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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Examination of a Theoretical Model for Oral Health–Related Quality of Life Among Youths With Cleft</title><author><name sortKey="Broder, Hillary L" sort="Broder, Hillary L" uniqKey="Broder H" first="Hillary L." last="Broder">Hillary L. Broder</name></author><author><name sortKey="Wilson Genderson, Maureen" sort="Wilson Genderson, Maureen" uniqKey="Wilson Genderson M" first="Maureen" last="Wilson-Genderson">Maureen Wilson-Genderson</name></author><author><name sortKey="Sischo, Lacey" sort="Sischo, Lacey" uniqKey="Sischo L" first="Lacey" last="Sischo">Lacey Sischo</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24625170</idno><idno type="pmc">3987602</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987602</idno><idno type="RBID">PMC:3987602</idno><idno type="doi">10.2105/AJPH.2013.301686</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000302</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000302</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Examination of a Theoretical Model for Oral Health–Related Quality of Life Among Youths With Cleft</title><author><name sortKey="Broder, Hillary L" sort="Broder, Hillary L" uniqKey="Broder H" first="Hillary L." last="Broder">Hillary L. Broder</name></author><author><name sortKey="Wilson Genderson, Maureen" sort="Wilson Genderson, Maureen" uniqKey="Wilson Genderson M" first="Maureen" last="Wilson-Genderson">Maureen Wilson-Genderson</name></author><author><name sortKey="Sischo, Lacey" sort="Sischo, Lacey" uniqKey="Sischo L" first="Lacey" last="Sischo">Lacey Sischo</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We evaluated relationships among physical and psychological indicators and oral health–related quality of life (OHRQOL) in youths with cleft.</p><p><italic>Methods.</italic> We recruited youths aged 7 to 18 years with cleft palate (n = 282) or cleft lip and palate (n = 918) and their caregivers into a 5-year observational investigation at 6 US treatment centers from 2009 to 2011. At baseline, youths completed surveys to assess psychological status. After clinical evaluation, 433 youths received a recommendation for surgery. We developed structural models from the baseline data incorporating age, gender, race, and cleft diagnosis to examine direct relationships between depressive symptoms and, in separate models, self-concept and sense of mastery and OHRQOL. Subsequent models examined the possible mediating effect of surgical recommendation.</p><p><italic>Results.</italic> Depressive symptoms were negatively and self-concept and self-efficacy were positively associated with OHRQOL. Surgical recommendation appeared to mediate the effect of psychological well-being, but not depression, on OHRQOL, even after adjustment for cleft diagnosis. In some models, individual-level characteristics were significant.</p><p><italic>Conclusions.</italic> Path analyses support the theoretical model and underscore the importance of examining positive psychosocial characteristics such as resiliency and self-concept in this patient population.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24625170</article-id><article-id pub-id-type="pmc">3987602</article-id><article-id pub-id-type="publisher-id">301686</article-id><article-id pub-id-type="doi">10.2105/AJPH.2013.301686</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>Other Child And Adolescent Health</subject><subject>Dental/Oral Health</subject><subject>Mental Health</subject></subj-group><subj-group subj-group-type="heading"><subject>Research and Practice</subject></subj-group></article-categories><title-group><article-title>Examination of a Theoretical Model for Oral Health–Related Quality of Life Among Youths With Cleft</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Broder</surname><given-names>Hillary L.</given-names></name><degrees>PhD, MEd</degrees></contrib><contrib contrib-type="author"><name><surname>Wilson-Genderson</surname><given-names>Maureen</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Sischo</surname><given-names>Lacey</given-names></name><degrees>PhD</degrees></contrib><aff>Hillary L. Broder and Lacey Sischo are with the Department of Comprehensive Care, College of Dentistry, New York University, NY. Maureen Wilson-Genderson is with the Department of Social and Behavioral Health, Virginia Commonwealth University Medical Center, Richmond.</aff></contrib-group><author-notes><corresp>Correspondence should be sent to Hillary L. Broder, PhD, Dept of Cariology and Comprehensive Care, New York University College of Dentistry, 380 Second Ave, Suite 301, New York, NY 10010 (e-mail: <email>Hillary.broder@nyu.edu</email>). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link> by clicking the “Reprints” link.</corresp><fn><p><bold>Contributors</bold></p><p>H. L. Broder originated the study and led the writing. M. Wilson-Genderson led the analyses and contributed to the writing. L. Sischo contributed to the writing.</p></fn></author-notes><pub-date pub-type="ppub"><month>5</month><year>2014</year></pub-date><pub-date pub-type="epub"><month>5</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>5</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 12 months and
0 days and was based on the
<volume>104</volume><issue>5</issue><fpage>865</fpage><lpage>871</lpage><history><date date-type="accepted"><day>16</day><month>9</month><year>2013</year></date></history><permissions><copyright-statement>© American Public Health Association 2014</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2013.301686.pdf"></self-uri><abstract><p><italic>Objectives.</italic> We evaluated relationships among physical and psychological indicators and oral health–related quality of life (OHRQOL) in youths with cleft.</p><p><italic>Methods.</italic> We recruited youths aged 7 to 18 years with cleft palate (n = 282) or cleft lip and palate (n = 918) and their caregivers into a 5-year observational investigation at 6 US treatment centers from 2009 to 2011. At baseline, youths completed surveys to assess psychological status. After clinical evaluation, 433 youths received a recommendation for surgery. We developed structural models from the baseline data incorporating age, gender, race, and cleft diagnosis to examine direct relationships between depressive symptoms and, in separate models, self-concept and sense of mastery and OHRQOL. Subsequent models examined the possible mediating effect of surgical recommendation.</p><p><italic>Results.</italic> Depressive symptoms were negatively and self-concept and self-efficacy were positively associated with OHRQOL. Surgical recommendation appeared to mediate the effect of psychological well-being, but not depression, on OHRQOL, even after adjustment for cleft diagnosis. In some models, individual-level characteristics were significant.</p><p><italic>Conclusions.</italic> Path analyses support the theoretical model and underscore the importance of examining positive psychosocial characteristics such as resiliency and self-concept in this patient population.</p></abstract><counts><page-count count="7"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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