Evidence map›Paper›PMID 31268850›Full record

ArticleThe Journal of urology2019

Predictors of Psychosocial Distress in Parents of Young Children with Disorders of Sex Development.

Megan N Perez, Alexandria M Delozier, Christopher E Aston, Paul Austin, Laurence Baskin, Yee-Ming Chan, Earl Y Cheng, David A Diamond, Allyson Fried, Saul Greenfield and 16 more

Abstract read
In one paragraph

Article in The Journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Megan N PerezOklahoma State University, Stillwater, Oklahoma.
Alexandria M DelozierOklahoma State University, Stillwater, Oklahoma.
Christopher E AstonUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Paul AustinTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Laurence BaskinUniversity of California San Francisco Medical Center, San Francisco, California.
Yee-Ming ChanBoston Children's Hospital, Boston, Massachusetts.
Earl Y ChengLurie Children's Hospital of Chicago, Chicago, Illinois.
David A DiamondBoston Children's Hospital, Boston, Massachusetts.
Allyson FriedJohn R. Oishei Children's Hospital, Buffalo, New York.
Saul GreenfieldJohn R. Oishei Children's Hospital, Buffalo, New York.
Thomas KolonChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Bradley KroppCook Children's Medical Center, Ft. Worth, Texas.
Yegappan LakshmananChildren's Hospital of Michigan, Detroit, Michigan.
Sabrina MeyerJohn R. Oishei Children's Hospital, Buffalo, New York.
Theresa MeyerLurie Children's Hospital of Chicago, Chicago, Illinois.
Natalie NokoffChildren's Hospital Colorado, Aurora, Colorado.
Blake PalmerCook Children's Medical Center, Ft. Worth, Texas.
Alethea ParadisSt. Louis Children's Hospital, St. Louis, Missouri.
Dix PoppasNew York Presbyterian Hospital/Weill Cornell Medicine, New York, New York.
Kristy J Scott ReyesCook Children's Medical Center, Ft. Worth, Texas.
Jonathan M SwartzBoston Children's Hospital, Boston, Massachusetts.
Amy TishelmanBoston Children's Hospital, Boston, Massachusetts.
Amy B WisniewskiOklahoma State University, Stillwater, Oklahoma.
Cortney Wolfe-ChristensenCook Children's Medical Center, Ft. Worth, Texas.
Elizabeth YerkesChildren's Hospital Colorado, Aurora, Colorado.
Larry L MullinsOklahoma State University, Stillwater, Oklahoma.

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Tracking and Evaluation CoreU54GM104938 · NIGMS · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI PAUL G SPICER · 2013 to 2026
$68.2M
Short-term outcomes of interventions for reproductive dysfunctionR01HD074579 · NICHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI MULLINS, LARRY L., WISNIEWSKI, AMY B · 2013 to 2022
$4.3M
NCATS NIH HHS UL1 TR002384NICHD NIH HHS R01 HD074579NIGMS NIH HHS U54 GM104938
6 · The paper itself

Abstract

purposeWe evaluated demographic, financial and support predictors of distress for parents of young children with disorders of sex development including atypical genital development, and characterized early parental experiences. This work extends our previous findings to identify those parents at risk for distress. MATERIALS AND

methodsParticipants included mothers (76) and fathers (63) of a child (78) diagnosed with disorders of sex development characterized by moderate to severe genital atypia. Parents completed a demographic questionnaire, measures of anxious and depressive symptoms, quality of life, illness uncertainty and posttraumatic stress symptoms, and rated their satisfaction with the appearance of their child's genitalia.

resultsDepressive and posttraumatic stress symptoms of caregivers were comparable to standardized norms while levels of anxious symptoms were below norms. A subset of parents reported clinically elevated symptoms. Overall 26% of parents reported anxious symptoms, 24% reported depressive symptoms and 17% reported posttraumatic stress symptoms. Levels of illness uncertainty were lower than those of parents of children with other chronic illnesses. Differences by parent sex emerged, with mothers reporting greater distress. Lower income, increased medical care and travel expenses, and having no other children were related to increased psychosocial distress.

conclusionsEarly psychosocial screening is recommended for parents of children with disorders of sex development. Clinicians should be aware that financial burden and lack of previous parenting experience are risk factors for distress.

Indexed as

Quality of LifeAdultChild, PreschoolDisorders of Sex DevelopmentFemaleHumansIncidenceInfantMaleParentsPrognosisRisk FactorsStress, PsychologicalUnited Statesdisorders of sex developmentparentspsychologicalstress

Identifiers

PMID31268850
PMCPMC6946548

What OpenQuestion holds

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Registered trials

None linked

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.