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A Systematic Review of Benefit-Finding and Growth in Pediatric Medical Populations
Tessa K Kritikos1, Colleen Stiles-Shields2, Adrien M Winning1
1Psychology Department, Loyola University Chicago.
Insights
Benefit-finding and growth (BFG) is common in youth with medical conditions and their parents. This review synthesizes methods, correlates, and interventions for assessing and enhancing BFG in pediatric populations.
Area of Science:
- Psychology
- Pediatrics
- Rehabilitation
Background:
- Benefit-finding and growth (BFG) is a positive psychological construct.
- Youth with medical illnesses and disabilities, and their parents, may experience BFG.
Purpose of the Study:
- To synthesize the literature on BFG in youth with medical conditions and their parents.
- To summarize assessment methods, associated factors, interventions, and literature quality.
Main Methods:
- Systematic narrative synthesis of 110 articles.
- Searches across major databases (PubMed, Scopus, PsycInfo, Google Scholar, Cochrane Library).
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Main Results:
- BFG capabilities are present across diverse pediatric health conditions and disabilities.
- Identified correlates of BFG in youth and parents, including personal/environmental resources and coping.
- Discussed interventions aimed at enhancing BFG and provided a quality assessment of the literature.
Conclusions:
- Recommendations for assessing and studying BFG in pediatric populations are provided.
- Highlights the need to diversify and extend current literature on BFG in youth with medical conditions.
Objective:
This review synthesizes the literature on benefit-finding and growth (BFG) among youth with medical illnesses and disabilities and their parents. Specifically, we summarized: (a) methods for assessing BFG; (b) personal characteristics, personal, and environmental resources, as well as positive outcomes, associated with BFG; (c) interventions that have enhanced BFG; and (d) the quality of the literature.
Methods:
A medical research librarian conducted the search across PubMed, Scopus, PsycInfo, Google Scholar, and Cochrane Library. Studies on BFG among children ages 0-18 with chronic illnesses and disabilities, or the parents of these youth were eligible for inclusion. Articles were uploaded into Covidence; all articles were screened by two reviewers, who then extracted data (e.g., study characteristics and findings related to BFG) independently and in duplicate for each eligible study. The review was based on a systematic narrative synthesis framework and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO registration number: CRD42020189339).
Results:
In total, 110 articles were included in this review. Generally, BFG capabilities were present across a range of pediatric health conditions and disabilities. Correlates of both youth and parent BFG are presented, including personal and environmental resources, coping resources, and positive outcomes. In addition, studies describing interventions aimed at enhancing BFG are discussed, and a quality assessment of the included studies is provided.
Conclusions:
Recommendations are provided regarding how to assess BFG and with whom to study BFG to diversify and extend our current literature.
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