Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Psychology & Health
Nicola Marie Stock, Kristin Billaud Feragen

Abstract

Adjustment to cleft lip and/or palate (CL/P) is multifaceted, involving several domains of psychological and social functioning. A substantial increase in research in this area has been evident in recent years, along with a preliminary shift in how adjustment to CL/P is conceptualised and measured. An updated and comprehensive review of the literature is needed in light of the rapidly expanding and changing field. A narrative review of 148 quantitative and qualitative studies published between January 2004 and July 2015. Findings are presented according to five key domains of adjustment: Developmental Trajectory, Behaviour, Emotional Well-being, Social Experiences and Satisfaction with Appearance and Treatment. Data pertaining to General Psychological Well-being were also examined. The overall impact of CL/P on psychological adjustment appears to be low. Nonetheless, the review demonstrates the complexity of findings both within and across domains, and highlights recurring methodological challenges. Research findings from the last decade are considered to be largely inconclusive, although some areas of emerging consensus and improvements in the approaches used were identified. Efforts to collect data from large, representative ...Continue Reading

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Citations

Dec 8, 2016·Psychology & Health·Kristin Billaud Feragen, Nicola Marie Stock
Mar 20, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Nicola Marie Stock, Matthew Ridley
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