{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:27:40Z","timestamp":1778138860619,"version":"3.51.4"},"reference-count":59,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T00:00:00Z","timestamp":1597190400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"crossref","award":["R01 DE 022438"],"award-info":[{"award-number":["R01 DE 022438"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100009993","name":"Center for Clinical and Translational Research","doi-asserted-by":"crossref","award":["UL1 TR000423"],"award-info":[{"award-number":["UL1 TR000423"]}],"id":[{"id":"10.13039\/100009993","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The study aim was to assess behavioral adjustment in preschool children with and without craniofacial microsomia (CFM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Multisite cohort study of preschoolers with CFM (\u201ccases\u201d) or without CFM (\u201ccontrols\u201d).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Mothers (89%), fathers (9%), and other caregivers (2%) of 161 preschoolers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome Measure:<\/jats:title>\n                    <jats:p>Child Behavior Check List (CBCL 1.5-5); linear regressions with standardized effect sizes (ES) adjusted for sociodemographic confounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Child Behavior Check Lists for 89 cases and 72 controls (average age 38.3 \u00b1 1.9 months). Children were male (54%), white (69%), and of Latino ethnicity (47%). Cases had microtia with mandibular hypoplasia (52%), microtia only (30%), or other CFM-associated features (18%). Nearly 20% of cases had extracranial anomalies. Composite CBCL scores were in the average range compared to test norms and similar for cases and controls. On the subscales, cases\u2019 parents reported higher Anxious\/Depressed scores (ES = 0.35,\n                      <jats:italic>P<\/jats:italic>\n                      = .04), Stress Problems (ES = 0.40,\n                      <jats:italic>P<\/jats:italic>\n                      = .04), Anxiety Problems (ES = 0.34,\n                      <jats:italic>P<\/jats:italic>\n                      = .04), and Autism Spectrum Problems (ES = 0.41,\n                      <jats:italic>P<\/jats:italic>\n                      = .02); however, the autism subscale primarily reflected speech concerns. Among cases, more problems were reported for children with extracranial anomalies and certain phenotypic categories with small ES.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Behavioral adjustment of preschoolers with CFM was comparable to peers. However, parental reports reflected greater concern for internalizing behaviors; thus, anxiety screening and interventions may benefit children with CFM. Among cases, more problems were reported for those with more complex presentations of CFM. Craniofacial microsomia\u2013related speech problems should be distinguished from associated psychosocial symptoms during developmental evaluations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665620947987","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T05:32:18Z","timestamp":1597210338000},"page":"42-53","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Behavioral Adjustment of Preschool Children With and Without Craniofacial Microsomia"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2029-5873","authenticated-orcid":false,"given":"Alexis L.","family":"Johns","sequence":"first","affiliation":[{"name":"Division of Plastic and Maxillofacial Surgery, Children\u2019s Hospital Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin R.","family":"Wallace","sequence":"additional","affiliation":[{"name":"Center for Child Health, Behavior, and Development, Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent R.","family":"Collett","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen A.","family":"Kapp-Simon","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA"},{"name":"Shriners Hospitals for Children, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelia F.","family":"Drake","sequence":"additional","affiliation":[{"name":"Otolaryngology, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2178-7730","authenticated-orcid":false,"given":"Carrie L.","family":"Heike","sequence":"additional","affiliation":[{"name":"Craniofacial Center, Seattle Children\u2019s Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6017-4529","authenticated-orcid":false,"given":"Sara L.","family":"Kinter","sequence":"additional","affiliation":[{"name":"Pediatrics, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela V.","family":"Luquetti","sequence":"additional","affiliation":[{"name":"Craniofacial Center, Seattle Children\u2019s Hospital, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne","family":"Magee","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Norton","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Sie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Speltz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,12]]},"reference":[{"key":"e_1_3_4_2_1","volume-title":"Manual for the ASEBA School-Age Forms and Profiles","author":"Achenbach TM","year":"2001","unstructured":"Achenbach TM, Rescorla LA. 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