{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T20:38:18Z","timestamp":1773693498976,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T00:00:00Z","timestamp":1535414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP26463412"],"award-info":[{"award-number":["JP26463412"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2019,4]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>The present study explored the differences in emotional difficulties and resilience between fathers and mothers of a child with a cleft lip and palate.<\/jats:p><\/jats:sec>Methods<\/jats:title>Married couples were recruited who were accompanying their child with a cleft lip and palate (<12 years old) on regular visits to an outpatient clinic in a Japanese hospital. The participants were distributed an anonymous questionnaire that included items regarding emotional difficulties with the cleft lip and palate and a scale to measure resilience when caring for the children. In the data analysis, the paired t<\/jats:italic>\u2010test was used to compare the individuals within the couples.<\/jats:p><\/jats:sec>Results<\/jats:title>By analyzing the data of 64 couples who provided valid responses, two items with the highest mean score for the difficulties that were faced by both the father and mother of a child with a cleft lip and palate were: \u201cI am worried about whether the child's teeth will be straightened\u201d and \u201cI am worried that the children could suffer due to their appearance.\u201d The mothers felt significantly more worry about their child's future and more guilt than did the fathers. In contrast, the fathers had greater resilience, in terms of problem\u2010solving skills and recognition and acceptance than did the mothers.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>It is important that healthcare providers understand the difference between the fathers\u2019 and mothers\u2019 worries about their child with a cleft lip and palate. Specific support services should be offered to fathers with a high level of resilience, in terms of the acceptance of reality and problem\u2010solving, which could increase their parenting ability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jjns.12231","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T06:32:43Z","timestamp":1535610763000},"page":"232-237","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Resilience and difficulties of parents of children with a cleft lip and palate"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5750-6251","authenticated-orcid":false,"given":"Shingo","family":"Ueki","sequence":"first","affiliation":[{"name":"Department of Nursing, School of Nursing Mukogawa Women's University Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichi","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing Mukogawa Women's University Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Kitao","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing Mukogawa Women's University Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukari","family":"Kumagai","sequence":"additional","affiliation":[{"name":"Department of Nursing Osaka University Dental Hospital Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miho","family":"Ike","sequence":"additional","affiliation":[{"name":"Department of Nursing Osaka University Dental Hospital Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuteru","family":"Niinomi","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, Graduate School of Medicine Osaka University Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eriko","family":"Matsunaka","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing Japanese Red Cross Kyushu International College of Nursing Munakata Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chieko","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Nursing, School of Nursing Mukogawa Women's University Nishinomiya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1597\/08-075.1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445508317134"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrg2933"},{"key":"e_1_2_9_5_1","first-page":"55","article-title":"Maternal mentality for the children with clefts","volume":"6","author":"Fukuda T.","year":"1981","journal-title":"Journal of Japanese Cleft Palate Association"},{"key":"e_1_2_9_6_1","volume-title":"Tapping your inner strength: How to find the resilience to deal with anything","author":"Grotberg E. 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