A qualitative study of health-related quality of life and psychosocial adjustments of Thai adolescents with repaired cleft lips and palates

The purposes of the present study were (1) to study the meaning of Health-Related Quality of Life (HRQoL) from the insider's perspective and (2) to explore the relevant psychosocial adjustments involved in the HRQoL of Thai 12-to-17-year-old adolescents with repaired cleft lip and cleft palate...

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Bibliographic Details
Published inJournal of the Medical Association of Thailand Vol. 94 Suppl 6; p. S45
Main Authors Chimruang, Jutharat, Soadmanee, Omduean, Srisilapanan, Patcharawan, Patjanasoontorn, Niramol, Nanthavanich, Nuntinee, Chuawanlee, Wiladlak
Format Journal Article
LanguageEnglish
Published Thailand 01.12.2011
Subjects
Adaptation, Psychological
Adolescent
Child
Cleft Lip - surgery
Cleft Palate - surgery
Female
Humans
Male
Quality of Life
Social Adjustment
Thailand
Thailand
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Summary:The purposes of the present study were (1) to study the meaning of Health-Related Quality of Life (HRQoL) from the insider's perspective and (2) to explore the relevant psychosocial adjustments involved in the HRQoL of Thai 12-to-17-year-old adolescents with repaired cleft lip and cleft palate (CLP). The study included a sample of 18 adolescents with non-syndromic repaired CLP and 6 parents of these adolescents. The participants were recruited from an orthodontic clinic in the Faculty of Dentistry, Mahidol University, and all were in-depth interviewed. HRQoL can be categorized into four domains: physical symptoms,functional limitations, emotional well-being and social well-being. In the affected group they were striking differences in psychological assets, psychosocial resources and socioeconomic disparities. The majority of these participants were well-adjusted and able to cope with the adversities they experienced as a result of their conditions; hence it was noted that, participants with consistent support from parents,friends and professionals were likely to have a positive health status and satisfaction with treatment. These findings have important implications in measuring a multidimensional HRQoL construct, and will enhance issues regarding adaptation strategies which have an impact on HRQoL of adolescents with CLP.
ISSN:0125-2208