{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T11:13:20Z","timestamp":1771672400008,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,13]],"date-time":"2020-05-13T00:00:00Z","timestamp":1589328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009768","name":"Majblommans Riksf\u00f6rbund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009768","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to investigate language ability in internationally adopted children aged 7\u20108\u00a0years with and without a unilateral cleft lip and palate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We compared 27 internationally adopted children with a unilateral cleft lip and palate, adopted from China, with a group of 29 children without a cleft lip and palate, adopted from different countries. Participants were recruited from two cleft lip and palate teams in Sweden and through adoption organisations. Assessments were performed using standardised tests of speech and of receptive and expressive language ability. In addition, a parental questionnaire in which speech, language and communication aspects were rated was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in language ability between the groups. The only difference was related to speech ability, where the internationally adopted children with unilateral cleft lip and palate scored significantly lower. However, a high proportion of children in both groups scored low on measures of expressive language compared with test norms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results suggested that having a cleft lip and palate did not increase the risk of language difficulties. Instead, being internationally adopted may be associated with a risk of delayed language development lasting for several years post\u2010adoption.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15301","type":"journal-article","created":{"date-parts":[[2020,4,11]],"date-time":"2020-04-11T10:24:14Z","timestamp":1586600654000},"page":"273-279","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Internationally adopted children with and without a cleft lip and palate showed no differences in language ability at school\u2010age"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6456-6527","authenticated-orcid":false,"given":"AnnaKarin","family":"Larsson","sequence":"first","affiliation":[{"name":"Institute of Neuroscience and Physiology, Speech and Language Pathology Unit Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Child Health Unit G\u00f6teborg &amp; S\u00f6dra Bohusl\u00e4n Regionh\u00e4lsan Region V\u00e4stra G\u00f6taland Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7860-1573","authenticated-orcid":false,"given":"Christina","family":"Persson","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience and Physiology, Speech and Language Pathology Unit Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Division of Speech and Language Pathology Sahlgrenska University Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7044-9386","authenticated-orcid":false,"given":"Kristina","family":"Klint\u00f6","sequence":"additional","affiliation":[{"name":"Division of Speech and Language Pathology Department of Otorhinolaryngology Sk\u00e5ne University Hospital Malm\u00f6 Sweden"},{"name":"Department of Clinical Sciences Malm\u00f6 Lund University Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7488-8482","authenticated-orcid":false,"given":"Carmela","family":"Miniscalco","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience and Physiology Gillberg Neuropsychiatry Centre Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"Department of Paediatric Speech and Language Pathology Queen Silvia Children\u2019s Hospital Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2012.668774"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.04.011"},{"key":"e_1_2_10_5_1","first-page":"2","volume-title":"The Intercountry Adoption Debate Dialogues Across Disciplines","author":"Selman P","year":"2015"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619897233"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000224"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1055665618765780"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2013.12.004"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1597\/15-237"},{"key":"e_1_2_10_11_1","unstructured":"LarssonA MiniscalcoC MarkH J\u00f6nssonR PerssonC.Persisting speech errors and poor expressive language ability at school age \u2013 a longitudinal study of internationally adopted children with cleft lip and palate. 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