{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:19:53Z","timestamp":1788272393571,"version":"build-2803163510"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Caring for dependent children and adolescents places a substantial emotional and psychological burden on families. Coping strategies may influence the mental health of family carers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To systematically review how coping strategies relate to subjective burden, anxiety, and depressive symptoms in family carers of dependent children and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Systematic review and random\u2010effects meta\u2010analysis were performed, searching PubMed, PsycINFO, CINAHL, and LILACS (up to June 2025). Observational studies examining the association between coping strategies and subjective burden, anxiety, or depression in family members caring for dependent children aged under 18 were included. Study quality was assessed via sampling method, instrument reliability, and confounder control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010eight studies (42 samples; 4548 participants) were included. Dysfunctional coping was consistently associated with more depressive symptoms, anxiety, and subjective burden. In contrast, functional coping was related to fewer depressive symptoms and subjective burden. Emotion\u2010focused coping and its individual strategies were generally associated with less psychological distress. Problem\u2010focused coping showed mixed results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Dysfunctional coping appears to represent a risk to carers' mental health, whereas functional coping\u2014particularly emotion\u2010focused strategies\u2014might be protective. However, all studies were cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>Assessing and encouraging adaptive strategies, especially those focused on emotion coping, could improve carers' mental health.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      International Prospective Register of Systematic Reviews: PROSPERO: CRD42024533044.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70129","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T11:16:40Z","timestamp":1776251800000},"page":"573-598","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Coping, Subjective Burden and Mental Health in Family Carers of Dependent Children and Adolescents: A Systematic Review With Meta\u2010Analysis"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2723-6035","authenticated-orcid":false,"given":"Juan Carlos","family":"Mu\u00f1oz\u2010Cruz","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences University of Ja\u00e9n  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1303-7593","authenticated-orcid":false,"given":"Catalina","family":"L\u00f3pez\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences University of Ja\u00e9n  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8643-5061","authenticated-orcid":false,"given":"Vasiliki","family":"Orgeta","sequence":"additional","affiliation":[{"name":"Division of Psychiatry, Faculty of Brain Sciences University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2263-2415","authenticated-orcid":false,"given":"Rafael","family":"Del\u2010Pino\u2010Casado","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences University of Ja\u00e9n  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279\u2010023\u201001927\u20109"},{"key":"e_1_2_15_3_1","volume-title":"Profiles in Caregiving: The Unexpected Career","author":"Aneshensel C. 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