ArticleJournal of pediatric psychology2026
Mediating effect of perceived physical appearance in the association of disability and psychopathology in youth with chronic physical illness: a sex-stratified analysis.
Article in Journal of pediatric psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveThis study examined the mediating effect of perceived physical appearance on the association between disability and psychopathology in youth with chronic physical illness, and whether effects differed by sex.
methodsA cohort of 263 children and youth (2-16 years at enrollment) diagnosed with a chronic physical illness were recruited from a Canadian pediatric hospital. Data from 102 youth aged ≥ 10 years who were eligible to provide self-reports (n = 50 female; n = 52 male) were analyzed. Youth psychopathology (emotional, behavioral, and attentional symptoms) was measured using the Emotional Behavioural Scales-Brief Version, and disability was measured using the WHO Disability Assessment Schedule 2.0. Multiple-group path analysis was used to investigate the direct and indirect effects between youth disability and psychopathology, mediated by perceived physical appearance for male and female youth over a 24-month period.
resultsFor both male and female youth, elevated disability was directly associated with lower perceptions of physical appearance (βmale = -0.26 [0.11], βfemale = -0.20 [0.08]) and elevated symptoms of behavioral (βmale = 0.35 [0.10], βfemale = 0.29 [0.09]) and attentional symptoms (βmale = 0.31 [0.10], βfemale = 0.24 [0.09]). Perceived physical appearance mediated the relationship between disability and emotional symptoms for males (αβ = 0.11 [0.01-0.21]).
conclusionsThe level of disability is a key factor influencing the mental health of youth with chronic physical illness, and the mechanism by which its effects are exerted differs by sex. More comprehensive multiple-mediator models that consider potential bidirectional associations are warranted.
Indexed as
Identifiers
What OpenQuestion holds
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.