Predictors of social competence in young adolescents with craniofacial anomalies
- Authors: Shute, Rosalyn , McCarthy, Karen , Roberts, Rachel
- Date: 2007
- Type: Text , Journal article
- Relation: International Journal of Clinical and Health Psychology Vol. 7, no. 3 (2007), p. 595-613
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- Description: This descriptive study shows the development and evaluation of a model of social competence in young adolescents with craniofacial anomalies. Craniofacial patients (N = 48, 11-14 years) completed the Social Anxiety Scale for Children, selected subscales of the Self-Perception Scale for Adolescents and the Social Support Scale for Children. Their parents completed the Child Behaviour Checklist. Facial disfigurement was independently rated. Multiple regression analyses suggested a revised model in which one aspect of social anxiety (social avoidance/distress) predicts social competence, with peer support as a mediator, while the other aspect of social anxiety (fear of negative evaluation) predicts social competence, with parental support as a mediator. Severity of facial disfigurement was not related to any psychological variable. While self-worth predicted social competence when considered alone, this relationship disappeared when the other variables were taken into account; self-worth remained closely associated with fear of negative evaluation. Although mean Child Behaviour Checklist scores were in the normal range, almost half the adolescents had psychological problems of clinical concern. The results suggest that young adolescents with craniofacial anomalies require psychological assessment regardless of degree of disfigurement. Interventions to reduce social anxiety and improve social support may be of particular value for promoting social competence. © International Journal of Clinical and Health Psychology.
- Description: C1
- Description: 2003005750
Children's experience of living with a craniofacial condition: Perspectives of children and parents
- Authors: Roberts, Rachel , Shute, Rosalyn
- Date: 2011
- Type: Text , Journal article
- Relation: Clinical Child Psychology and Psychiatry Vol. 16, no. 3 (July 2011 2011), p. 317-334
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- Description: This is the first study to examine the range of experiences of children living with a wide range of craniofacial anomalies (CFAs), from the perspectives of children and parents. We interviewed 26 young people and 28 parents about both stressors and positive aspects for young people of living with a CFA. Thematic analysis revealed four major stress-related themes (self-acceptance, responses of others, disabilities and impairments, and treatment). Positive themes included personal qualities and support. Psychological theories often applied to those with CFAs relate to attractiveness, stigma and teasing, but the present findings suggest that these are not as useful as the conceptualization of CFAs as chronic conditions which influence adaptive tasks. Implications for clinical practice are discussed.
- Description: C1
Living with a craniofacial condition : Development of the Craniofacial Experiences Questionnaire (CFEQ) for adolescents and their parents
- Authors: Roberts, Rachel , Shute, Rosalyn
- Date: 2011
- Type: Text , Journal article
- Relation: Cleft Palate-Craniofacial Journal Vol. 48, no. 6 (2011), p. 727-735
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- Description: Objective: To develop a new instrument (the Craniofacial Experiences Questionnaire, CFEQ) to measure both stressors and positive aspects of living with a craniofacial condition from adolescent and parent perspectives, and to examine its validity and reliability. A secondary aim was to explore experiences reported according to age, gender, and diagnosis. Design: Self-report and parent report questionnaires (CFEQ, Youth Self Report [YSR], Child Behavior Checklist [CBCL], Behavioral and Emotional Rating Scale [BERS]) were completed by adolescents with congenital craniofacial conditions and their parents. Participants: Fifty adolescents with craniofacial conditions and 55 of their parents. Results: Internal reliability of the stressor and positive aspects scales was acceptable (.81 to .92) but was lower for some stressor subscales (.50-.86). Higher stressor scale scores were related to poorer adjustment (CBCL r = .55, YSR r = .37). There were no consistent differences in the stressful or positive experiences of young people with craniofacial conditions according to gender or age. There were no differences in stressors reported according to diagnosis. Conclusions: The CFEQ shows promise as a clinical and research tool for investigating the stressors and positive experiences of young people with craniofacial conditions. Consistent with the literature on chronic pediatric conditions, there were few differences in experiences of young people according to diagnosis. Furthermore, the lack of gender or age differences supports the need for clinicians to comprehensively assess the experiences of young people regardless of demographic variables.
A prospective study of coping and adjustment in adolescents with craniofacial conditions
- Authors: Roberts, Rachel , Shute, Rosalyn
- Date: 2012
- Type: Text , Journal article
- Relation: Children's Health Care Vol. 41, no. 2 (2012), p. 111-128
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- Description: This study aimed to examine the role of coping strategy use in concurrent and later adjustment in adolescents with craniofacial anomalies (CFAs). It was expected that better adjustment at both baseline and 12 months would be related to greater baseline perceived coping efficacy, greater use of active coping and social support seeking, and less use of avoidance strategies. Eighty adolescents with CFAs and their parents completed measures of adjustment, coping strategy use, and efficacy in response to CFA-related stressful situations. Fifty-five families completed these measures again 12 months later. Overall, the predicted pattern of correlations between coping and adjustment was found. However, coping and efficacy at baseline did not explain a significant proportion of the variance in adjustment measures 1 year later, after controlling for baseline adjustment. Such prospective findings are beginning to bring into question the assumed importance of coping in pediatric adjustment. © 2012 Copyright Taylor and Francis Group, LLC.