Evidence map›Paper›PMID 41341441›Full record

Observational studyFrontiers in public health2025

The Family Stress Model in families of children with rare diseases: a cross-sectional multilevel path analysis for understanding family dynamics.

Johannes Boettcher, Sarah Hohmann, Anne Daubmann, Jonas Denecke, Ania C Muntau, Silke Wiegand-Grefe, Holger Zapf

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04382820 (Psychosocial Situation of Children With Rare), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT04382820 completednot on this map

Psychosocial Situation of Children With Rare (Congenital) Pediatric Surgical Diseases and Their Families

Typeobservational_patient_registrySponsorUniversitätsklinikum Hamburg-EppendorfRan2020 to 2021Enrolled167ConditionsRare Diseases
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Johannes BoettcherDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sarah HohmannDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Anne DaubmannDepartment of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jonas DeneckeDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ania C MuntauDepartment of Pediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Silke Wiegand-GrefeGerman Center for Child and Adolescent Health (DZKJ), Partner Site Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Holger ZapfDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Theoretical frameworks, such as the Family Stress Model, have been evaluated in various contexts; however, there is a lack of large-scale studies specifically focusing on families of children with rare diseases. Objective: To examine the applicability of the Family Stress model within a large-scale sample of families of children with rare diseases. Methods: The potential predictors of children's mental health in a multicenter study of Results: Relevant associations were found among all variables. The multilevel model based on our data only partially supported the Family Stress Model. In our model, the quality of the parental relationship was not relevantly associated with stress and depressive symptoms. Conclusion: Our findings show that the Family Stress Model is not supported entirely in a multilevel analysis of families of children with rare diseases. Nevertheless, the results underscore the importance of focusing on alleviating parental stress, which could diminish intra-family psychopathology. Clinical trial registration: The study was registered on September 21, 2024, with the identifier number NCT04382820 at ClinicalTrials.gov.

Indexed as

Family RelationsParentsRare DiseasesStress, PsychologicalAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleMiddle AgedMultilevel AnalysischildrenFamily Stress Modelmental healthmultilevel path analysisrare diseases

Identifiers

PMID41341441
PMCPMC12671385

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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.