{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:28:29Z","timestamp":1793654909838,"version":"4.5.1"},"reference-count":76,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100017577","name":"Basic Public Welfare Research Program of Zhejiang Province","doi-asserted-by":"publisher","award":["LBY23H200002"],"award-info":[{"award-number":["LBY23H200002"]}],"id":[{"id":"10.13039\/501100017577","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2027,1]]},"DOI":"10.1016\/j.pedn.2026.09.013","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:26:49Z","timestamp":1790022409000},"page":"168-178","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Social support, coping, and illness uncertainty among parents of children with cleft lip and\/or palate: A cross-sectional mediation analysis"],"prefix":"10.1016","volume":"92","author":[{"given":"Shiying","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenrong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanyao","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caixia","family":"Gong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhao","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sixie","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwen","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruiqi","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shihua","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pedn.2026.09.013_bb0005","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2024.1330720","article-title":"Social support and mental health: The mediating role of perceived stress","volume":"15","author":"Acoba","year":"2024","journal-title":"Frontiers in Psychology"},{"key":"10.1016\/j.pedn.2026.09.013_bb0010","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.pedn.2025.04.018","article-title":"Assessment of the effectiveness of a web-based family centered empowerment program for the parents of children with oncological problems: Randomized controlled trial","volume":"83","author":"Akdeniz Uysal","year":"2025","journal-title":"Journal of Pediatric Nursing"},{"issue":"14","key":"10.1016\/j.pedn.2026.09.013_bb0020","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19148636","article-title":"Family caregiving during the COVID-19 pandemic in Canada: A mediation analysis","volume":"19","author":"Anderson","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"9","key":"10.1016\/j.pedn.2026.09.013_bb0025","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1177\/10556656241275534","article-title":"Interactive iPad-based education for parents of patients with cleft lip and palate","volume":"62","author":"Arora","year":"2025","journal-title":"The Cleft Palate-Craniofacial Journal"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0030","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/jclpca.jclpca_39_25","article-title":"The silent stigma and psychological toll of cleft in Pakistan \u2013 Insights from a high-volume cleft center","volume":"13","author":"Ayub","year":"2026","journal-title":"Journal of Cleft Lip Palate and Craniofacial Anomalies"},{"issue":"6","key":"10.1016\/j.pedn.2026.09.013_bb0035","doi-asserted-by":"crossref","DOI":"10.1002\/pon.70525","article-title":"Navigating uncertainty together: A longitudinal dyadic analysis of adult only-child patients with advanced cancer and their parents","volume":"35","author":"Bao","year":"2026","journal-title":"Psycho-Oncology"},{"key":"10.1016\/j.pedn.2026.09.013_bb0040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/09638288.2026.2678702","article-title":"\u201cI have to be my child\u2019s voice\u201d: Parents\u2019 experiences of continuity of care in cleft speech services","author":"Bow","year":"2026","journal-title":"Disability and Rehabilitation"},{"issue":"2","key":"10.1016\/j.pedn.2026.09.013_bb0045","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1177\/10556656221125377","article-title":"Psychological and peer difficulties of children with cleft lip and\/or palate: A systematic review and meta-analysis","volume":"61","author":"Branson","year":"2024","journal-title":"The Cleft Palate-Craniofacial Journal"},{"key":"10.1016\/j.pedn.2026.09.013_bb0050","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2024.1425320","article-title":"A qualitative analysis of parents' experiences while their neonates with congenital heart disease require intensive care","volume":"12","author":"Catapano","year":"2024","journal-title":"Frontiers in Pediatrics"},{"issue":"6","key":"10.1016\/j.pedn.2026.09.013_bb0055","doi-asserted-by":"crossref","DOI":"10.1002\/bdr2.2364","article-title":"A systematic review of barriers to accessing cleft care worldwide","volume":"116","author":"Cer\u00f3n-Zapata","year":"2024","journal-title":"Birth Defects Research"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0060","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1176\/appi.ps.201500255","article-title":"Family decision making and self-determination among consumers with schizophrenia in China: Cross-cultural implications","volume":"69","author":"Chen","year":"2018","journal-title":"Psychiatric Services"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0065","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-022-04377-9","article-title":"The mediating role of coping styles in the relationship between perceived social support and antenatal depression among pregnant women: A cross-sectional study","volume":"22","author":"Chen","year":"2022","journal-title":"BMC Pregnancy and Childbirth"},{"issue":"5","key":"10.1016\/j.pedn.2026.09.013_bb0070","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1038\/s41415-023-6284-9","article-title":"NAM in cleft care - boon or bane","volume":"235","author":"Chitra","year":"2023","journal-title":"British Dental Journal"},{"key":"10.1016\/j.pedn.2026.09.013_bb0075","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.pedn.2025.06.026","article-title":"Exploring parental uncertainty and information needs for children with developmental disabilities: A qualitative study","volume":"84","author":"Choi","year":"2025","journal-title":"Journal of Pediatric Nursing"},{"issue":"2","key":"10.1016\/j.pedn.2026.09.013_bb0080","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1111\/cga.12398","article-title":"\u201cUnexpected event\u201d: Having an infants with cleft lip and\/or palate","volume":"61","author":"\u00c7\u0131nar","year":"2021","journal-title":"Congenital Anomalies"},{"issue":"5","key":"10.1016\/j.pedn.2026.09.013_bb0085","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1111\/1460-6984.13038","article-title":"Evaluating structure and content of parent-implemented early logopaedic intervention models following the three stages of communicative development in children with cleft lip and\/or palate: Systematic literature review with narrative synthesis","volume":"59","author":"Cocquyt","year":"2024","journal-title":"International Journal of Language & Communication Disorders"},{"issue":"2","key":"10.1016\/j.pedn.2026.09.013_bb0090","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1111\/bjhp.12703","article-title":"Parents\u2019 experiences of receiving their child\u2019s diagnosis of congenital heart disease: A systematic review and meta-synthesis of the qualitative literature","volume":"29","author":"Dandy","year":"2024","journal-title":"British Journal of Health Psychology"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0095","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1037\/a0028961","article-title":"It\u2019s a privilege to smile: Impact of cleft lip palate on families","volume":"30","author":"Davey","year":"2012","journal-title":"Families, Systems & Health"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0100","doi-asserted-by":"crossref","DOI":"10.1016\/j.jormas.2025.102613","article-title":"Impact of a passive palatal plate on orofacial functions in children with cleft lip and palate: A systematic review","volume":"127","author":"Duval","year":"2026","journal-title":"Journal of Stomatology Oral and Maxillofacial Surgery"},{"issue":"9","key":"10.1016\/j.pedn.2026.09.013_bb0105","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1093\/jpepsy\/jsaf029","article-title":"Longitudinal psychological well-being in caregivers of young children with cleft lip and\/or palate","volume":"50","author":"Edme","year":"2025","journal-title":"Journal of Pediatric Psychology"},{"issue":"9596","key":"10.1016\/j.pedn.2026.09.013_bb0110","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"von Elm","year":"2007","journal-title":"The Lancet"},{"issue":"2","key":"10.1016\/j.pedn.2026.09.013_bb0115","doi-asserted-by":"crossref","first-page":"E109","DOI":"10.1001\/amajethics.2021.109","article-title":"How should clinicians respond to language barriers that exacerbate health inequity?","volume":"23","author":"Espinoza","year":"2021","journal-title":"AMA Journal of Ethics"},{"key":"10.1016\/j.pedn.2026.09.013_bb0120","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1037\/0022-3514.54.3.466","article-title":"Coping as a mediator of emotion","volume":"54","author":"Folkman","year":"1988","journal-title":"Journal of Personality and Social Psychology"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0125","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/PSN.0000000000000286","article-title":"Care of the Asian American child with cleft lip or palate","volume":"39","author":"Fritzsche","year":"2019","journal-title":"Plastic Surgical Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0381","first-page":"24","article-title":"Assessment of Knowledge and Need for Multidisciplinary Care among Parents of Patients with Cleft Lip and Palate in Aminu Kano Teaching Hospital, Kano","volume":"1","author":"Fusami","year":"2025","journal-title":"African Cleft Palate-Craniofacial Journal"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0130","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1002\/nur.20306","article-title":"Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period","volume":"32","author":"Gao","year":"2009","journal-title":"Research in Nursing & Health"},{"issue":"12","key":"10.1016\/j.pedn.2026.09.013_bb0135","doi-asserted-by":"crossref","first-page":"1997","DOI":"10.1177\/10556656241288762","article-title":"Sociodemographic influence on the management of orofacial cleft in urban and rural Indonesia","volume":"62","author":"Hasanuddin","year":"2025","journal-title":"The Cleft Palate-Craniofacial Journal"},{"issue":"5","key":"10.1016\/j.pedn.2026.09.013_bb0140","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1177\/10556656241227355","article-title":"What parents of children born with a cleft lip and\/or palate want to know about the care for their child","volume":"62","author":"Heijsters","year":"2025","journal-title":"The Cleft Palate-Craniofacial Journal"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0145","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/s12903-023-03797-z","article-title":"Prevalence, trend, and associated risk factors for cleft lip with\/without cleft palate: A national study on live births from 2016 to 2021","volume":"24","author":"Heydari","year":"2024","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.pedn.2026.09.013_bb0150","series-title":"Applied logistic regression","author":"Hosmer","year":"2013"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0155","doi-asserted-by":"crossref","first-page":"105","DOI":"10.4040\/jkan.2012.42.1.105","article-title":"A structural model for psychosocial adjustment in patients with early breast cancer","volume":"42","author":"Kim","year":"2012","journal-title":"Journal of Korean Academy of Nursing"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0160","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1002\/1097-4679(199107)47:4<471::AID-JCLP2270470402>3.0.CO;2-O","article-title":"Latent variable path analysis in clinical research: A beginner\u2019s tour guide","volume":"47","author":"Kline","year":"1991","journal-title":"Journal of Clinical Psychology"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0165","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.xaor.2025.06.003","article-title":"The role of orthodontics in a 13-year multidisciplinary treatment of cleft lip and palate","volume":"5","author":"Kuang","year":"2025","journal-title":"AJO-DO Clinical Companion"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0170","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1177\/07334648251338875","article-title":"Dementia care partner health literacy as a mediator between education and burden at hospital discharge","volume":"45","author":"Kuzmik","year":"2026","journal-title":"Journal of Applied Gerontology"},{"key":"10.1016\/j.pedn.2026.09.013_bb0175","series-title":"Stress, appraisal, and coping","author":"Lazarus","year":"1984"},{"issue":"11","key":"10.1016\/j.pedn.2026.09.013_bb0180","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.1016\/j.ijom.2022.04.003","article-title":"Cleft lip and palate: The psychological burden of affected parents during the first three years of their children\u2019s lives","volume":"51","author":"Lentge","year":"2022","journal-title":"International Journal of Oral and Maxillofacial Surgery"},{"issue":"11","key":"10.1016\/j.pedn.2026.09.013_bb0185","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1007\/s12519-024-00844-9","article-title":"Temporal trends in the prevalence of major birth defects in China: A nationwide population-based study from 2007 to 2021","volume":"20","author":"Li","year":"2024","journal-title":"World Journal of Pediatrics"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0190","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1186\/s12887-024-04919-4","article-title":"Health-illness transition processes in children with complex chronic conditions and their parents: A scoping review","volume":"24","author":"Loura","year":"2024","journal-title":"BMC Pediatrics"},{"key":"10.1016\/j.pedn.2026.09.013_bb0195","article-title":"The relationship between resilience and posttraumatic growth among the primary caregivers of children with developmental disabilities: The mediating role of positive coping style and self-efficacy","volume":"12","author":"Lu","year":"2021","journal-title":"Frontiers in Psychology"},{"issue":"18","key":"10.1016\/j.pedn.2026.09.013_bb0200","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1002\/bdr2.1589","article-title":"National population-based estimates for major birth defects, 2010\u20132014","volume":"111","author":"Mai","year":"2019","journal-title":"Birth Defects Research"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0205","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.acap.2017.06.010","article-title":"Why parents seek care for acute illness in the clinic or the ED: The role of health literacy","volume":"18","author":"May","year":"2018","journal-title":"Academic Pediatrics"},{"issue":"6","key":"10.1016\/j.pedn.2026.09.013_bb0210","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1097\/00006199-198311000-00002","article-title":"Parents\u2019 perception of uncertainty concerning their hospitalized child","volume":"32","author":"Mishel","year":"1983","journal-title":"Nursing Research"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0215","first-page":"225","article-title":"Uncertainty in illness","volume":"20","author":"Mishel","year":"1988","journal-title":"Image: The Journal of Nursing Scholarship"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0220","first-page":"256","article-title":"Reconceptualization of the uncertainty in illness theory. Image: The","volume":"22","author":"Mishel","year":"1990","journal-title":"Journal of Nursing Scholarship"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0225","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1186\/s12903-023-03747-9","article-title":"Challenges and concerns faced by parents of a group of Egyptian children with cleft lip\/palate: A qualitative study","volume":"23","author":"Morsi","year":"2023","journal-title":"BMC Oral Health"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0230","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/01.JNR.0000347569.07435.73","article-title":"Predictors of maternal depression for families having a child with epilepsy","volume":"9","author":"Mu","year":"2001","journal-title":"The Journal of Nursing Research"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0235","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1370\/afm.3106","article-title":"\u201cWe feel alone and not listened to\u201d: Parents\u2019 perspectives on pediatric serious illness care in Somali, Hmong, and Latin American communities","volume":"22","author":"Needle","year":"2024","journal-title":"Annals of Family Medicine"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0240","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1111\/ipd.12886","article-title":"Differences in specific concerns perceived by parents of children with cleft lip and\/or palate based on the types of cleft","volume":"32","author":"Niinomi","year":"2022","journal-title":"International Journal of Paediatric Dentistry"},{"issue":"7","key":"10.1016\/j.pedn.2026.09.013_bb0245","doi-asserted-by":"crossref","first-page":"2227","DOI":"10.1097\/SCS.0000000000006028","article-title":"Maternal and paternal well-being during nasoalveolar molding and primary surgery periods","volume":"30","author":"Nur Yilmaz","year":"2019","journal-title":"The Journal of Craniofacial Surgery"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0250","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1186\/s40359-025-02862-2","article-title":"The effect of disease uncertainty on stress perception among parents of critically ill children in the PICU: The mediating effect of coping styles","volume":"13","author":"Peng","year":"2025","journal-title":"BMC Psychology"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0255","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s10880-019-09617-3","article-title":"Examining uncertainty in illness in parents and children with chronic kidney disease and systemic lupus erythematosus: A mediational model of internalizing symptoms and health-related quality of life","volume":"27","author":"Petrongolo","year":"2020","journal-title":"Journal of Clinical Psychology in Medical Settings"},{"key":"10.1016\/j.pedn.2026.09.013_bb0260","article-title":"Parental knowledge and barriers to cleft lip and palate care: A cross-cultural study from the Middle East and South Asia","volume":"13","author":"Rabah","year":"2025","journal-title":"Frontiers in Public Health"},{"issue":"9","key":"10.1016\/j.pedn.2026.09.013_bb0265","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1093\/jpepsy\/jsaa069","article-title":"Illness uncertainty longitudinally predicts distress among caregivers of children born with DSD","volume":"45","author":"Roberts","year":"2020","journal-title":"Journal of Pediatric Psychology"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0270","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1093\/jpepsy\/jsaf026","article-title":"The moderating role of parental cognitive perceptions in the link between children\u2019s cancer predisposition genetic testing results and parent psychological adjustment","volume":"51","author":"Sachner","year":"2026","journal-title":"Journal of Pediatric Psychology"},{"key":"10.1016\/j.pedn.2026.09.013_bb0275","doi-asserted-by":"crossref","DOI":"10.1016\/j.pecinn.2024.100362","article-title":"Taking a step back: Parents' experiences of the decision-making process for elective orthognathic surgery in cleft lip and palate (IPA)","volume":"6","author":"Safarikova","year":"2025","journal-title":"PEC Innovation"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0280","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1053\/jpdn.2001.20547","article-title":"Measuring parental uncertainty during the diagnosis phase of serious illness in a child","volume":"16","author":"Santacroce","year":"2001","journal-title":"Journal of Pediatric Nursing"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0285","doi-asserted-by":"crossref","first-page":"291","DOI":"10.4103\/jdrr.jdrr_57_22","article-title":"Psychological distress and related factors among parents having children with cleft lip and palate disorder: Evidence from Sri Lanka","volume":"9","author":"Senavirathne","year":"2022","journal-title":"Journal of Dental Research and Review"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0290","doi-asserted-by":"crossref","first-page":"473","DOI":"10.4103\/amhs.amhs_244_24","article-title":"Complete bilateral cleft lip and palate with protruding premaxilla: A multidisciplinary approach \u2013 follow-up after 10 years","volume":"13","author":"Shetty","year":"2025","journal-title":"Archives of Medicine and Health Sciences"},{"issue":"3","key":"10.1016\/j.pedn.2026.09.013_bb0295","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1002\/jts.22197","article-title":"Protective factors, coping appraisals, and social barriers predict mental health following community violence: A prospective test of social cognitive theory","volume":"30","author":"Smith","year":"2017","journal-title":"Journal of Traumatic Stress"},{"issue":"Suppl. 1","key":"10.1016\/j.pedn.2026.09.013_bb0300","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1038\/s41372-022-01313-9","article-title":"NICU discharge preparation and transition planning: Guidelines and recommendations","volume":"42","author":"Smith","year":"2022","journal-title":"Journal of Perinatology"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0305","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1177\/00380261251347746","article-title":"Descending asymmetry in proximate, mobile and digital care: Chinese older people grandparenting across distance within China and overseas","volume":"73","author":"Stevens","year":"2025","journal-title":"The Sociological Review"},{"issue":"11","key":"10.1016\/j.pedn.2026.09.013_bb0310","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1177\/10556656241280071","article-title":"Caring for a child with a cleft lip and\/or palate: A narrative review","volume":"62","author":"Stock","year":"2025","journal-title":"The Cleft Palate-Craniofacial Journal"},{"issue":"6","key":"10.1016\/j.pedn.2026.09.013_bb0315","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1177\/10556656251343393","article-title":"The psychosocial impact of cleft lip and\/or palate on caregivers and individuals in low- and middle-income countries: A narrative review","volume":"63","author":"Stock","year":"2026","journal-title":"The Cleft Palate-Craniofacial Journal"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0320","doi-asserted-by":"crossref","first-page":"3172","DOI":"10.1186\/s12889-024-20603-9","article-title":"The influential factors of anxiety among caregivers of children with CL\/P: A path analysis based on diathesis-stress theoretical model","volume":"24","author":"Sun","year":"2024","journal-title":"BMC Public Health"},{"issue":"4","key":"10.1016\/j.pedn.2026.09.013_bb0325","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1093\/jpepsy\/jsw097","article-title":"Meta-analysis: Caregiver and youth uncertainty in pediatric chronic illness","volume":"42","author":"Szulczewski","year":"2017","journal-title":"Journal of Pediatric Psychology"},{"key":"10.1016\/j.pedn.2026.09.013_bb0330","doi-asserted-by":"crossref","first-page":"2049","DOI":"10.2147\/CMAR.S538600","article-title":"Determinants and consequences of parental uncertainty in childhood cancer: A systematic review","volume":"17","author":"Taqyah","year":"2025","journal-title":"Cancer Management and Research"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0335","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1186\/s12877-023-04396-x","article-title":"Impacts of grandparenting on older Chinese adults\u2019 mental health: A cross-sectional study","volume":"23","author":"Wang","year":"2023","journal-title":"BMC Geriatrics"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0340","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1186\/s12912-025-02873-9","article-title":"Psychological adaptation profiles are associated with coping style, social support, and family intimacy in caregivers of children with hematologic malignancies: A cross-sectional study","volume":"24","author":"Wang","year":"2025","journal-title":"BMC Nursing"},{"key":"10.1016\/j.pedn.2026.09.013_bb0345","doi-asserted-by":"crossref","DOI":"10.2147\/PPA.S581624","article-title":"Medical coping as a mediator between social support and illness uncertainty in cancer patients across age groups: A mediation analysis","volume":"20","author":"Wei","year":"2026","journal-title":"Patient Preference and Adherence"},{"issue":"10","key":"10.1016\/j.pedn.2026.09.013_bb0350","doi-asserted-by":"crossref","first-page":"3941","DOI":"10.1080\/07448481.2025.2461598","article-title":"The transactional theory of stress and coping as a stress management model for students in Hispanic-serving universities","volume":"73","author":"Wu","year":"2025","journal-title":"Journal of American College Health"},{"key":"10.1016\/j.pedn.2026.09.013_bb0355","first-page":"98","article-title":"Theoretical basis and research applications of social support rating scale","volume":"4","author":"Xiao","year":"1994","journal-title":"Chinese Journal of Clinical Psychology"},{"issue":"2","key":"10.1016\/j.pedn.2026.09.013_bb0360","first-page":"114","article-title":"Reliability and validity of the simplified coping style questionnaire","volume":"6","author":"Xie","year":"1998","journal-title":"Chinese Journal of Clinical Psychology"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0365","doi-asserted-by":"crossref","first-page":"29318","DOI":"10.1038\/s41598-025-14796-1","article-title":"Association between perception of stigma and caregiver burden among mothers of children with cleft lip and palate surgeries and the mediating role of psychological resilience","volume":"15","author":"Yang","year":"2025","journal-title":"Scientific Reports"},{"issue":"5","key":"10.1016\/j.pedn.2026.09.013_bb0370","doi-asserted-by":"crossref","DOI":"10.5498\/wjp.v15.i5.104979","article-title":"Relationship between uncertainty in illness and fear of progression among lung cancer patients: The chain mediation model","volume":"15","author":"Yang","year":"2025","journal-title":"World Journal of Psychiatry"},{"issue":"1","key":"10.1016\/j.pedn.2026.09.013_bb0375","doi-asserted-by":"crossref","DOI":"10.1186\/s12903-025-05846-1","article-title":"The role of parenting stress and perceived social support in affecting family function among families of patients with cleft lip and\/or palate: A path analysis based on the family adjustment and adaptation response model","volume":"25","author":"Yuan","year":"2025","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.pedn.2026.09.013_bb0380","article-title":"Severity, uncertainty, social support and coping style of parents who have children with epilepsy: A structural equation model","volume":"16","author":"Zhang","year":"2025","journal-title":"Frontiers in Neurology"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326004641?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326004641?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:00:22Z","timestamp":1793653222000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596326004641"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2027,1]]},"references-count":76,"alternative-id":["S0882596326004641"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2026.09.013","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2027,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Social support, coping, and illness uncertainty among parents of children with cleft lip and\/or palate: A cross-sectional mediation analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2026.09.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}