Izvorni znanstveni članak

https://doi.org/10.24869/psyd.2017.360

DEVELOPMENT OF A VALID AND RELIABLE INSTRUMENT FOR THE ASSESSMENT OF QUALITY OF LIFE IN ADOLESCENTS WITH CLEFTS - DETECTION OF POTENTIAL MENTAL HEALTH ISSUES

Marko Vuletić orcid.org/0000-0002-8750-7212 ; Private practice, Sisak, Croatia
Darko Marčinko ; School of Medicine, University of Zagreb, Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia
Domagoj Vražić ; School of Dental Medicine, University of Zagreb, Department of Periodontology, Zagreb, Croatia
Milan Milošević
Emil Dediol ; School of Medicine, University of Zagreb, Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia
Predrag Knežević ; School of Medicine, University of Zagreb, Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia

Sažetak

Background: The rehabilitation of patients with cleft deformities is very complex and unique, and managed by a team of
professionals. Quality of life depends on the health, and represents an instrument that examines the disease impact and treatment
modalities on the health, integrating an objective assessment of the health status and its subjective experience. Children with clefts
are often teased by their peers, and that is the reason why they experience different kinds of psychological distress. Patients with
non-syndromic clefts may develop depression and anxiety, hyperactivity, elevated risk of suicide and increased drug abuse in
adolescence.
Subjects and methods: Experienced members of a cleft palate team developed a specific questionnaire divided into 2 parts: the
first contains the clinical profile of adolescents, and the second part contains questions regarding quality of life. This questionnaire
was administered to 73 patients between June 2015 and June 2016, who matched these criteria during their control examinations at
the University Hospital Dubrava.
Results: In general, the patient group showed significantly worse scores on majority of answers, specifying that their quality of
life is worse compared to the control group. The principal component analysis revealed the presence of three components (factors).
The interpretation of the three components was consistent with loadings indicating the component names: Component 1: The
relationship with parents, success, society; Component 2: Appearance, and Component 3: Function.
Conclusion: According to our results, we created a specific instrument - The Quality of Life in Adolescents with Cleft Assessment
to assess aesthetic and functional results of treatment and quality of life of the operated adolescents with clefts. The adolescents in
this study have no psychiatric disorders diagnosed in their medical charts, but results indicate that some of them need help in dealing
with future life. Regarding these findings, it will be possible to intervene in the process of treatment and improve the overall outcome
of therapy.

Ključne riječi

cleft lip/palate; quality of life; surgical treatment; questionnaire; psychiatric disorders

Hrčak ID:

187296

URI

https://hrcak.srce.hr/187296

Datum izdavanja:

26.9.2017.

Posjeta: 1.394 *