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      Psychological issues in cleft lip and cleft palate

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          Abstract

          Vocational and social issues affect rehabilitation and development of patients with cleft lip and cleft palate. However, psychological problems like lowered self esteem and difficulties in social interaction have also been noted in them. Not many pediatric reconstructive surgery teams have a psychiatrist on their panel. It is likely that psychological problems are higher in incidence than literature actually suggests. Hence it is very essential that such cases are identified by the surgical team to maximize positive outcome of surgery and rehabilitation. This study discusses psychological issues revolving around cleft lip and cleft palate along with lacunae in many psychological research studies.

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          Most cited references 34

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          Stigma: Notes on the Management of Spoiled Identity.

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            What is beautiful is good.

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              Psychological aspects of cleft lip and palate.

              In addition to the influences of family dynamics, educational and vocational factors on the social development and rehabilitation of CLP patients, psychological problems, such as lowered self-esteem and difficulties during social interaction, are also experienced by CLP individuals. As only 20 per cent of cleft teams world-wide carry out a psychological assessment for their patients, it is likely that the prevalence of psychological problems is higher than the literature suggests. To maximize the chances of a positive outcome in the care of cleft affected individuals, CLP patients who are concerned about their appearance or who experience psychosocial problems need to be identified by cleft teams. Interventions, such as counselling or social interaction skills training, should be offered in order that the patient's self-esteem and social self-confidence can be increased. Current research surrounding patient and parent satisfaction with cleft care suffers from several areas of methodological weakness.
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                Author and article information

                Affiliations
                Consultant Psychiatrist, Mumbai, India
                [1 ]Consultant Clinical Psychologists, Mumbai, India
                Author notes
                Address for correspondence: Dr. Avinash De Sousa, Carmel, 18, St. Francis Avenue, Off S.V. Road, Santacruz West, Mumbai 400-054, Maharashtra, India. E-mail: avinashdes999@ 123456yahoo.co.uk
                Journal
                J Indian Assoc Pediatr Surg
                JIAPS
                Journal of Indian Association of Pediatric Surgeons
                Medknow Publications (India )
                0971-9261
                1998-3891
                Apr-Jun 2009
                : 14
                : 2
                : 55-58
                2905531
                20671846
                JIAPS-14-55
                10.4103/0971-9261.55152
                © Journal of Indian Association of Pediatric Surgeons

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Categories
                Review Article

                Surgery

                cleft lip, psychological issues, cleft palate

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