‘Either something's wrong, or I'm a terrible parent’: A systematic review of parent experiences of illness‐related interpretations for unsettled babies Article Swipe
Amy Dobson
,
Samantha Hornsey
,
Daniela Ghio
,
Sue Latter
,
Miriam Santer
,
Ingrid Müller
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/jan.16166
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1111/jan.16166
Aims To explore parents' experiences of unsettled babies and medical labels. Design Qualitative systematic review, thematic synthesis and development of a conceptual model. Review Methods Systematic review and thematic synthesis of primary, qualitative research into parents' experiences of unsettled babies <12 months of age. ‘Unsettled’ was defined as perception of excessive crying with additional feature(s) such as vomiting, skin or stool problems. The Critical Appraisal Skills Programme (CASP) checklist was used to assess trustworthiness. Data Sources Structured searches completed in CINAHL, Medline, Embase, PsychINFO and CochraneCT on 23 March 2022 and rerun on 14 April 2023. Results Ten eligible studies were included across eight countries contributing data from 103 mothers and 24 fathers. Two analytical themes and eight descriptive themes were developed. Firstly, parents expressed fearing judgement, feeling guilty and out of control as a result of babies' unsettled symptoms and seeking strategies to construct an ‘Identity as a “Good Parent”’ . This desire for positive parenting identity underpinned the second analytical theme ‘Searching for an explanation’ which included seeking external (medical) causes for babies' unsettled behaviours. Conclusion Parents can become trapped in a cycle of ‘searching for an explanation’ for their baby's unsettled behaviours, experiencing considerable distress which is exacerbated by feelings of guilt and failure. Impact and Implications for Patient Care Insight gained from this review could inform interventions to support parents, reducing inaccurate medicalization. Health visiting teams supporting parents with unsettled baby behaviour could focus on supporting a positive parenting identity by managing expectations, normalizing the continuum of infant behaviours, reducing feelings of guilt or uncertainty and helping parents regain a feeling of control. Reporting Method ENTREQ guidelines were adhered to in the reporting of this review. Patient or Public Contribution Parent input was crucial in the design phase; shaping the language used (e.g., ‘unsettled babies’) and in the analysis sense‐checking findings.
Related Topics
Concepts
Feeling
CINAHL
Thematic analysis
Qualitative research
Critical appraisal
Psychology
Psychological intervention
Distress
Developmental psychology
Judgement
Checklist
MEDLINE
Identity (music)
Medicine
Clinical psychology
Social psychology
Psychiatry
Alternative medicine
Sociology
Pathology
Law
Social science
Political science
Cognitive psychology
Physics
Acoustics
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/jan.16166
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jan.16166
- OA Status
- hybrid
- Cited By
- 2
- References
- 60
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4393199345
All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W4393199345Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/jan.16166Digital Object Identifier
- Title
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‘Either something's wrong, or I'm a terrible parent’: A systematic review of parent experiences of illness‐related interpretations for unsettled babiesWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-03-25Full publication date if available
- Authors
-
Amy Dobson, Samantha Hornsey, Daniela Ghio, Sue Latter, Miriam Santer, Ingrid MüllerList of authors in order
- Landing page
-
https://doi.org/10.1111/jan.16166Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jan.16166Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jan.16166Direct OA link when available
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Feeling, CINAHL, Thematic analysis, Qualitative research, Critical appraisal, Psychology, Psychological intervention, Distress, Developmental psychology, Judgement, Checklist, MEDLINE, Identity (music), Medicine, Clinical psychology, Social psychology, Psychiatry, Alternative medicine, Sociology, Pathology, Law, Social science, Political science, Cognitive psychology, Physics, AcousticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
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60Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.unsettled | 7, 39, 139, 176, 194, 234 |
| abstract_inverted_index.vomiting, | 58 |
| abstract_inverted_index.CochraneCT | 86 |
| abstract_inverted_index.Conclusion | 178 |
| abstract_inverted_index.Structured | 77 |
| abstract_inverted_index.Systematic | 26 |
| abstract_inverted_index.additional | 54 |
| abstract_inverted_index.analytical | 115, 162 |
| abstract_inverted_index.babies’) | 299 |
| abstract_inverted_index.conceptual | 22 |
| abstract_inverted_index.developed. | 122 |
| abstract_inverted_index.feature(s) | 55 |
| abstract_inverted_index.guidelines | 271 |
| abstract_inverted_index.inaccurate | 226 |
| abstract_inverted_index.judgement, | 127 |
| abstract_inverted_index.perception | 49 |
| abstract_inverted_index.strategies | 143 |
| abstract_inverted_index.supporting | 231, 240 |
| abstract_inverted_index.systematic | 14 |
| abstract_inverted_index.Qualitative | 13 |
| abstract_inverted_index.behaviours, | 195, 253 |
| abstract_inverted_index.behaviours. | 177 |
| abstract_inverted_index.descriptive | 119 |
| abstract_inverted_index.development | 19 |
| abstract_inverted_index.exacerbated | 201 |
| abstract_inverted_index.experiences | 5, 37 |
| abstract_inverted_index.normalizing | 248 |
| abstract_inverted_index.qualitative | 33 |
| abstract_inverted_index.uncertainty | 259 |
| abstract_inverted_index.underpinned | 159 |
| abstract_inverted_index.‘Identity | 147 |
| abstract_inverted_index.Contribution | 284 |
| abstract_inverted_index.Implications | 210 |
| abstract_inverted_index.Parent”’ | 151 |
| abstract_inverted_index.considerable | 197 |
| abstract_inverted_index.contributing | 106 |
| abstract_inverted_index.experiencing | 196 |
| abstract_inverted_index.‘Searching | 164 |
| abstract_inverted_index.‘searching | 187 |
| abstract_inverted_index.‘unsettled | 298 |
| abstract_inverted_index.expectations, | 247 |
| abstract_inverted_index.interventions | 221 |
| abstract_inverted_index.explanation’ | 167, 190 |
| abstract_inverted_index.medicalization. | 227 |
| abstract_inverted_index.‘Unsettled’ | 45 |
| abstract_inverted_index.sense‐checking | 304 |
| abstract_inverted_index.trustworthiness. | 74 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5103066333 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I43439940 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.49000000953674316 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.87181956 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |