Journal of pediatric nursing · 2026
Anxiety, e-health literacy, and cyberchondria severity levels among parents of children with and without special needs.
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Isik Derya, Erbay Elif, Duzen Melek
Аннотация
OBJECTIVE: This study aimed to compare anxiety, e-health literacy, and cyberchondria severity between parents of children with and without special needs and to identify associated sociodemographic and psychological factors.
METHODS: This descriptive, cross-sectional study included 138 parents of children with special needs and 338 parents of typically developing children. Data were collected using a sociodemographic form, the State-Trait Anxiety Inventory (STAIS-5, STAIT-5), the e-Health Literacy Scale, and the Cyberchondria Severity Scale (CSS-15). Analyses included Chi-square, independent samples t-tests, and Forward Stepwise (LR) logistic regression.
RESULTS: In total, 29.0% of participants had a child with special needs. In the logistic regression model (outcome: typically developing child; reference: child with special needs), perceived economic status, cyberchondria, and state anxiety were not significant (p > 0.05). In the final model, parents of children with special needs were less likely to live in a city center (OR for the typically developing group = 11.936), to be employed (OR = 2.978), and to have an employed spouse (OR = 3.161). Conversely, higher e-health literacy and trait anxiety were associated with a lower probability of belonging to the typically developing group, and lower educational attainment was associated with a higher likelihood of having a child with special needs compared to university graduates.
CONCLUSION: Having a child with special needs was significantly associated with parents' higher trait anxiety and e-health literacy scores. Place of residence, employment status, and spouse's employment status were also associated with group membership, whereas total cyberchondria severity was not.
PRACTICE IMPLICATIONS: In pediatric nursing, supporting parents' e-health literacy and managing their anxiety may be important for strengthening coping mechanisms and care effectiveness. Nurses may consider structured education, counseling, and tailored psychosocial support programs for parents of children with special needs.
METHODS: This descriptive, cross-sectional study included 138 parents of children with special needs and 338 parents of typically developing children. Data were collected using a sociodemographic form, the State-Trait Anxiety Inventory (STAIS-5, STAIT-5), the e-Health Literacy Scale, and the Cyberchondria Severity Scale (CSS-15). Analyses included Chi-square, independent samples t-tests, and Forward Stepwise (LR) logistic regression.
RESULTS: In total, 29.0% of participants had a child with special needs. In the logistic regression model (outcome: typically developing child; reference: child with special needs), perceived economic status, cyberchondria, and state anxiety were not significant (p > 0.05). In the final model, parents of children with special needs were less likely to live in a city center (OR for the typically developing group = 11.936), to be employed (OR = 2.978), and to have an employed spouse (OR = 3.161). Conversely, higher e-health literacy and trait anxiety were associated with a lower probability of belonging to the typically developing group, and lower educational attainment was associated with a higher likelihood of having a child with special needs compared to university graduates.
CONCLUSION: Having a child with special needs was significantly associated with parents' higher trait anxiety and e-health literacy scores. Place of residence, employment status, and spouse's employment status were also associated with group membership, whereas total cyberchondria severity was not.
PRACTICE IMPLICATIONS: In pediatric nursing, supporting parents' e-health literacy and managing their anxiety may be important for strengthening coping mechanisms and care effectiveness. Nurses may consider structured education, counseling, and tailored psychosocial support programs for parents of children with special needs.