{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:34:20Z","timestamp":1777520060971,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[1982,11,1]],"date-time":"1982-11-01T00:00:00Z","timestamp":404956800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[1982,11]]},"abstract":"<jats:p>Pre- and post-operative body image, self-confidence and individual and family adjustment were compared in 250 patients (aged 6 weeks to 39 years) with severe craniofacial deformities. Major congenital deformities of genetic or idiopathic etiology were present in 178 patients and 72 had tumours or other late-onset deformities. The patients and\/or parents were interviewed by a child psychiatrist and a social worker as part of the routine preoperative assessment. In addition to a semistructured interview protocol, the patients and parents were asked to rate the deformity according to Hay's Scale and, when appropriate, to complete the Piers-Harris Self-esteem Inventory. One and two year post-operative re-evaluations followed the same protocol. The results indicated that the age of the patient, pre-operative expectations and origin of the decision for surgery (particularly in adolescents) are the most significant predictive factors of post-operative psychosocial improvement.<\/jats:p>","DOI":"10.1177\/070674378202700712","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T04:51:28Z","timestamp":1493182288000},"page":"579-584","source":"Crossref","is-referenced-by-count":40,"title":["Psychosocial Impact of Craniofacial Deformities Before and after Reconstructive Surgery"],"prefix":"10.1177","volume":"27","author":[{"given":"Arlette","family":"Lefebvre","sequence":"first","affiliation":[{"name":"The Hospital for Sick Children, University of Toronto."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Barclay","sequence":"additional","affiliation":[{"name":"The Hospital for Sick Children, Toronto, Ontario."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1982,11,1]]},"reference":[{"issue":"10","key":"bibr1-070674378202700712","first-page":"42","volume":"5","author":"Berscheid E.","year":"1972","journal-title":"Psychol Today"},{"key":"bibr2-070674378202700712","first-page":"181","volume":"13","author":"Constable J.D.","year":"1979","journal-title":"Scand J Past Reconstr Surg"},{"key":"bibr3-070674378202700712","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.136.2.199"},{"key":"bibr4-070674378202700712","first-page":"787","volume":"36","author":"Ouellette P.L.","year":"1978","journal-title":"J Oral Surg"},{"key":"bibr5-070674378202700712","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197804000-00012"},{"key":"bibr6-070674378202700712","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.122.1.89"},{"key":"bibr7-070674378202700712","volume-title":"Manual for the Piers-Harris children's self-concept scale (The way I see myself).","author":"Piers E.V.","year":"1969"},{"key":"bibr8-070674378202700712","first-page":"532","volume":"133","author":"Belfer M.L.","year":"1979","journal-title":"Am J Dis Child"},{"key":"bibr9-070674378202700712","volume-title":"Emotional care of the facially burned and disfigured.","author":"Bernstein N.R.","year":"1976"},{"key":"bibr10-070674378202700712","doi-asserted-by":"publisher","DOI":"10.3109\/02844317909013051"},{"key":"bibr11-070674378202700712","volume-title":"After plastic surgery: adaptation and adjustment.","author":"Macgregor F.C.","year":"1979"},{"key":"bibr12-070674378202700712","first-page":"7","volume":"16","author":"Phillips J.","year":"1979","journal-title":"Cleft Palate J"},{"key":"bibr13-070674378202700712","first-page":"37","volume":"9","author":"Foust L.A.","year":"1980","journal-title":"Matern Child Nurs J"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674378202700712","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/070674378202700712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:10:15Z","timestamp":1777392615000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/070674378202700712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1982,11]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1982,11]]}},"alternative-id":["10.1177\/070674378202700712"],"URL":"https:\/\/doi.org\/10.1177\/070674378202700712","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[1982,11]]}}}