Characteristics of nonverbal behavior in patients with cleft lip and palate during interpersonal communication.
OBJECTIVE: This study examined characteristics of nonverbal behavior that patients with cleft lip and palate (CLP) presented during interpersonal communication. DESIGN: This was a case-control design comparing nonverbal behavior of adult women with CLP with females without CLP. PARTICIPANTS: Subjects were 20 adult women with CLP and 20 noncleft control women matched for age and educational experience. MAIN OUTCOME MEASURES: Subject gestures and facial expressions were videotaped during interviews and analyzed with a computer-based kinematic measurement system. RESULTS: The clinical group displayed significantly fewer head movements and a lower smile frequency than the control group. Furthermore, head and hand movements and smiles were less coordinated or congruent for the subjects with CLP than for the comparison group. CONCLUSIONS: Even slight facial disfigurement could have a harmful effect on communication behavior in female patients with CLP.