Brand Serge, Blechschmidt Anja, Müller Andreas, Sader Robert, Schwenzer-Zimmerer Katja, Zeilhofer Hans-Florian, Holsboer-Trachsler Edith
Psychiatric University Clinics, Sleep Medicine and Neurophysiology, Basel, Switzerland.
Cleft Palate Craniofac J. 2009 Mar;46(2):124-35. doi: 10.1597/07-165.1. Epub 2008 Jun 12.
The aim of this study was twofold: to assess psychological functioning, interactional competencies, and sleep patterns in children and adolescents with cleft lip and palate (CLP), and to compare these results with those from age- and gender-matched controls. It was hypothesized that participants with CLP would exhibit greater difficulties in psychological functioning, more interactional difficulties, and poorer sleep patterns than those without CLP.
Thirty-two children and adolescents with CLP and 34 controls were recruited. Ages ranged from 6 to 16 years.
For psychosocial assessment, the Strength and Difficulties Questionnaire (SDQ) and a questionnaire on interactional competencies (PIELCQ) were completed; for sleep assessment, a sleep log was completed for seven consecutive nights.
Participants with and without CLP did not differ with respect to emotional problems, conduct problems, or hyperactivity. With respect to interactional competencies, participants with CLP were six times more likely to report difficulties. Unfavorable sleep patterns were associated with psychosocial strain but not with the presence of CLP.
RESULTS indicate that children and adolescents with CLP may report that they have sleep irregularities as often as those without CLP. In adolescence, the presence of CLP may be associated with increased difficulties. Consequently, skill training to improve context-related social competencies may be appropriate.
本研究有两个目的：评估唇腭裂（CLP）儿童和青少年的心理功能、互动能力和睡眠模式，并将这些结果与年龄和性别匹配的对照组进行比较。研究假设是，与没有唇腭裂的参与者相比，唇腭裂参与者在心理功能方面会表现出更大的困难、更多的互动困难和更差的睡眠模式。
招募了32名唇腭裂儿童和青少年以及34名对照组。年龄范围为6至16岁。
进行社会心理评估时，完成了优势与困难问卷（SDQ）和一份关于互动能力的问卷（PIELCQ）；进行睡眠评估时，连续七个晚上完成睡眠日志。
有唇腭裂和没有唇腭裂的参与者在情绪问题、行为问题或多动方面没有差异。在互动能力方面，唇腭裂参与者报告困难的可能性高出六倍。不良的睡眠模式与社会心理压力有关，但与唇腭裂的存在无关。
结果表明，唇腭裂儿童和青少年报告的睡眠不规律情况可能与没有唇腭裂的儿童和青少年一样频繁。在青春期，唇腭裂的存在可能与更多困难相关。因此，进行技能培训以提高与情境相关的社交能力可能是合适的。
