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Problem behavior in children of chronically ill parents: a meta-analysis
D S Sieh1, A M Meijer, F J Oort
1Research Institute of Child Development and Education, Faculty of Social and Behavioral Sciences, University of Amsterdam, Nieuwe Prinsengracht 130, Amsterdam, The Netherlands. D.S.Sieh@uva.nl
Children with chronically ill parents show increased internalizing and externalizing problem behaviors. These effects are more pronounced in certain groups, highlighting the need for family-centered healthcare approaches.
Area of Science:
- Psychology
- Child Development
- Public Health
Background:
- Children of chronically ill parents may experience unique challenges.
- Understanding problem behaviors in this population is crucial for intervention.
Purpose of the Study:
- To conduct a meta-analysis on problem behaviors in children with chronically ill parents.
- To identify factors influencing these behaviors and provide an overall effect size.
Main Methods:
- Meta-analysis of existing studies.
- Fixed-effect models used to calculate effect sizes.
- Analysis of moderator effects for various demographic and illness-related factors.
Main Results:
- Significant overall effect sizes found for internalizing (d=.23) and externalizing (d=.09) problem behaviors.
- Effect sizes were larger in non-cancer studies, younger samples, low SES groups, and longer illness durations.
- Externalizing behavior effects were greater with more ill mothers and single-parent households.
Conclusions:
- Children of chronically ill parents exhibit elevated internalizing and externalizing problem behaviors.
- Family-centered healthcare is recommended to support these children.
- Further research could explore specific interventions tailored to identified risk factors.
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