PSYCHOSOCIAL EFFECTS OF CHRONIC ILLNESS IN CHILDREN FROM THE REGIONS OF UZBEKISTAN: AN EMERGING PUBLIC HEALTH CHALLENGE

Abstract

Background: The global burden of childhood chronic diseases extends beyond physical morbidity, significantly impacting psychological and social well-being. In Uzbekistan, a nation undergoing rapid healthcare transformation, the psychosocial dimensions of chronic pediatric conditions remain understudied, particularly in its diverse regions outside Tashkent. This article synthesizes the potential and observed psychosocial effects on children and their families, considering the unique socio-cultural and healthcare contexts of rural and regional Uzbekistan. Methods: A narrative review was conducted, analyzing existing literature on pediatric psychosocial health in low and middleincome countries (LMICs) and contextualizing the findings with known cultural, economic, and healthcare system factors specific to Uzbekistan's regions. Results: Children with chronic illnesses (e.g., type 1 diabetes, asthma, congenital heart diseases, thalassemia) in Uzbekistan's regions face a high risk of internalizing disorders (anxiety, depression), social isolation, and educational disruption. Key contributing factors include persistent stigma, limited access to specialized mental health services, economic hardship from treatment costs, and a shortage of multidisciplinary care models that integrate psychosocial support. The family system experiences significant caregiver burden, financial strain, and somatization of distress, often without adequate support networks. Conclusion: Addressing the psychosocial sequelae of chronic childhood illness in Uzbekistan requires a multi-faceted approach. Priorities include integrating psychological screening into routine pediatric care, training healthcare professionals in communication and basic mental health support, developing community-based support programs to reduce stigma, and strengthening the role of primary care. Further region-specific empirical research is crucial to inform effective, culturally sensitive public health interventions.