Meta-Analysis: Caregiver and Youth Uncertainty in Pediatric Chronic Illness
Meta-Analysis: Caregiver and Youth Uncertainty in Pediatric Chronic Illness
复制标题
DOI：
10.1093/jpepsy/jsw097
复制
发表时间：
2017-05-01
影响因子：
3.6
通讯作者：
Pai, Ahna L. H.
中科院分区：
文献类型：
--
作者：
Szulczewski, Lauren;Mullins, Larry L.;Pai, Ahna L. H.
目的系统评价照顾者和青少年的疾病不确定感与人口学和疾病变量、心理功能、疾病相关困扰和反应/应对方式的关系。方法对1983年11月至2016年6月期间发表的评估疾病不确定性与感兴趣变量之间关联的文章进行荟萃分析（n = 58）。结果心理功能和疾病相关性抑郁主要为中等效应量。人口统计学和疾病变量的效应量较小。更多的积极和更少的消极反应/应对方式与较少的疾病不确定性，主要是小的影响。结论疾病不确定感可能是影响慢性病患儿心理功能和应对方式的重要因素。然而，需要进行更多的研究来确定更精确的平均效应大小，以及干预措施解决不确定性的潜在功效。
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.