Evidence map›Paper›PMID 29297108›Full record

ArticleJournal of genetic counseling2018

Psychosocial Profiles of Parents of Children with Undiagnosed Diseases: Managing Well or Just Managing?

Allyn McConkie-Rosell, Stephen R Hooper, Loren D M Pena, Kelly Schoch, Rebecca C Spillmann, Yong-Hui Jiang, Heidi Cope, Undiagnosed Diseases Network, Christina Palmer, Vandana Shashi

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of genetic counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  13. Family genetic risk communication and reverse cascade testing in the BabySeq project.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
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  15. Article
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  19. Article
  20. Exome/Genome Sequencing in Undiagnosed Syndromes.Annual review of medicine · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Allyn McConkie-RosellDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA. allyn.mcconkie@duke.edu.
Stephen R HooperDepartment of Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Loren D M PenaDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Kelly SchochDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Rebecca C SpillmannDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Yong-Hui JiangDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Heidi CopeDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Undiagnosed Diseases Network
Christina PalmerDepartments of Psychiatry and Biobehavioral Sciences, Human Genetics, and Institute for Society and Genetics, UCLA, Los Angeles, CA, USA.
Vandana ShashiDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USNeurobehavioral Systems · USOffice of the Director · USUniversity of North Carolina at Chapel Hill · US

Funding

An integrated and diverse genomic medicine program for undiagnosed diseasesU01HG007672 · NHGRI · DUKE UNIVERSITY · PI SHASHI, VANDANA · 2014 to 2022
$13.4M
UCLA clinical site for the investigation of undiagnosed disordersU01HG007703 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2014 to 2022
$10.1M
C BRIGGSAE AND C ELEGANS GENOMIC SEQUENCE COMPARISONF32HG000130 · NHGRI · WASHINGTON UNIVERSITY · PI COUCH, JENNIFER A · 1994 to 1995
–
NHGRI NIH HHS F32 HG000130NHGRI NIH HHS U01 HG007672NHGRI NIH HHS U01 HG007703
6 · The paper itself

Abstract

Little is known about the psychosocial profiles of parents who have a child with an undiagnosed chronic illness. The National Institutes of Health Undiagnosed Diseases Network (UDN) evaluates individuals with intractable medical findings, with the objective of discovering the underlying diagnosis. We report on the psychosocial profiles of 50 parents whose children were accepted to one of the network's clinical sites. Parents completed questionnaires assessing anxiety, depression, coping self-efficacy, and health care empowerment at the beginning of their child's UDN clinical evaluation. Parents of undiagnosed children had high rates of anxiety and depression (~ 40%), which were significantly inversely correlated with coping self-efficacy, but not with health care empowerment. Coping self-efficacy, depressive, and anxiety symptoms were better in parents with older children and with longer duration of illness. Gender differences were identified, with mothers reporting greater health care engagement than fathers. Overall, our findings suggest that parents of children with undiagnosed diseases maintain positive coping self-efficacy and remain actively engaged in health care and to a lesser degree tolerance for uncertainty, but these come with a high emotional cost to the parents. As the parents' psychological needs may not be obvious, these should be ascertained and the requisite support provided.

Indexed as

UncertaintyAdaptation, PsychologicalAdultAnxietyChildChild WelfareDepressionFemaleHumansMaleMiddle AgedParentsRare DiseasesSelf EfficacySurveys and QuestionnairesAnxietyCoping self-efficacyDepressionDiagnostic odysseyHealth care empowermentParentTolerance of uncertaintyUndiagnosed diseaseWhole exome sequencing

Identifiers

PMID29297108
PMCPMC6028305
OpenAlexW2782045578

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.