Cochrane · systematic review · CD009660
Psychological interventions for parents of children and adolescents with chronic illness
Law, E, Fisher, E, Eccleston, C, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
24
current version
GRADE rated
24
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 14 · 58.3%Low 3 · 12.5%Moderate 6 · 25%High 1 · 4.2%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyCognitive‐behavioral therapy for parents of children with a chronic illness (post‐treatment)
Population: parents of children with chronic illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Parenting behaviors, post‐treatment Higher scores indicate greater maladaptive parenting behavior | no estimate extracted | 9 studies · 1040 participants | Low Downgraded: inconsistency, publication bias |
Parent mental health symptoms, post‐treatment Higher scores indicate greater mental health symptoms | no estimate extracted | 8 studies · 811 participants | Very low Downgraded: imprecision, inconsistency, publication bias |
Child behavior/disability, post‐treatment Higher scores indicate greater disability | no estimate extracted | 10 studies · 1236 participants | Moderate Downgraded: publication bias |
Child mental health symptoms, post‐treatment Higher scores indicate greater mental health symptoms | no estimate extracted | 15 studies · 1786 participants | High |
Child medical symptoms, post‐treatment Higher scores indicate greater medical symptoms | no estimate extracted | 13 studies · 1434 participants | Very low Downgraded: imprecision, inconsistency |
Family functioning, post‐treatment Higher scores indicate poorer family functioning | no estimate extracted | 5 studies · 429 participants | Very low Downgraded: imprecision, publication bias |
Cognitive‐behavioral therapy for parents of children with a chronic illness (follow‐up)
Population: parents of children with chronic illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Parenting behaviors, | no estimate extracted | 6 studies · 743 participants | Moderate Downgraded: publication bias |
Parent mental health symptoms, | no estimate extracted | 5 studies · 592 participants | Very low Downgraded: imprecision, inconsistency, publication bias |
Child behavior/disability, | no estimate extracted | 8 studies · 1038 participants | Moderate Downgraded: publication bias |
Child mental health symptoms, | no estimate extracted | 10 studies · 1244 participants | Moderate Downgraded: publication bias |
Child medical symptoms, | no estimate extracted | 10 studies · 1136 participants | Low Downgraded: inconsistency, publication bias |
Family functioning, | no estimate extracted | 3 studies · 201 participants | Very low Downgraded: risk of bias, publication bias |
Problem‐solving therapy for parents of children with a chronic illness (post‐treatment)
Population: parents of children with chronic illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Parenting behaviors, post‐treatment Higher scores indicate greater maladaptive parenting behavior | no estimate extracted | 7 studies · 947 participants | Low Downgraded: inconsistency |
Parent mental health symptoms, post‐treatment Higher scores indicate greater mental health symptoms | no estimate extracted | 6 studies · 891 participants | Moderate Downgraded: publication bias |
Child behavior/disability, post‐treatment Higher scores indicate greater disability | no estimate extracted | 3 studies · 247 participants | Very low Downgraded: imprecision, publication bias |
Child mental health symptoms, post‐treatment Higher scores indicate greater mental health symptoms | no estimate extracted | 4 studies · 276 participants | Very low Downgraded: imprecision, inconsistency |
Child medical symptoms, post‐treatment Higher scores indicate greater medical symptoms | no estimate extracted | 5 studies · 679 participants | Very low Downgraded: inconsistency, publication bias |
Family functioning, post‐treatment Higher scores indicate poorer family functioning | no estimate extracted | 2 studies · 237 participants | Very low Downgraded: imprecision, publication bias |
Problem‐solving therapy for parents of children with a chronic illness (follow‐up)
Population: parents of children with chronic illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Parenting behaviors, | no estimate extracted | 6 studies · 852 participants | Very low Downgraded: imprecision, inconsistency |
Parent mental health symptoms, | no estimate extracted | 5 studies · 800 participants | Moderate Downgraded: publication bias |
Child behavior/disability, | no estimate extracted | 2 studies · 114 participants | Very low Downgraded: imprecision, publication bias |
Child mental health symptoms, | no estimate extracted | 3 studies · 212 participants | Very low Downgraded: imprecision, publication bias |
Child medical symptoms, | no estimate extracted | 3 studies · 210 participants | Very low Downgraded: imprecision, publication bias |
Family functioning, | no estimate extracted | 1 study · 101 participants | Very low Downgraded: imprecision, publication bias |
Psychological therapies for parent behaviour post‐treatment
Population: Parents of children with a chronic illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Parenting behaviour post‐treatment Pain condition (low scores indicate less adverse behaviour ratings) | no estimate extracted | 2 studies · 92 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Parenting behaviour post‐treatment Cancer (low scores indicate less adverse behaviour ratings) | no estimate extracted | 5 studies · 836 participants | Very low Downgraded: risk of bias |
Psychological therapies for parent mental health post‐treatment
Population: Parents of children with a chronic illness
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Parent mental health post‐treatment Diabetes (high scores indicate poor mental health) | SMD 0.22 | 3 studies · 175 participants | Low Downgraded: risk of bias |
Parent mental health post‐treatment Cancer (high scores indicate poor mental health) | no estimate extracted | 9 studies · 1010 participants | Very low Downgraded: risk of bias, inconsistency |
Parent Mental Health TBI (high scores indicate high mental health) | no estimate extracted | 2 studies · 72 participants | Very low Downgraded: risk of bias, inconsistency |
Parent Mental Health Asthma (high scores indicate poor mental health) | no estimate extracted | 2 studies · 74 participants | Very low Downgraded: risk of bias |