{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T23:15:16Z","timestamp":1773789316674,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T00:00:00Z","timestamp":1602720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011696","name":"Scar Free Foundation","doi-asserted-by":"publisher","award":["1078666"],"award-info":[{"award-number":["1078666"]}],"id":[{"id":"10.13039\/100011696","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>One of the most common congenital conditions in the world, cleft lip and\/or palate (CL\/P) has been shown to potentially impact long\u2010term physical and developmental outcomes in affected children. However, little is known about the factors that contribute to such outcomes, and there is a lack of consensus about which screening tools may be most effective. The aims of the current study were (a) to assess parent\u2010reported socioemotional and cognitive development in children born with CL\/P at 18 months of age; (b) to identify factors associated with the incidence of developmental concerns; and (c) to assess the utility of the widely recommended Ages and Stages Questionnaires (ASQs) in identifying developmental concerns from an early age in the CL\/P population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Parent\u2010reported questionnaire data were extracted from The Cleft Collective Cohort Study for 322 mothers of children with CL\/P aged 18 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean scores across both ASQ measures indicated typical development in the study sample overall. However, 31.1% of children met a referral criterion on at least one domain. Child\u2010related risk factors included problems with physical development and feeding method. Parent\u2010related risk factors included the mother's levels of anxiety and depression and mother's marital status. Additional developmental concerns extracted from mothers' qualitative data included feeding difficulties, speech development, sleep patterns, aggressive behaviours, vision, oral health, hearing, breathing and motor skills.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of children in this study were developing as expected at 18 months of age. However, parent\u2010reported developmental concerns were identified in a minority of children, suggesting a need to screen for potential risk factors in routine practice. Further, the ASQ appears to offer a viable option in the early identification of developmental concerns in children with CL\/P. A combined medical and systemic approach to healthcare is recommended to support the prevention of long\u2010term developmental concerns in the child and poor psychological adjustment in parents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.12813","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T19:59:04Z","timestamp":1601409544000},"page":"31-39","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Parent\u2010reported socioemotional and cognitive development in children with a cleft lip and\/or palate at 18 months: Findings from a UK birth cohort"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8275-695X","authenticated-orcid":false,"given":"Bruna","family":"Costa","sequence":"first","affiliation":[{"name":"Centre for Appearance Research University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"White","sequence":"additional","affiliation":[{"name":"Applied Statistics Group University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James D.","family":"Kiff","sequence":"additional","affiliation":[{"name":"Centre for Appearance Research University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Davies","sequence":"additional","affiliation":[{"name":"The Cleft Collective The University of Bristol  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola M.","family":"Stock","sequence":"additional","affiliation":[{"name":"Centre for Appearance Research University of the West of England  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1044\/jslhr.4103.676"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.33.6.1000"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.1998.tb06244.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305390"},{"issue":"3","key":"e_1_2_11_6_1","first-page":"151","article-title":"Esthetic views on facial and dental appearance in young adults with treated bilateral cleft lip and palate (BCLP). 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