title: [Quality of life and its influential factors of children and adolescents with congenital cleft lip and palate].
abstract: OBJECTIVE
  To investigate the quality of life of children undergoing clef lip or and palate repair as well as the influential factors of the quality of life, and provide theoretical foundation for future studies such as psychological interventions.
  
  
  METHODS
  Totally 164 children and young adolescent patients with cleft lip and palate undergoing maxillofacial surgery and orthodontic treatment in Xuzhou Stomatology Hospital were selected as experimental group, and 102 normal children and young adolescents were selected as control group. Both groups were investigated by general information questionnaire and child and adolescents' quality of life scale (CAQOL). The results were analyzed and the influential factors on quality of life were evaluated by multivariate regression analysis with SPSS 19.0 software package.
  
  
  RESULTS
  The overall CAQOL scores and most of the subscale scores (teacher-student relationship, peer relationships, parent-child relationship, self-awareness, physical discomfort, negative emotions, attitude about homework, access to transportation from home, extra curricular activities, self-esteem) in the experimental group were significantly lower compared with the control group (P<0.05). Single factor analysis of the quality of life showed that there was no significant difference between gender distribution; on the contrary, residential areas, parents' level of education, the main caregivers, family income and types of the disease had significant difference (P<0.05). Multiple linear regression equation showed that mother's education level of patients, cleft lip and palate category, family income, the main caregivers and residential areas were the important influential factors on children' quality of life. Among them, the type of disease was the most important influential factor (beta=0.260), followed by mother's education level (beta=0.215).
  
  
  CONCLUSIONS
  The quality of life of children with cleft lip/palate is poor. Patients' scores of CAQOL are closely related with mothers' education level, type of cleft lip/palate, family income, the main caregivers and residential areas.
authors.affiliation: Department of Oral and Maxillofacial Surgery,Xuzhou Stomatological Hospital. Xuzhou 221002, Jiangsu Province,China. E-mail:drzhoumeng87@126.com.
authors.forename: Meng
authors.initials: M
authors.lastname: Zhou
authors.affiliation: Department of Periodontics, Xuzhou Stomatological Hospital. Xuzhou 221002, Jiangsu Province, China, China.
authors.forename: Zong-xiang
authors.initials: ZX
authors.lastname: Liu
authors.affiliation: Department of Oral and Maxillofacial Surgery,Xuzhou Stomatological Hospital. Xuzhou 221002, Jiangsu Province,China.
authors.forename: Peng-lai
authors.initials: PL
authors.lastname: Wang
authors.affiliation: Department of Oral and Maxillofacial Surgery,Xuzhou Stomatological Hospital. Xuzhou 221002, Jiangsu Province,China.
authors.forename: Chao
authors.initials: C
authors.lastname: Liu
mesh_terms: D000293:Adolescent; D002648:Child; D002971:Cleft Lip / Q000453:epidemiology* / Q000523:psychology; D002972:Cleft Palate / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D010290:Parents; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires