{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:37:37Z","timestamp":1783676257098,"version":"3.55.0"},"reference-count":71,"publisher":"SAGE Publications","issue":"4_suppl2","license":[{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Stichting InFace","award":["N\/a"],"award-info":[{"award-number":["N\/a"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Life can be challenging for children with a visible difference due to a medical condition, and they might be at risk for emotional and behavioral problems. This study examines emotional and behavioral problems in children with a cleft lip with or without palate (CL \u00b1 P) or an infantile hemangioma (IH) in relation to the visibility of the condition, the presence of additional condition-related problems, and parental affect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>This cross-sectional study took place in an academic medical hospital in the Erasmus MC Sophia Children\u2019s Hospital, the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 309 parents (mean age = 40.34, 44.00% male) of 182 children with CL \u00b1 P and 48 parents (mean age = 39.21, 37.50% male) of 33 children with an IH completed questionnaires. Children were 1.5 to 12 years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Parents reported fewer child emotional and behavioral problems compared to normative data. Problems reported were mainly related to learning difficulties and parent gender, while visibility of the condition had no significant influence. Parental negative affect was related to child internalizing problems. Parental positive affect was not related to any of the outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Parents reported fewer problems for their children compared to normative data. This is inconsistent with previous research, showing similar or worse scores for these children compared to peers. Our findings may be explained by a protective parenting style, a response shift in parents, or problems developing at a later point in life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211031411","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T05:00:23Z","timestamp":1627016423000},"page":"S74-S83","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8361-8604","authenticated-orcid":false,"given":"Marije","family":"van Dalen","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology, Erasmus MC Sophia Children\u2019s Hospital, University Medical Center Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireille M.","family":"Hermans","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Centre of Pediatric Dermatology, Erasmus MC Sophia Children\u2019s Hospital, University Medical Center Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem H.","family":"Leemreis","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry\/Psychology, Erasmus MC Sophia Children\u2019s Hospital, University Medical Center Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian","family":"Kraaij","sequence":"additional","affiliation":[{"name":"Clinical Psychology, Leiden University, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter C. 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A.","family":"Pasmans","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Centre of Pediatric Dermatology, Erasmus MC Sophia Children\u2019s Hospital, University Medical Center Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Versnel","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery and Hand Surgery, The Dutch Craniofacial Centre, Erasmus MC Sophia Children\u2019s Hospital, University Medical Center Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten J.","family":"Koudstaal","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, The Dutch Craniofacial Centre, Erasmus MC Sophia Children\u2019s Hospital, University Medical Center Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manon H. 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