{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T07:22:21Z","timestamp":1778311341238,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,9,22]],"date-time":"2021-09-22T00:00:00Z","timestamp":1632268800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100014538","name":"Lembaga Pengelola Dana Pendidikan","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014538","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cleft lip with or without palate (CL\u2009\u2009\u00b1\u2009\u2009P) may impact children\u2019s eating, drinking, speaking, breathing, and hearing. We aim to evaluate psychosocial problems in Indonesian cleft center school-age patients identified after one or more surgical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a cross-sectional study of parent report of patients with unilateral CL\u2009\u2009\u00b1\u2009\u2009P who had cleft surgery from 2011 to 2016 in the Bandung Cleft Center using the Bahasa Indonesia version of CBCL\/6-18 questionnaire. Descriptive statistics were completed based on measure norms and score ranges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 104 participants (56.7% male) with a median age of 8 years old and 73.0% had unilateral cleft of lip, gum, and palate. We found that speech and appearance problems were not perceived by parents for 34.6% of participants after undergoing surgery. The majority of parents reported normal range scores for the Social scale (93.3%) and the School scale (92.3%). In contrast, largely due to the restrictions in the covid-19 pandemic, 78.8% of the patients had below normal range scores for the Activities scale. Borderline or Clinical range scores were reported for 6.7% of children on the Problem Items section and 15.4% of parents endorsed one or more Critical Items about their children, which indicate significant behavioral concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this study, we found 6.7% of the school-age children population with CL\/P had psychosocial problems. The result of this study hopefully can shed some light in the long-term psychosocial conditions of the CL\/P children post-operatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656211040703","type":"journal-article","created":{"date-parts":[[2021,9,22]],"date-time":"2021-09-22T07:26:29Z","timestamp":1632295589000},"page":"1246-1252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluating Psychosocial Problems in School-Age Children with Cleft Lip and Palate in Bandung, Indonesia Using CBCL\/6-18"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5367-463X","authenticated-orcid":false,"given":"Hardisiswo","family":"Soedjana","sequence":"first","affiliation":[{"name":"University of Padjadjaran, Hasan Sadikin Hospital, Bandung, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristaninta","family":"Bangun","sequence":"additional","affiliation":[{"name":"Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4006-7675","authenticated-orcid":false,"given":"Sitha","family":"Christine","sequence":"additional","affiliation":[{"name":"Universitas Indonesia, Hasan Sadikin Hospital, Bandung, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,22]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.5402\/2013\/348465"},{"key":"e_1_3_3_3_1","first-page":"1","article-title":"Surgical outcomes auditing systems in humanitarian organizations","volume":"34","author":"Carter V","year":"2010","unstructured":"Carter V, Sherman R. Surgical outcomes auditing systems in humanitarian organizations. World J Surg. 2010;34:1-18.","journal-title":"World J Surg."},{"issue":"3","key":"e_1_3_3_4_1","first-page":"313","article-title":"A model humanitarian cleft mission 312 cleft surgeries in 7 days","volume":"3","author":"Gill NA","unstructured":"Gill NA, Ishaq I, Kashif M, Chen PK. A model humanitarian cleft mission 312 cleft surgeries in 7 days. Plast Reconstr Surg Glob Open. 2015;3(3):313.","journal-title":"Plast Reconstr Surg Glob Open."},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1995-7645(13)60016-4"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.14238\/pi50.1.2010.42-8"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ped.12669"},{"key":"e_1_3_3_8_1","volume-title":"Grabb Smith\u2019s plastic surgery","author":"Hopper RA","year":"2014","unstructured":"Hopper RA. Cleft lip and palate: embryology, principles, and treatment. In: Thorne CH ed., Grabb Smith\u2019s plastic surgery. 7th ed. Lippincott Williams & Wilkins; 2014.","edition":"7"},{"key":"e_1_3_3_9_1","volume-title":"Comprehensive cleft care","author":"Kirschner RE","year":"2009","unstructured":"Kirschner RE. Comprehensive cleft care. 2nd ed. Thieme; 2009:20.","edition":"2"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181be8892"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1597\/05-151"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.14238\/sp19.3.2017.127-30"},{"key":"e_1_3_3_13_1","volume-title":"Comprehensive cleft care","author":"Shaw WC","year":"2016","unstructured":"Shaw WC, Semb G, Lohmander A. Clinical outcomes research and evidence-based practice. In Comprehensive cleft care. Vol. 1, 2nd ed. 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