Relational Development in Children With Cleft Lips and Palates: Influence of the Waiting Period Prior to the First Surgical Intervention and the Parents' Psychological Perception of the Abnormality

NCT00993993 | Completed

• 1 other identifier: 4506
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 6

Brief Summary

The treatment of patients suffering from cleft lip(s) with or without a cleft palate (CL/P) is multidisciplinary. The careful consideration of concerned families during the repetitive appointments required by these treatments show the importance of the psychological context and of the harmonious structuring of the parents-child relationships on the child's development. Yet the birth of a child affected by CL/P is a particularly stressing and traumatising event for the parents. The investigators' prospective, multidisciplinary and multi-centred research project aims to assess the psychological perceptions of parents of children affected by CL/P over the year following the birth and analyse the child's degree of psychological suffering as well as the parents-child relationships. The time of the first surgical intervention varies amongst the treatment centres. The investigators listed four centres that intervene at different times according to the more or less long waiting times between the child's birth and this first surgical intervention. The results obtained for each group will be compared to one another and according to two sub-groups: parents who found out about the CL/P through embryo diagnosis and those who found out at their child's birth. The mental and psychological dimension due to the malformation and its correction will be analysed in the parents group (importance of the prenatal diagnosis, relational development with the child, self-esteem, quality of life) but also in the child (likely distress and withdrawal symptoms).

Conditions

Cleft Palate

Keywords

cleft palate

Outcome Measures

Primary Outcomes (2)

• Assess the emotional state of withdrawal of any child carrying a CL/P based on the psychological state of their parents and time before the first surgery. We use ADBB scale for the child.

  2 years

• Learning about the psychological effects of this abnormality on parents from the time of diagnosis and of the therapeutic management. We use PSI scale for the parents.

  2 years

Secondary Outcomes (1)

• Indices of psychological distress by Quebec Health Survey (IDPESQ) and the Edinburgh Postnatal Depression Scale (EPDS).The Family Impact Scale. The Dyadic Adjustment Scale Spanier of determining the marital context and questionnaires ad-hoc.

  2 years

Study Arms (2)

group "early intervention"

group "late intervention"

Eligibility Criteria

• Age: 4 Months - 12 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Primary care centers (France) Two referent centers Two competent centers

You may qualify if:

• Children with Cleft Lip with or without Cleft Palate and their Parents

You may not qualify if:

• Children with Cleft Palate without Cleft Lip
• Children born the 35th week of d'amenorrhea
• Children with a birth weight inferior to 1800 g
• Children put under care by court order
• Parents under administrative supervision
• Parents who are not familiar with the french language and/or illiterate

Sponsors & Collaborators

• University Hospital, Strasbourg, France: lead

Study Sites (6)

CHRU, Centre de référence des malformations Cranio Maxillo Faciales Rares, Hôpital Salengro

Lille, 59037, France

Location

CHU, Service de Chirurgie Maxillo-Faciale et Plastique de la Face Hôpital Central

Nancy, 54035, France

Location

APHP Armand Trousseau, Centre de Référence des Malformations Rares de la Face et de la Cavité Buccale

Paris, 75571, France

Location

CHRU, Service de Chirurgie Maxillo-Faciale Chirurgie B1

Strasbourg, 67091, France

Location

CSERD, Pôle d'odontologie

Strasbourg, 67091, France

Location

CHRU, Service de Chirurgie Infantile

Strasbourg, 67098, France

Location

Related Publications (3)

• Perez Martinez C, Grollemund B, Gavelle P, Viaux-Savelon S, Guedeney A. The Prevalence of Social Withdrawal in Infants With Cleft Lip and Palate: The Feasibility of the Full and the Modified Versions of the Alarm Distress Baby Scale. Front Pediatr. 2022 Jul 7;10:804802. doi: 10.3389/fped.2022.804802. eCollection 2022.

  PMID: 35874558 DERIVED

• Grollemund B, Dissaux C, Gavelle P, Martinez CP, Mullaert J, Alfaiate T, Guedeney A; CLIP team (Cleft Lip & palate Infant Parent). The impact of having a baby with cleft lip and palate on parents and on parent-baby relationship: the first French prospective multicentre study. BMC Pediatr. 2020 May 18;20(1):230. doi: 10.1186/s12887-020-02118-5.

  PMID: 32423402 DERIVED

• Grollemund B, Guedeney A, Vazquez MP, Picard A, Soupre V, Pellerin P, Simon E, Velten M, Dissaux C, Kauffmann I, Bruant-Rodier C, Danion-Grilliat A. Relational development in children with cleft lip and palate: influence of the waiting period prior to the first surgical intervention and parental psychological perceptions of the abnormality. BMC Pediatr. 2012 Jun 8;12:65. doi: 10.1186/1471-2431-12-65.

  PMID: 22682069 DERIVED

MeSH Terms

Conditions

Cleft Palate

Condition Hierarchy (Ancestors)

Jaw Abnormalities; Jaw Diseases; Musculoskeletal Diseases; Maxillofacial Abnormalities; Craniofacial Abnormalities; Musculoskeletal Abnormalities; Stomatognathic Diseases; Mouth Abnormalities; Mouth Diseases; Stomatognathic System Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

• GROLLEMUND Bruno, MD

  not affiliated

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 13, 2009
• First Posted: October 14, 2009
• Study Start: April 27, 2010
• Primary Completion: April 27, 2010
• Study Completion: January 7, 2013
• Last Updated: November 10, 2020

Record last verified: 2015-09

Locations

FR (6)