Evidence map›Paper›PMID 41932698›Full record

ArticleBMJ mental health2026

Factors associated with the mental health of parents during and after their child's hospitalisation: an international longitudinal prospective cohort study.

Renee Mehra, Thomas J Hoffmann, Dave Graham-Squire, Amy J Lisanti, Caryl Gay, Christine Hodgson, Jennifer Rienks, Michelle Pavlik, Sufiya Manju, Nitya Turaga and 2 more

Abstract read
In one paragraph

Article in BMJ mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
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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

12 authors.

Renee MehraDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA renee.mehra@ucsf.edu.ORCID http://orcid.org/0000-0002-9794-2971
Thomas J HoffmannDepartment of Epidemiology and Biostatistics, Institute for Human Genetics, UCSF, San Francisco, California, USA.
Dave Graham-SquireDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Amy J LisantiDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Caryl GayDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Christine HodgsonDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Jennifer RienksFamily and Community Medicine, UCSF, San Francisco, California, USA.
Michelle PavlikDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Sufiya ManjuDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Nitya TuragaDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Michael ClayDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.
Linda S FranckDepartment of Family Health Care Nursing, UCSF, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA child's hospitalisation may have long-term influences on parental mental health, which can affect child health.

objectiveTo describe the prevalence of and examine factors associated with parents' depression and anxiety symptoms over time.

methodsThis prospective cohort study in 14 countries measured parent mental health during their child's hospitalisation, at discharge and 3 months postdischarge (2023-2024). We included parents ≥18 years staying at a Ronald McDonald House

findings3350 parents, including 2594 (78.6%) mothers, 616 (18.1%) fathers and 131 (3.3%) other caregivers, participated during hospitalisation; 1751 (52%) at discharge, and 2395 (71%) postdischarge. Prevalence of depression and anxiety symptoms was high during hospitalisation (49.7% and 69.0%, respectively) and decreased modestly at discharge (44.6% and 59.5%, respectively), and postdischarge (42.8% and 59.2%, respectively). Over time, probabilities of depression symptoms decreased among those with high, moderate and low levels of social support (50%, 27%, 5%, respectively), and self-care (29%, 27% and 22%, respectively). Probabilities of depression symptoms decreased among those with high or moderate perceived levels of family-centred care (high: 20% decrease; moderate: 11% decrease, compared with low). In contrast, probabilities of depression symptoms increased among those with high or moderate levels of unmet basic needs (high: 18% increase; moderate: 8% increase, compared with low) and poorer ratings of their child's health (high: 68% increase; moderate: 32% increase, compared with low (healthier)). These trends were similar for anxiety symptoms.

conclusionsPrevalence of depression and anxiety symptoms is high among parents and only decreases modestly postdischarge. CLINICAL IMPLICATIONS: Routine screening and ongoing services may lower the risk of prolonged parental mental health symptoms, but more research is needed.

Indexed as

AnxietyChild, HospitalizedDepressionHospitalizationMental HealthParentsAdolescentAdultChildChild, PreschoolFemaleHumansLongitudinal StudiesMalePrevalenceProspective StudiesAnxiety DisordersDepressive DisorderMental Health

Identifiers

PMID41932698
PMCPMC13052808

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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.