Prevalence of psychiatric morbidity using GHQ-28 among cleft lip patients in Sokoto

Yunusa, Mufutau A.; Obembe, A

doi:10.4103/1596-3519.112414

Cited by 8 publications

(8 citation statements)

References 18 publications

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“…Major Depressive Disorder was also found to be significantly more prevalent in individuals with CL/P than in controls (Demir et al, 2011). The prevalence of psychiatric morbidity was 28.5% among patients with CL/P in one study, which was found to be significantly higher than the control group (Yunusa & Obembe, 2013). However, the rate of psychiatric diagnoses was not found to differ significantly from the general population in another study (Shriver et al, 2006).…”

Section: Emotional Wellbeingmentioning

confidence: 83%

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Stock

Feragen

2016

Psychology & Health

125

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Section: Emotional Wellbeingmentioning

confidence: 83%

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Stock

Feragen

2016

Psychology & Health

125

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“…However, general societal neglect for cleft palate can lead to decreased access to palatal surgery [56, 61], and furthermore, CP has implications for feeding, speech and jaw development and is usually associated with syndromes. This type of cleft is more likely to increase morbidity and mortality from poor feeding leading to child malnutrition and vulnerability to infectious diseases [62, 63].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and clinical profile of individuals with cleft lip and palate utilising specialised academic treatment centres in South Africa

Hlongwa

Rispel

2019

PLoS ONE

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Objective The study was conducted to determine the epidemiology and clinical profile of individuals with cleft lip and/or palate (CLP) utilizing specialized academic treatment centres in South Africa’s public health sector. Materials and methods The Human Research Ethics Committee of the University of the Witwatersrand in Johannesburg provided ethical approval for the study. We conducted a retrospective record review of all cases of CLP treated at the specialised academic centres for the two-year period from 1 January 2013 until 31 December 2014. We used a structured, pre-tested record review form to obtain demographic, clinical and treatment information on each CLP case. We used Stata 13 to analyse the data and conducted statistical tests at 5% significance level. Results We analysed 699 records of individuals with CLP. The estimated prevalence of CLP in the South African public health sector was 0.3 per 1000 live births, with provincial variation of 0.1/1000 to 1.2/1000. The distribution of clefts was: 35.3% cleft palate; 34.6% cleft lip and palate; 19.0% cleft lip and other cleft anomalies at 2%. Of the total number of CLP, 47.5% were male and 52.5% female, and this difference was statistically significant (p<0.001). The majority of clefts occurred on the left for males (35.5%) and palate for females (43.4%), with a male predominance of unilateral cleft lip and palate (53.3%). Conclusion The study findings should inform the implementation of South Africa’s planned birth defect surveillance system and health service planning for individuals with CLP.

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“…The possible sequelae of undetected hearing loss can be socially isolating and compound challenges with communication. Another problem of clefts of the lip (CL) is the physical deformity and the associated social and psychiatric morbidity [2,3]. The stigma of an unrepaired orofacial cleft greatly alters a child’s ability to integrate into the social and cultural environment.…”

Section: Introductionmentioning

confidence: 99%

Ten-year experience of more than 35,000 orofacial clefts in Africa

et al. 2015

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BackgroundSurgical correction of orofacial clefts greatly mitigates negative outcomes. However, access to reconstructive surgery is limited in developing countries. The present study reviews epidemiological data from a single charitable organization, Smile Train, with a database of surgical cases from 33 African countries from 2001–2011.MethodsDemographic and clinical patient data were collected from questionnaires completed by the participating surgeons. These data were recorded in Excel, analyzed using SPSS and compared with previously reported data.ResultsQuestionnaires were completed for 36,384 patients by 389 African surgeons. The distribution of clefts was: 34.44% clefts of the lip (CL), 58.87% clefts of the lip and palate (CLP), and 6.69% clefts of the palate only (CP). The male to female ratio was 1.46:1, and the unilateral: bilateral ratio 2.93:1, with left-sided predominance 1.69:1. Associated anomalies were found in 4.18% of patients. The most frequent surgeries included primary lip/nose repairs, unilateral (68.36%) and bilateral (11.84%). There was seasonal variation in the frequency of oral cleft births with the highest in January and lowest by December. The average age at surgery was 9.34 years and increased in countries with lower gross domestic products. The average hospital stay was 4.5 days. The reported complication rate was 1.92%.ConclusionsWith the exception of cleft palates, results follow trends of worldwide epidemiologic reports of 25% CL, 50% CLP, and 25% CP, 2:1 unilateral:bilateral and left:right ratios, and male predominance. Fewer than expected patients, especially females, presented with isolated cleft palates, suggesting that limitations in economic resources and cultural aesthetics of the obvious lip deformity may outweigh functional concerns and access to treatment for females. A fewer than expected associated anomalies suggests either true ethnic variation, or that more severely-affected patients are not presenting for treatment. The epidemiology of orofacial clefting in Africa has been difficult to assess due to the diversity of the continent and the considerable variation among study designs. The large sample size of the data collected provides a basis for further study of the epidemiology of orofacial clefting in Africa.Electronic supplementary materialThe online version of this article (doi:10.1186/s12887-015-0328-5) contains supplementary material, which is available to authorized users.

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Prevalence of psychiatric morbidity using GHQ-28 among cleft lip patients in Sokoto

Abstract: In addition to reconstructive surgery, psychiatric evaluation and intervention would be of benefit in the management of cleft lip patients.

Cited by 8 publications

References 18 publications

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Epidemiology and clinical profile of individuals with cleft lip and palate utilising specialised academic treatment centres in South Africa

Ten-year experience of more than 35,000 orofacial clefts in Africa

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