Abstract:
BACKGROUND:Understanding and optimizing psychosocial functioning in children with craniofacial anomalies are essential components of their reconstructive care. This work compared parental perceptions to pediatric self-reported psychosocial functioning in children with craniofacial anomalies. METHODS:Two hundred twenty-one children with craniofacial anomalies (aged 8 to 17 years) and their parents were prospectively evaluated at two institutions using the parent-proxy and pediatric Patient-Reported Outcomes Measurement Information System to assess anger, anxiety, depression, and peer relationships. Children were stratified into three age groups: group A, 8 to 10 years; group B, 11 to 13 years; and group C, 14 to 17 years. Pearson correlations, analyses of variance with post hoc comparisons under the Tukey criterion, and paired samples t tests were performed. RESULTS:When stratified by age, no correlations between parent and child reports were found in anxiety for group A and anger, anxiety, and peer relationships for group C. Whereas group A reported the worst psychosocial functioning, group C parents perceived their children to have the worst psychosocial functioning. Group A parents perceived lower depression and better peer relationships, whereas group C parents perceived higher anxiety and depression compared to self-reports. CONCLUSIONS:Parents perceived an inverse relationship between age and psychosocial functioning compared to self-reports by children with craniofacial anomalies. These discrepancies in the current work highlight the importance of child self-report and suggest incorporating longitudinal patient-reported and parent-proxy-reported outcomes measures for psychosocial functioning as part of standard clinical care for patients with craniofacial anomalies.
journal_name
Plast Reconstr Surgjournal_title
Plastic and reconstructive surgeryauthors
Volpicelli EJ,Pfaff MJ,Potemra HMK,De Leon FS,Lin J,Ayeroff JR,Bradley JP,Wilson L,Lee JCdoi
10.1097/PRS.0000000000006388subject
Has Abstractpub_date
2020-01-01 00:00:00pages
175-183issue
1eissn
0032-1052issn
1529-4242pii
00006534-202001000-00036journal_volume
145pub_type
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journal_title:Plastic and reconstructive surgery
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journal_title:Plastic and reconstructive surgery
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