{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:21:06Z","timestamp":1779380466250,"version":"3.53.1"},"reference-count":44,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Children and adolescents with cleft lip and\/or palate (CL\/P) are at an increased risk of developing emotional disorders. This study aims to explore this question in greater depth by addressing three objectives: (1) the presence of neuroticism as an indicator of emotional symptomatology, (2) the use of adaptive and non-adaptive emotional regulation strategies, and (3) the relationship between these strategies and neuroticism. Methods: A case\u2013control correlational methodology was employed, with 60 children and adolescents with CL\/P (mean age = 12.80 years; 33 females) and 60 non-clinical equivalent children and adolescents. Results: The CL\/P group has higher scores on neuroticism (t = \u22127.74; p \u2264 0.001, d Cohen = 1.43) and lower scores in almost all emotional regulation strategies. The presence of CL\/P moderated the relationship between neuroticism and self-blame (Beta = \u22120.46, t = \u22122.81, p = 0.005), rumination (Beta = \u22120.49, t = \u22123.73, p &lt; 0.001), catastrophizing (Beta = \u22120.61, t = \u22124.26, p &lt; 0.001), and blaming others (Beta = \u22120.45, t = \u22122.84, p = 0.005). This model predicted a significant variance of neuroticism (all p &lt; 0.005), which ranged from 39% to 41%. Conclusions: The CL\/P group has worse mental health indicators. Particularly novel results about the CL\/P group are the lower scores on regulation strategies (both adaptive and non-adaptive) and the fact that non-adaptive strategies contribute, contrary to their effect in the general population, to a decrease in neuroticism. It supports the need to incorporate mental health indicators in the diagnosis and treatment of children and adolescents with CL\/P.<\/jats:p>","DOI":"10.3390\/jcm13113033","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T07:56:11Z","timestamp":1716364571000},"page":"3033","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Looking at the Mental Health of Children and Adolescents with Cleft Lip and\/or Palate through Neuroticism and Emotional Regulation Strategies: A Case-Controlled Observational Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8332-1085","authenticated-orcid":false,"given":"Ana","family":"Ruiz-Guill\u00e9n","sequence":"first","affiliation":[{"name":"Department of Paediatric Dentistry, Rey Juan Carlos University, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3221-6848","authenticated-orcid":false,"given":"Mar\u00eda Jos\u00e9","family":"Gonz\u00e1lez-Olmo","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Rey Juan Carlos University, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7952-6838","authenticated-orcid":false,"given":"Esther","family":"Casta\u00f1eda-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Psychology, ESCUNI (Centro Universitario de Educaci\u00f3n), 28047 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mart\u00edn","family":"Romero-Maroto","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Rey Juan Carlos University, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5921","authenticated-orcid":false,"given":"Cecilia","family":"Pe\u00f1acoba-Puente","sequence":"additional","affiliation":[{"name":"Department of Psychology, Rey Juan Carlos University, 28922 Alcorc\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"ref_1","first-page":"717","article-title":"Growth trajectories in children with cleft lip and\/or palate","volume":"40","author":"Gallego","year":"2023","journal-title":"Nutr. 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