Cross-Sectional and Longitudinal Psychosocial Risk Assessment in Families of Children With Craniofacial Conditions: A Retrospective Chart Review Study

Objective To examine relationships between Psychosocial Assessment Tool-Craniofacial Version (PAT-CV) scores and patient demographic and clinical characteristics; to evaluate changes in PAT-CV scores over time. Design Retrospective chart review. Setting US pediatric academic medical center. Participants Caregivers of 1323 children (mean age 6.78 ± 4.87 years, 54% male) with craniofacial conditions presenting for a team visit; 414 children had 2 consecutive visits, an average of 1.1 years apart. Main Outcome Measures PAT-CV scores. Results Cross-sectionally, higher PAT-CV total scores were associated with older child age, public insurance, craniofacial conditions other than cleft, and other chronic conditions (all P < .05). PAT-CV total scores were stable, with no significant differences for total scores and risk classification categories over about a year. Conclusions Demographic and clinical characteristics were significantly related to PAT-CV scores at baseline, and scores were stable over a 1-year period. Craniofacial psychosocial screening can be informed by identified risk factors within universal screening.