Psychology Department, Bar-Ilan University, Israel.
Psychology Department, Bar-Ilan University, Israel; Gonda Brain Research Center, Bar-Ilan University, Israel.
Clin Psychol Rev. 2024 Apr;109:102409. doi: 10.1016/j.cpr.2024.102409. Epub 2024 Feb 21.
Parenting a child with a chronic illness presents a complex journey marked by various challenges, along with possible personal growth following these challenges. In this systematic review we present three meta-analyses, in order to examine the associations of post-traumatic growth (PTG) among parents of children with diverse chronic illnesses, and psychological distress, social support, and resilience. Analyzing 34 studies encompassing a total of 5328 parents, the results reveal several key findings. First, PTG was found to be prevalent among the parents. Second, there was no significant correlation between PTG and psychological distress, suggesting that these two processes may exist independently. Third, a positive correlation was observed between PTG and both social support and resilience-related factors, underscoring the role of these factors in fostering growth among parents of children with chronic illnesses. Additionally, illness type emerged as a moderator, affecting the strength of the above-mentioned correlations with PTG. Specifically, in the case of psychiatric illnesses, correlations of PTG with social support and resilience were stronger than in the context of other illnesses. Overall, this review emphasizes the significance of recognizing and addressing PTG correlates among parents of children with chronic illnesses, offering insights for clinical practice.
养育患有慢性病的孩子是一段充满挑战的复杂旅程,但在经历这些挑战后,父母也可能会获得个人成长。在这项系统评价中,我们呈现了三项荟萃分析,旨在研究儿童患有不同慢性疾病的父母的创伤后成长(PTG)与心理困扰、社会支持和韧性之间的关联。通过分析 34 项研究,共涵盖 5328 名父母,研究结果揭示了几个关键发现。首先,PTG 在父母中普遍存在。其次,PTG 与心理困扰之间没有显著相关性,表明这两个过程可能是独立存在的。第三,PTG 与社会支持和韧性相关因素之间存在正相关,这强调了这些因素在促进慢性疾病儿童父母成长方面的作用。此外,疾病类型是一个调节因素,影响了 PTG 与上述因素之间的相关性强度。具体来说,在精神疾病的情况下,PTG 与社会支持和韧性的相关性比其他疾病更强。总的来说,这项综述强调了认识和处理慢性疾病儿童父母的 PTG 相关性的重要性,为临床实践提供了启示。