Meta-analysis: Caregiver and youth uncertainty in pediatric chronic illness
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Objective: To conduct a systematic review on the construct of illness uncertainty in caregivers and youth as related to the following: demographic and illness variables, psychological functioning, illness-related distress, and reaction/coping style. Methods: A meta-analysis was conducted with articles assessing the associations between illness uncertainty and variables of interest that were published between November 1983 and June 2016 ( n = 58). Results: Psychological functioning and illness-related distress had primarily medium effect sizes. Demographic and illness variables had small effect sizes. More positive and fewer negative reaction/coping styles were associated with less illness uncertainty, with primarily small effects. Conclusions: Illness uncertainty may be an important factor that influences psychological functioning and distress and coping in the context of pediatric chronic illness. However, additional research is needed to determine more precise mean effect sizes, as well as the potential efficacy of intervention to address uncertainty. adolescents, children, chronic illness, coping skills and adjustment, meta-analysis, parents, psychosocial functioning.
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A meta-analysis found parents who report their child's condition as more uncertain tend to report higher levels of anxiety.
“a meta-analysis finding parents who report their child's condition as more uncertain tend to report higher levels of anxiety (Szulczewski et al., 2017).”
From Parental Anxiety and Posttraumatic Stress Symptoms in Pediatric Food Allergy. (2021) · cites this paper as Szulczewski et al., 2017
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- Authors
- Szulczewski, L., Mullins, L. L., Bidwell, S. L., Eddington, A. R., & Pai, A. L. H.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Oklahoma State University (US)
- University of Oklahoma Health Sciences Center (US)
- Corresponding author
- Szulczewski, Lauren
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-02-08
- Volume
- 42
- Issue
- 4
- Pages
- 395-421
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC6440270
- OpenAlex
- W2794695913
- Cited by
- 86
- References
- 88
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 14 · 2023: 12 · 2022: 9 · 2021: 10 · 2020: 7 · 2019: 11 · 2018: 8 · 2017: 1
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIH
- Topics
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- illness uncertainty, children with chronic illness, caregivers, adolescents, psychological functioning, coping styles, psychosocial adjustment
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Chronic Disease, Humans, Parents, Stress, Psychological, Caregivers, Uncertainty
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