Abnorm Psychol1981; 90: 99–104.
23.
RichmanL.C.MillardT.Cleft lip and palate: longitudinal behavior and relationships of cleft conditions to behavior and achievement.J Pediatr Psychol (in press).
24.
RubinK.H.HymelS.MillsR.S.Sociability and social withdrawal in childhood: stability and outcomes.J Pers1989; 57: 237–255.
25.
SchneidermanC.R.AuerK.E.The behavior of the child with cleft lip and palate as perceived by parents and teachers.Cleft Palate1984; 21: 354–360.
26.
SpeltzM.L.MortonK.GoodellE.W.ClarrenS.K.Psychological functioning of children with craniofacial anomalies and their mothers: followup from late infancy to school entry.Cleft Palate Craniofac J1993; 30: 482–489.
27.
StarrP.Self-esteem and behavioral functioning of teenagers with oral-facial clefts.Rehabil Lit1978; 39: 233–235.
28.
ThorndikeR.Correlation procedures for research.New York: Gardner Press, 1978.
