Abstract
Background
Cleft lip and palate (CLP) represents the most common malformation of the midfacial region worldwide. It can be suggested that the facial stigmatization, the speech impediment, and the long-standing pressure of treatment cause a range of life stressors. Neurocortical information is influenced by physiological and psychological factors and varies significantly in patients suffering from chronic stress, anxiety, depression, or other psychopathological conditions following maladaptation. The aims of the present study were to investigate the neurocortical information processing of patients with CLP using the contingent negative variation (CNV) paradigm and to evaluate secondary psychopathology, anxiety, and depression.
Materials and methods
Twenty-five adults with CLP and 25 healthy volunteers, matched in age and gender, were investigated using recordings of the CNV. Initial CNV (iCNV), late CNV (lCNV), and total CNV (tCNV) as well as habituation slope of the iCNV were determined in each subject. Additionally, each participant had to complete the hospital anxiety and depression questionnaire (HADS) and the Symptom Checklist-90-R (SCL-90-R).
Results
Individuals with CLP did not differ significantly from healthy subjects according to any of the CNV parameters investigated. No correlations could be revealed between the measured items and the confounding factors age and gender. Additionally, there were no differences between the groups regarding depression and SCL-90-R; however, anxiety showed significant group differences on a subclinical level.
Conclusions
These data suggest that subjects with CLP show normal neurocortical information processing. It seems likely that CLP and its treatment have no impact on psychosocial functioning and neurophysiological mechanisms of attention.
Clinical relevance
The specific living conditions of patients with CLP do not result in disease-specific neurophysiological changes.
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Acknowledgments
We thank all participating patients and control subjects for their cooperation. This study was financed by the corresponding author’s institution.
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The authors declare that they have no conflict of interest.
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Trial Registration: German Clinical Trials Register (registration code DRKS00004606).
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Gassling, V., Receveur, K., Niederberger, U. et al. No deficit in neurocortical information processing in patients with cleft lip and palate. Clin Oral Invest 20, 23–30 (2016). https://doi.org/10.1007/s00784-015-1465-9
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DOI: https://doi.org/10.1007/s00784-015-1465-9