{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:11:59Z","timestamp":1788873119179,"version":"build-2803163510"},"reference-count":64,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"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":"publisher","award":["U01 DE022937-01A1 (Protocol #14-045-E)"],"award-info":[{"award-number":["U01 DE022937-01A1 (Protocol #14-045-E)"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study describes behavior and quality of life (QoL) in youth with cleft lip and palate (CLP) during treatment for class III malocclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective cohorts followed at baseline, maximal correction, treatment completion with debanding, and 1-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Youth with CLP (n\u2009=\u200964-114) undergoing protraction (58%) or orthognathic surgery (42%) and their caregivers (n\u2009=\u200947-97).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Child\/Adult Behavior Checklists (C\/ABCL) and Youth Quality of Life\u2014Facial Differences (YQOL-FD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>C\/ABCL Externalizing, Internalizing, and Total Problems and YQOL-FD Negative Consequences, Negative Self-Image, and Stigma were significantly lower than norms across time points (Cohen's d\u2009=\u2009\u22120.22 to \u22120.93). Highest proportions above clinical cutoffs were for Internalizing (10%-17%) and Negative Self-Image (13%-15%). There were a few changes over time, and no differences based on treatment outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Youth with CLP had overall positive adjustment during treatment for class III malocclusion. Supports may target internalizing and self-image concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261457188","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T08:40:05Z","timestamp":1780908005000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Positive Longitudinal Caregiver Behavioral Ratings and Self-Reported Quality of Life in Youth With Cleft Lip and Palate in Treatment for Class III Malocclusion"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2029-5873","authenticated-orcid":false,"given":"Alexis L.","family":"Johns","sequence":"first","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Zukin","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leia","family":"Yen","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amarjit","family":"Dass","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Sheller","sequence":"additional","affiliation":[{"name":"University of Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitesh P.","family":"Kapadia","sequence":"additional","affiliation":[{"name":"University of Washington"},{"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen L-K.","family":"Yen","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.2301"},{"key":"e_1_3_2_3_2","unstructured":"American Cleft Palate Craniofacial Association. 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