title: Posttraumatic stress disorder in parents of children with chronic illnesses: a meta-analysis.
abstract: 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.
  
  
  METHODS
  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.
authors.affiliation: Institute of Psychiatry, Universidade Federal do Rio de Janeiro, RJ, Brazil. mariana.cabizuca@gmail.com
authors.forename: Mariana
authors.initials: M
authors.lastname: Cabizuca
authors.forename: Carla
authors.initials: C
authors.lastname: Marques-Portella
authors.forename: Mauro V
authors.initials: MV
authors.lastname: Mendlowicz
authors.forename: Evandro S F
authors.initials: ES
authors.lastname: Coutinho
authors.forename: Ivan
authors.initials: I
authors.lastname: Figueira
mesh_terms: D002648:Child; D002908:Chronic Disease / Q000523:psychology*; D003430:Cross-Sectional Studies; D006801:Humans; D010290:Parents / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology