Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_4533_Библиотеки_им_академика_М_И_Перельмана

In a cohort of 724 children and adolescents with congenital craniofacial anomalies aged 2–18 years from an urban hospital, who com­pleted Child Behavior Checklists, most subjects did not report experiencing psychosocial adjust­ment problems, but may still be at an elevated risk of internalizing problems [22]. In adoles­cents with a cleft aged between 11 and 16years from 145 families, Berger and Dalton found no signicant psychosocial adjustment difculties above that of the normal population [25]. In a later publication, these authors reported that psy­chosocial adjustment in adolescents was pre­dicted by both their former social experiences and maternal well-being [26]. Using a cross­sectional postal questionnaire design, they dem­onstrated that dissatisfaction with appearance, speech problems, and the use of avoidant coping strategies were also important negative predictors for psychosocial adjustment [26]. In boys with clefts of the lip and/or palate aged 7–12 years, there was evidence from magnetic resonance imaging which suggested that aberrant develop­ment of the ventral frontal cortex was correlated with social dysfunction, but not with psychomet­rically assessed measures of self-concept [27].