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Posttraumatic stress disorder in parents of children with chronic illnesses: a meta-analysis
Mariana Cabizuca1, Carla Marques-Portella, Mauro V Mendlowicz
1Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil. mariana.cabizuca@gmail.com
Insights
Post-traumatic stress disorder (PTSD) affects nearly 20% of parents caring for children with chronic illnesses. Early assessment and treatment are crucial for parental well-being and effective caregiving.
Area of Science:
- Child Health
- Psychiatry
- Parental Mental Health
Background:
- Parental mental health is significantly impacted by a child's chronic illness.
- Children's chronic conditions and invasive procedures can be traumatic for parents.
Purpose of the Study:
- To determine the prevalence of post-traumatic stress disorder (PTSD) in parents of children with chronic illnesses.
- To assess the increased risk of PTSD in these parents compared to those with healthy children.
Main Methods:
- A systematic review of 16 studies was conducted across major scientific databases.
- Meta-analysis and meta-regression were used to pool prevalence data and identify sources of heterogeneity.
Main Results:
- Pooled PTSD prevalence was 19.6% for mothers, 11.6% for fathers, and 22.8% for parents overall.
- Parents of children with chronic illnesses had a 4.2 times higher risk of PTSD compared to parents of healthy children.
Conclusions:
- High PTSD rates underscore the need for timely screening and intervention for parents of chronically ill children.
- Addressing parental PTSD is vital for mitigating negative outcomes and maintaining caregiving capacity.
Objective:
To estimate PTSD prevalence in parents of children with chronic illnesses or undergoing invasive procedures, and its association with higher risk of PTSD among parents.
Methods:
Sixteen studies reporting prevalence of PTSD in parents of children with chronic illnesses were identified through a systematic review in Pubmed, Web of Science, Pilots and PsycINFO databases.
Main Outcome Measures:
Pooled current PTSD prevalence was calculated for parents from these studies. Pooled PTSD prevalence ratios were obtained by comparing parents of children with chronic diseases with parents of healthy children. Meta-regression was used to identify variables that could account for the lack of homogeneity.
Results:
Pooled PTSD prevalence was 19.6% in mothers, 11.6% in fathers, and 22.8% in parents in general (p < .001). Pooled prevalence ratio for the four studies reporting on mothers and comparison healthy groups was 4.2 (p < .001).
Conclusions:
The high prevalence of PTSD found in this population highlights the importance of promptly assessing and treating post-traumatic symptoms in parents of children with chronic diseases as a key step to prevent the negative consequences of PTSD and preserve their competency as caregivers.
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