荟萃分析：儿科慢性病中照顾者与青少年的不确定性
Meta-Analysis: Caregiver and Youth Uncertainty in Pediatric Chronic Illness.
作者信息
Szulczewski Lauren, Mullins Larry L, Bidwell Sarah L, Eddington Angelica R, Pai Ahna L H
机构信息
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.
Department of Pediatrics, College of Medicine, University of Cincinnati.
出版信息
J Pediatr Psychol. 2017 May 1;42(4):395-421. doi: 10.1093/jpepsy/jsw097.
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.
目的
对照顾者和青少年中疾病不确定性的结构进行系统综述，涉及以下方面：人口统计学和疾病变量、心理功能、疾病相关困扰以及反应/应对方式。
方法
对1983年11月至2016年6月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困扰的效应量主要为中等。人口统计学和疾病变量的效应量较小。更积极和更少消极的反应/应对方式与较低的疾病不确定性相关，效应量主要较小。
结论
疾病不确定性可能是影响儿科慢性病背景下心理功能、困扰和应对的一个重要因素。然而，需要更多研究来确定更精确的平均效应量，以及解决不确定性的干预措施的潜在效果。青少年、儿童、慢性病、应对技能与适应、荟萃分析、父母、心理社会功能。
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