title: Self-esteem, coping styles, and quality of life in polish adolescents and young adults with unilateral cleft lip and palate.
abstract: Objectives : To evaluate self-esteem, coping styles, and health-related quality of life and their relationships in Polish adolescents and young adults with unilateral complete cleft lip and palate and related sex differences. Design and Participants : Self-report questionnaires measuring self-esteem (Multidimensional Self-Esteem Inventory), coping styles (Coping Inventory for Stressful Situations), and health-related quality of life (WHOQOL-BREF) were completed by 48 participants with cleft lip and palate (age, 16 to 23 years; 31 males, 17 females) and 48 controls without cleft lip and palate (age, 16 to 23 years; 28 males, 20 females) matched for age, place of residence, and socioeconomic status. Results : Regarding self-esteem, individuals with cleft lip and palate scored higher on body functioning (P < .01) and defensive self-enhancement (P < .05). Self-control showed an interaction effect: Females with cleft lip and palate scored higher than controls, but males did not differ between groups (P < .05). Males with cleft lip and palate scored lower than controls in personal power but higher in body functioning (P < .05); females showed no differences between groups. The groups did not differ with regard to coping styles or quality of life, but several correlations were found between self-esteem and coping styles, and quality of life (P < .01). Conclusions : Late adolescents and young adults with and without cleft lip and palate differed little in terms of psychological adjustment measures. The higher scores in defensive self-enhancement of individuals with cleft lip and palate suggest the need for instruments measuring social approval in psychosocial adjustment research involving this group.
authors.forename: Ewa
authors.initials: E
authors.lastname: Pisula
authors.forename: Ewa
authors.initials: E
authors.lastname: Lukowska
authors.forename: Piotr S
authors.initials: PS
authors.lastname: Fudalej
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002971:Cleft Lip / Q000523:psychology*; D002972:Cleft Palate / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D011044:Poland; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: cleft palate; coping styles; health-related quality of life; self-esteem; unilateral cleft lip and palate; youth and adult