{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:47:52Z","timestamp":1777686472356,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T00:00:00Z","timestamp":1519603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Examine stress levels of parents of children with hemifacial microsomia (HFM) and the relationship of parental stress to child characteristics and cognitive coping strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Prospective cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and Setting:<\/jats:title>\n                    <jats:p>Parents with a child (age 3-19 years) with HFM (N = 31) were recruited through the Department of Orthodontics and the Craniofacial Center, Sophia-Erasmus Medical Center, Rotterdam, The Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention and Outcome Measures:<\/jats:title>\n                    <jats:p>The adapted and shortened Dutch version of the parental stress index (NOSI-K) was used to measure parental stress, and the cognitive emotion-regulation questionnaire was used to measure cognitive coping strategies. Pearson correlations and a multiple regression analysis were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The hierarchical multiple regression analysis showed associations between increased parental stress and learning difficulties and use of acceptance as a coping strategy. This suggests that problems other than the characteristic visual appearance of the child's face in HFM have a greater influence on parental stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Learning difficulties of the child with HFM and parental acceptance affect stress in parents with a child with HFM the most and are important in the search for a targeted tailoring of intervention for parents with high levels of parental stress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1597\/15-229","type":"journal-article","created":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T13:09:20Z","timestamp":1473944960000},"page":"959-965","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Stress in Parents of a Child with Hemifacial Microsomia"],"prefix":"10.1177","volume":"55","author":[{"given":"Edwin","family":"Ongkosuwito","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lieneke","family":"van der Vlies","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian","family":"Kraaij","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Garnefski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han","family":"van Neck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"Kuijpers-Jagtman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Hovius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,2,26]]},"reference":[{"key":"bibr1-15-229","volume-title":"Parenting Stress Index","author":"Abidin R.R.","year":"1990","edition":"3"},{"key":"bibr2-15-229","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2006.07.002"},{"key":"bibr3-15-229","doi-asserted-by":"publisher","DOI":"10.1016\/0272-7358(89)90021-4"},{"key":"bibr4-15-229","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-6343.2007.00394.x"},{"key":"bibr5-15-229","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.271"},{"key":"bibr6-15-229","volume-title":"NOSI Nijmeegse Ouderlijke Stress Index. Meetinstrument voor de vaststelling van stress bij opvoeders. Een uitgebreide versie (NOSI) voor psychodiagnostische doeleinden en een verkorte versie (NOSIK) voor signaleringsdoeleinden","author":"De Brock A.J.","year":"1992"},{"key":"bibr7-15-229","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1542\/peds.56.5.710","volume":"56","author":"Drotar D.","year":"1975","journal-title":"Pediatrics"},{"key":"bibr8-15-229","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1597\/1545-1569_1999_036_0001_piiccs2.3.co_2","volume":"36","author":"Dufton L.M.","year":"1999","journal-title":"Cleft Palate Craniofac J"},{"key":"bibr9-15-229","volume-title":"A Guide to Understanding Hemifacial Microsomia","author":"Fearon J.","year":"2005"},{"key":"bibr10-15-229","doi-asserted-by":"publisher","DOI":"10.1016\/S0191-8869(00)00113-6"},{"key":"bibr11-15-229","volume-title":"CERQ. 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