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Parent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis
Stephanie K Doupnik1,2,3, Douglas Hill4,5, Deepak Palakshappa4,2
1Division of General Pediatrics, doupniks@chop.edu.
Pediatrics
|August 19, 2017
Summary
Parental coping support interventions significantly reduce anxiety and stress in parents of hospitalized children. Further research is needed to confirm benefits for children and explore depression outcomes.
Area of Science:
- Pediatric Psychology
- Clinical Psychology
- Healthcare Interventions
Background:
- Hospitalization of a child can cause significant psychological distress for parents.
- This parental distress can negatively impact child outcomes.
- Coping support interventions offer a potential strategy to mitigate parental distress.
Purpose of the Study:
- To systematically review interventions aimed at supporting parents of hospitalized children.
- To conduct a meta-analysis evaluating the effectiveness of these interventions on parent anxiety, depression, and stress.
Main Methods:
- Comprehensive literature search of major databases (PubMed, Embase, PsycINFO, etc.) from 1985 to 2016.
- Systematic review and meta-analysis of 32 and 12 studies, respectively.
- Data extraction and risk of bias assessment by two independent reviewers.
Main Results:
- Meta-analysis of 12 studies showed interventions significantly reduced parent anxiety and stress.
- Parental depression symptoms were not significantly reduced by the interventions.
- High heterogeneity was observed among the included studies.
Conclusions:
- Coping support interventions are effective in alleviating parental psychological distress during pediatric hospitalization.
- Further research is required to establish the impact of these interventions on child outcomes.
- Limitations include a high degree of heterogeneity and reliance on single-center studies with small sample sizes.
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