PMID- 10067761
OWN - NLM
STAT- MEDLINE
DCOM- 19990430
LR  - 20180607
IS  - 1055-6656 (Print)
IS  - 1055-6656 (Linking)
VI  - 36
IP  - 1
DP  - 1999 Jan
TI  - Psychosocial adjustment in twin pairs with and without hemifacial microsomia.
PG  - 43-50
AB  - OBJECTIVE: To compare the psychosocial adjustment of children with and without 
      hemifacial microsomia (HFM). DESIGN: This cross-sectional pilot study 
      investigated psychosocial adjustment of twin pairs in which one twin was affected 
      with HFM and the other was unimpaired. Data were analyzed using paired t tests. 
      SETTING: The dental medicine clinic of a large urban children's hospital, serving 
      a multistate area. PARTICIPANTS: Participants were six twin pairs aged 9 to 15 
      years and their parents. Data were also collected from classroom teachers. MAIN 
      OUTCOME MEASURES: Outcome measures included: the Child Behavior Checklist (CBCL), 
      the Teacher Report Form (TRF), the Coopersmith Self-Esteem Inventory (SEI), and a 
      structured self-concept interview (the Self-Interview). RESULTS: Children with 
      HFM had significantly higher CBCL and TRF total behavior problem scores and lower 
      SEI general self-esteem scores than their unimpaired twins. No differences were 
      found in CBCL competence scores. Interview data revealed concerns among the HFM 
      group related to appearance, negative social responses, and fear of hospital 
      procedures. Children also reported positive aspects of coping with HFM. 
      CONCLUSIONS: The results of this study suggest that, similar to other 
      craniofacial conditions, HFM is associated with an elevated risk for childhood 
      psychosocial difficulties. Replication of specific findings with a larger sample 
      is needed. Multicenter, collaborative studies are a crucial next step for this 
      field.
FAU - Maris, C L
AU  - Maris CL
AD  - Child and Infant Development Project, Children's Hospital and Regional Medical 
      Center, Seattle, Washington.
FAU - Endriga, M C
AU  - Endriga MC
FAU - Omnell, M L
AU  - Omnell ML
FAU - Speltz, M L
AU  - Speltz ML
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Cleft Palate Craniofac J
JT  - The Cleft palate-craniofacial journal : official publication of the American 
      Cleft Palate-Craniofacial Association
JID - 9102566
SB  - IM
MH  - Adaptation, Psychological
MH  - Adolescent
MH  - Attitude to Health
MH  - Child
MH  - Child Behavior
MH  - Cross-Sectional Studies
MH  - Diseases in Twins/*psychology
MH  - Esthetics
MH  - Facial Asymmetry/*genetics/psychology
MH  - Female
MH  - Hospitalization
MH  - Hospitals, Pediatric
MH  - Hospitals, Urban
MH  - Humans
MH  - Interpersonal Relations
MH  - Male
MH  - Multicenter Studies as Topic
MH  - Parents
MH  - Pilot Projects
MH  - Risk Factors
MH  - Self Concept
MH  - Self-Assessment
MH  - *Social Adjustment
MH  - Teaching
MH  - Twins/*psychology
EDAT- 1999/03/06 00:00
MHDA- 1999/03/06 00:01
CRDT- 1999/03/06 00:00
PHST- 1999/03/06 00:00 [pubmed]
PHST- 1999/03/06 00:01 [medline]
PHST- 1999/03/06 00:00 [entrez]
AID - 10.1597/1545-1569_1999_036_0043_paitpw_2.3.co_2 [doi]
PST - ppublish
SO  - Cleft Palate Craniofac J. 1999 Jan;36(1):43-50. doi: 
      10.1597/1545-1569_1999_036_0043_paitpw_2.3.co_2.