Background
Conceptualization of adjustment: psychological adjustment
Hypotheses and research questions
Methods
Identification of studies
Step 1: Identification of studies on parents' adjustment
Step 2: Selection of studies on parents' psychological adjustment
Step 3: Coding of research reports
Reports included in meta-analysis |
N
| Design | Comparison Group | Parent Gender | Child Impairment1
| Child Age | Child Treatment | Outcome Measure2
|
---|---|---|---|---|---|---|---|---|
Barakat & Linney, 1992 [31] | 29 | Prospective | Control | Mothers | SB (MMC-non retarded) | 6–11 | Early | BSI |
Barakat & Linney, 1995 [32] | 29 | Prospective | Control | Mothers | SB (MMC-non retarded) | 6–11 | Early | BSI |
Evans, Tew, & Laurence, 1986 [48] | 124 | Longitudinal | Control | Fathers | Combined: NTD | 18 | Late | General Health Questionnaire |
Fagan & Schor, 1993 [61] | 50 | Prospective | Norm scores | Mothers | SB | M = 8.1 | Early | Malaise Inventory |
Holmbeck, Gorey-Ferguson, Hudson, Seefeldt, Shapera, Turner, & Uhler, 1997 [43] | 55 | Prospective | Control | Mothers & fathers | SB | 8–9 | Early | SCL-90R |
Horton & Wallander, 2001 [23] | 33 | Prospective | Norm scores | Mothers | SB | M = 10.6 | Early | BSI |
Kazak & Marvin, 1984 [62] | 56 | Prospective | Control | Mothers & fathers | SB (MMC) | 1–16 | Early | Langner Symptom Checklist |
King, King, Rosenbaum, & Goffin, 1999 [22] | 164 | Prospective | Norm scores | Mothers & fathers | Combined: CP, SB, NOS | 3–6 | Early | SCL-90R |
Kronenberger & Thompson, 1992 [20] | 66 | Prospective | Norm scores | Mothers | SB (MMC) | 0–18 | Early | SCL-90R |
Kronenberger & Thompson, 1992 [21] | 66 | Prospective | Norm scores | Mothers | SB (MMC) | 0–18 | Early | SCL-90R |
Lemanek, Jones, & Lieberman, 2000 [56] | 59 | Prospective | Norm scores | Mothers | SB-non retarded | 3–16 | Early | SCL-90R |
Tew & Laurence, 1973 [33] | 51 | Longitudinal | Norm scores | Mothers | SB | M = 11.6 | Late | Malaise Inventory |
Tew & Laurence, 1975 [34] | 51 | Longitudinal | None | Mothers | SB | M = 11.6 | Late | Malaise Inventory |
Wallander, Varni, Babani, DeHaan, Thompson, Wilcox, & Tweddle Banis, 1989 [14] | 50 | Prospective | Norm scores | Mothers | Combined: SB, CP | 6–11 | Early | Malaise Inventory |
Wiegner & Donders, 2000 [45] | 34 | Prospective | Norm scores | Mothers | SB | 3–12 | Early | BSI |
Reports excluded from meta-analysis
|
N
|
Design
|
Comparison Group
|
Parent Gender
|
Child Impairment
1
|
Child Age
|
Child Treatment
|
Outcome Measure
2
|
Dorner, 1973 [63] | 63 | Prospective | None | Mothers | SB | 13–19 | Late | Malaise Inventory |
Dorner, 1974 [44] | 63 | Prospective | None | Mothers | SB | 13–19 | Late | Malaise Inventory |
Dorner, 1975 [64] | 63 | Prospective | None | Mothers | SB | 13–19 | Late | Malaise Inventory |
Dorner & Atwell, 1985 [65] | 25 | Prospective | None | Mothers & fathers | Non-surviving SB | - | - | Malaise Inventory |
Downey, 1981 [66] | Cohorts | None | - | Combined: SB, Down syndrome | 0–2 | - | Standardized questionnaire | |
Eden-Piercy, Blacher, & Eyman, 1986 [67] | 77 | Prospective | None | Mothers | Combined: SB, autistism, mentally retarded | 1–10 | Early | Questionnaire on emotions |
Hare, Laurence, Payne, & Rawnsley, 1966 [52] | 120 | Longitudinal | None | Mothers & fathers | Combined: SB, ANC, HYDRO | Late | Semi-structured interview | |
Kazak, 1987 [46] | 125 | Prospective | Control | Mothers & fathers | Combined: SB, PKU, mentally retarded | 1–16 | Early | Langner Symptom Checklist |
Kolin, Scherzer, New, & Garfield, 1971 [68] | 13 | Prospective | None | Mothers | SB (MMC) | 7–11 | Late | Psychiatric observation |
Kronenberger, 1991(abstract) [69] | 66 | Prospective | None | Mothers | SB (MMC) | 0–18 | Early | SCL-90R |
Loebig, 1990 [70] | 10 | Prospective | None | Mothers | SB (MMC) | 5–11 | Early | Semi-structured interview |
McAndrew, 1976 [47] | 116 | Retrospective | None | Mothers & fathers | Combined: MMC, CP, limb deficit | 5–10 | - | Semi-structured interview |
Murdoch, 1984 [53] | 109 | Retrospective | None | Mothers | SB | 2–10 | Early | Semi-structured interview |
Nielsen, 1980 [54] | 30 | Longitudinal | None | Mothers | SB (MMC) | 0–6 | Early | Semi-structured interview |
Richards & McIntosh, 1973 [71] | 86 | Prospective | None | Mothers & fathers | SB (SBA) | 2–6 | Late | Semi-structured interview |
Rolle, Niemeyer, & Grafe, 2000 [72] | 80 | Retrospective | None | Mothers & fathers | Combined: SB, HYDRO | 0–18 | Early | Coping Skills |
Spaulding & Morgan, 1986 [59] | 19 | Prospective | Control | Mothers & fathers | SB-non retarded | 5–15 | Early | Social Readjustment Rating Scale |
Walker, Thomas, & Russell, 1971 [55] | 108 | Retrospective | None | Mothers & fathers | SB | 0–3 | Early | Standardized questionnaire |
Step 4: Allocation of studies eligible for meta-analysis
Meta-analytic procedures
Weighted average effect size d+
Weighted average effect size r
File drawer analysis Fail Safe N
Results
Weighted average effect size d+
k
|
n
exp
| Weighted Mean Effect Size d
+
| 95% Confidence Interval |
U
3
| Homogeneity Test Q
| Stouffer's Combined Test Z
c
| Fail Safe .05 N
| |
---|---|---|---|---|---|---|---|---|
Mothers | 10 | 500 | .73 | .38 – .97 | 76.7% | 66.21*** | 9.15*** | 299.1 |
Fathers | 3 | 134 | .54 | .35 – .76 | 70.5% | 0.24 | 3.93*** | 14.1 |
Parents | 15 | 831 | .76 | .48 – .86 | 77.6% | 73.54*** | 11.25*** | 686.7 |
Weighted average effect size r
Category |
k
|
n
| Weighted Z
r
| Effect Size r
|
Z
c
| Homogeneity Q
| Fail Safe .05 N
|
---|---|---|---|---|---|---|---|
Child factors
| |||||||
Disability parameters | 4 | 385 | .14 | .14 | 2.75** | 2.93 | 10.1 |
Behavior problems | 3 | 273 | .38 | .37 | 6.22*** | 2.60 | 30.9 |
Emotional problems | 2 | 193 | .50 | .47 | 6.90*** | 1.03 | 30.4 |
Social competence | 2 | 109 | -.12 | -.12 | -1.26 | .02 | 0.0 |
Parent factors
| |||||||
Socio-economic characteristics | 3 | 264 | -.13 | -.13 | -2.13* | 1.45 | .36 |
Appraised stress | 2 | 177 | .56 | .63 | 7.32*** | 5.90* | 30.8 |
Coping | 2 | 76 | .40 | .38 | 3.31*** | 8.55** | 10.9 |
Parenting satisfaction/competence | 2 | 109 | -.44 | -.41 | -4.44*** | .09 | 12.1 |
Family factors
| |||||||
Partner presence | 3 | 211 | -.16 | -.16 | -2.22* | .69 | 1.6 |
Marital adjustment | 2 | 97 | -.43 | -.40 | -4.12*** | .23 | 10.4 |
Family income | 2 | 214 | -.22 | -.22 | -3.15** | 1.05 | 6.2 |
Positive family environment | 5 | 340 | -.45 | -.42 | -8.14*** | 1.17 | 108.6 |
Environment factors
| |||||||
Quantity social support | 4 | 240 | -.29 | -.28 | -4.35*** | 3.16 | 22.9 |
Satisfaction social support | 4 | 351 | -.29 | -.28 | -5.37*** | 6.68 | 37.9 |
Formal support | 2 | 214 | -.07 | -.07 | -1.07 | .01 | .0 |