1
|
Gutierrez A, Horan M, Limbers CA. A systematic review of the psychometric properties of the sibling perception questionnaire. Clin Child Psychol Psychiatry 2023:13591045231157141. [PMID: 36878184 DOI: 10.1177/13591045231157141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
Abstract
The purpose of this study was to perform a systematic review of the psychometric properties of the Sibling Perception Questionnaire (SPQ) in children with a sibling with a chronic illness. Full-text journal articles were located in APA PsycInfo and PubMed databases and by searching the reference lists of studies. Studies included reported on the psychometric properties of at least one domain of the SPQ in children under 18 years who had a sibling with a chronic health condition. Twenty-three studies met inclusion criteria. The quality of the evidence was assessed with the COSMIN Risk of Bias Checklist. None of the included studies reported on all 10 properties recommended by COSMIN and there was extensive variability in the quality of methods used to assess the psychometric properties of the SPQ across studies. The negative adjustment scale demonstrated the strongest internal consistency reliability across the studies included in the review. Eight studies assessed convergent validity, with all but one demonstrating the SPQ total score to be adequately correlated with like constructs. The studies included in the review provided preliminary support for the responsive of the SPQ in detecting clinically significant changes due to an intervention. Taken as a whole, findings from this review provide preliminary evidence for the SPQ as a reliable, valid, and responsive measure in children who have a chronically ill sibling. Future studies with stronger methodological quality and that assess test re-test reliability, known groups validity, and the factor structure of the SPQ are needed. This work did not receive any funding and the authors have no competing interests to declare.
Collapse
Affiliation(s)
- Abbigail Gutierrez
- Department of Psychology and Neuroscience, 14643Baylor University, Waco, TX, USA
| | - Madeline Horan
- Department of Psychology and Neuroscience, 14643Baylor University, Waco, TX, USA
| | - Christine A Limbers
- Department of Psychology and Neuroscience, 14643Baylor University, Waco, TX, USA
| |
Collapse
|
2
|
Programs to Prepare Siblings for Future Roles to Support Their Brother or Sister with a Neurodevelopmental Disability: a Scoping Review. CURRENT DEVELOPMENTAL DISORDERS REPORTS 2023; 10:47-79. [PMID: 36845576 PMCID: PMC9942034 DOI: 10.1007/s40474-023-00272-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2023] [Indexed: 02/23/2023]
Abstract
Purpose of Review To identify and map the characteristics and outcomes of programs designed to prepare siblings for their future roles with their sibling with a neurodevelopmental disability. Recent Findings Existing programs to support siblings of individuals with a neurodevelopmental disability often focus on providing information about neurodevelopmental disabilities, creating a community for siblings to connect with each other, and connecting siblings to resources and services to support them in their roles. Some programs are offered to the whole family with specific sessions for siblings. While these program descriptions are provided in the literature, there is limited understanding about the impacts and outcomes of these programs on siblings of an individual with a neurodevelopmental disability. Summary Fifty-eight articles (published between 1975 and 2020, with > 50% published since 2010) met the inclusion criteria, representing 54 sibling programs from 11 countries. Extracted data represented 1033 (553 females) sibling participants, between 4 and 67 years old. Twenty-seven programs focused on the outcome of knowledge acquisition for the siblings and thirty-one programs focused on the outcome of empowerment for the siblings to teach skills to their sibling with a neurodevelopmental disability. While there is an increasing number of programs for siblings of individuals with a neurodevelopmental disability in the past decade, there is a lack of siblings as co-developers or facilitators. Future research should consider the various roles that siblings can have in programs to address their needs. Supplementary Information The online version contains supplementary material available at 10.1007/s40474-023-00272-w.
Collapse
|
3
|
Mitchell AE, Morawska A, Vickers-Jones R, Bruce K. A Systematic Review of Parenting Interventions to Support Siblings of Children with a Chronic Health Condition. Clin Child Fam Psychol Rev 2021; 24:651-667. [PMID: 34184174 DOI: 10.1007/s10567-021-00357-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2021] [Indexed: 10/21/2022]
Abstract
This systematic review summarises the parenting intervention literature for parents of children who have a sibling with a chronic health condition, and evaluates intervention efficacy for improving parent (parenting skills, parenting efficacy) and child (emotional and behavioural adjustment, condition knowledge, quality of life) outcomes. Electronic databases were searched to identify relevant papers published in English from inception until May 2020. Reference lists of eligible papers were further searched for relevant articles. Six papers (two controlled trials, four uncontrolled trials) evaluating four separate intervention programs met inclusion criteria. All included parent- and child-focused intervention components. Results showed an overall trend for pre- to post-intervention improvement in children's behavioural and emotional adjustment and health condition knowledge. Few studies examined effects on parent outcomes, and there was no evidence of change on these measures. Overall, results suggest that parenting interventions may help to improve siblings' emotional and behavioural adjustment and condition knowledge; however, all of the interventions combined parent- and child-directed intervention components, making it difficult to determine which intervention elements drive change. Further research is needed to test mechanisms by which parenting interventions may improve outcomes for siblings of children with chronic health conditions, and to establish the efficacy of this approach.
Collapse
Affiliation(s)
- Amy E Mitchell
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, 13 Upland Road, St Lucia, QLD, 4072, Australia.
| | - Alina Morawska
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, 13 Upland Road, St Lucia, QLD, 4072, Australia
| | - Raine Vickers-Jones
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, 13 Upland Road, St Lucia, QLD, 4072, Australia
| | - Kathryn Bruce
- Parenting and Family Support Centre, School of Psychology, The University of Queensland, 13 Upland Road, St Lucia, QLD, 4072, Australia
| |
Collapse
|
4
|
Samek DR, McGue M, Keyes M, Iacono WG. Sibling Facilitation Mediates the Association Between Older and Younger Sibling Alcohol Use in Late Adolescence. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2015; 25:638-651. [PMID: 26640355 PMCID: PMC4667370 DOI: 10.1111/jora.12154] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Previous research has shown adolescent siblings are similar in their alcohol use and that this similarity is largely due to their shared environment. Using a genetically-informed sibling sample (196 full-biological pairs, 384 genetically unrelated pairs), we confirmed that the extent to which older siblings facilitate younger siblings' alcohol use (i.e., help them get alcohol) was one factor contributing to this shared environmental association. All analyses controlled for parent and peer influences. Findings were not moderated by sibling differences in genetic relatedness, gender, or ethnicity. Proximity in sibling age strengthened these associations, somewhat. Results were especially strong for sibling pairs where the older sibling was of legal drinking age. Implications for prevention and intervention are discussed.
Collapse
Affiliation(s)
- Diana R Samek
- Diana R. Samek is located at the Department of Human Development and Family Studies at Auburn University. Matt McGue, Margaret Keyes, and William G. Iacono are located at the Department of Psychology at the University of Minnesota
| | - Matt McGue
- Diana R. Samek is located at the Department of Human Development and Family Studies at Auburn University. Matt McGue, Margaret Keyes, and William G. Iacono are located at the Department of Psychology at the University of Minnesota
| | - Margaret Keyes
- Diana R. Samek is located at the Department of Human Development and Family Studies at Auburn University. Matt McGue, Margaret Keyes, and William G. Iacono are located at the Department of Psychology at the University of Minnesota
| | - William G Iacono
- Diana R. Samek is located at the Department of Human Development and Family Studies at Auburn University. Matt McGue, Margaret Keyes, and William G. Iacono are located at the Department of Psychology at the University of Minnesota
| |
Collapse
|
5
|
Gettings S, Franco F, Santosh PJ. Facilitating support groups for siblings of children with neurodevelopmental disorders using audio-conferencing: a longitudinal feasibility study. Child Adolesc Psychiatry Ment Health 2015; 9:8. [PMID: 25866558 PMCID: PMC4392474 DOI: 10.1186/s13034-015-0041-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Accepted: 03/16/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Siblings of children with chronic illness and disabilities are at increased risk of negative psychological effects. Support groups enable them to access psycho-education and social support. Barriers to this can include the distance they have to travel to meet face-to-face. Audio-conferencing, whereby three or more people can connect by telephone in different locations, is an efficient means of groups meeting and warrants exploration in this healthcare context. This study explored the feasibility of audio-conferencing as a method of facilitating sibling support groups. METHODS A longitudinal design was adopted. Participants were six siblings (aged eight to thirteen years) and parents of children with complex neurodevelopmental disorders attending the Centre for Interventional Paediatric Psychopharmacology (CIPP). Four of the eight one-hour weekly sessions were held face-to-face and the other four using audio-conferencing. Pre- and post-intervention questionnaires and interviews were completed and three to six month follow-up interviews were carried out. The sessions were audio-recorded, transcribed and thematic analysis was undertaken. RESULTS Audio-conferencing as a form of telemedicine was acceptable to all six participants and was effective in facilitating sibling support groups. Audio-conferencing can overcome geographical barriers to children being able to receive group therapeutic healthcare interventions such as social support and psycho-education. Psychopathology ratings increased post-intervention in some participants. Siblings reported that communication between siblings and their family members increased and siblings' social network widened. CONCLUSIONS Audio-conferencing is an acceptable, feasible and effective method of facilitating sibling support groups. Siblings' clear accounts of neuropsychiatric symptoms render them reliable informants. Systematic assessment of siblings' needs and strengthened links between Child and Adolescent Mental Health Services, school counsellors and young carers groups are warranted.
Collapse
Affiliation(s)
- Sheryl Gettings
- Florence Nightingale Faculty of Nursing and Midwifery, King’s College London, London, UK
| | - Fabia Franco
- Department of Psychology, School of Science and Technology, Middlesex University, London, UK
| | - Paramala J Santosh
- Centre for Interventional Paediatric Psychopharmacology (CIPP), Maudsley Hospital; and Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| |
Collapse
|
6
|
Haukeland YB, Fjermestad KW, Mossige S, Vatne TM. Emotional Experiences Among Siblings of Children With Rare Disorders. J Pediatr Psychol 2015; 40:712-20. [PMID: 25817880 DOI: 10.1093/jpepsy/jsv022] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Accepted: 02/14/2015] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE This research aimed to provide new knowledge about the emotional experiences of siblings of children with rare disorders. METHODS Qualitative thematic analysis was conducted based on videotapes of 11 support groups for 58 siblings aged 7-17 years (Mage = 11.4 years, SD = 2.4) of children with rare disorders. RESULTS Participants described contradictory emotions in three main contexts: (1) implications of the disorder (knowledge, medical issues, prognosis); (2) consequences for family life (practical implications, limitations of the child with disorder, perspectives on the sibling relationship); and (3) consequences for social life (reflections about (ab)normality, reactions from others). Passive coping strategies were frequently described relative to active coping strategies. An emerging dilemma for participants was hiding versus sharing emotional experiences. CONCLUSIONS Siblings' emotional experiences are characterized by diverse and contradictory feelings. Interventions to promote emotional health in siblings of children with rare disorder should address this complexity.
Collapse
Affiliation(s)
| | - Krister W Fjermestad
- Department of Psychology, University of Oslo and Frambu Resource Center for Rare Disorders
| | | | | |
Collapse
|
7
|
Hartling L, Milne A, Tjosvold L, Wrightson D, Gallivan J, Newton AS. A systematic review of interventions to support siblings of children with chronic illness or disability. J Paediatr Child Health 2014; 50:E26-38. [PMID: 20598075 DOI: 10.1111/j.1440-1754.2010.01771.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM Chronic illness or disability in children can have a deleterious effect on the psychosocial health of well siblings. This systematic review synthesised evidence from studies evaluating sibling-oriented care aimed at improving behavioural and emotional outcomes in well siblings of children with chronic illness or disability. METHODS Twenty electronic databases were searched. Study selection, data extraction and assessment of methodological quality were performed by two independent reviewers. RESULTS Five controlled and nine uncontrolled studies were included. In higher-quality controlled trials, benefits of sibling-oriented care included reduced anxiety, improved mood and behavioural adjustment; however, these findings were not consistently demonstrated across studies. Study differences made it difficult to determine which sibling care features were most salient. CONCLUSIONS Study findings highlight the potential for enhancing emotional and behavioural outcomes in well siblings. Future evaluations need to clearly identify the intended purpose of the care (what improvements are intended) and which types of siblings are most likely to benefit. This approach may yield more consistent and clinically important results.
Collapse
Affiliation(s)
- Lisa Hartling
- Alberta Research Centre for Health Evidence, Department of Pediatrics, Faculty of Medicine and Dentistry and Departments of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Stollery Children's Hospital, Patients as Partners, Division of Quality & Service Improvement, Alberta Health Services and Women and Children's Health Research Institute, Edmonton, Alberta, Canada
| | | | | | | | | | | |
Collapse
|
8
|
Goldbeck L, Fidika A, Herle M, Quittner AL. Psychological interventions for individuals with cystic fibrosis and their families. Cochrane Database Syst Rev 2014; 2014:CD003148. [PMID: 24941199 PMCID: PMC7388585 DOI: 10.1002/14651858.cd003148.pub3] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
BACKGROUND With increasing survival estimates for individuals with cystic fibrosis, long-term management has become an important focus. Psychological interventions are largely concerned with adherence to treatment, emotional and social adaptation and health-related quality of life. We are unaware of any relevant systematic reviews. OBJECTIVES To determine whether psychological interventions for people with cystic fibrosis provide significant psychosocial and physical benefits in addition to standard medical care. SEARCH METHODS Studies were identified from two Cochrane trials registers (Cystic Fibrosis and Genetic Disorders Group; Depression, Anxiety and Neurosis Group), Ovid MEDLINE and PsychINFO; unpublished trials were located through professional networks and Listserves. Most recent search of the Cystic Fibrosis and Genetic Disorders Group's register: 19 December 2013.Most recent search of the Depression, Anxiety and Neurosis Group's register: 12 November 2013. SELECTION CRITERIA Randomised controlled studies of a broad range of psychological interventions evaluating subjective and objective health outcomes, such as quality of life or pulmonary function, in individuals of all ages with cystic fibrosis and their immediate family. We were interested in psychological interventions, including psychological methods within the scope of psychotherapeutic or psychosomatic mechanism of action (e.g. cognitive behavioural, cognitive, family systems or systemic, psycho-dynamic, or other, e.g. supportive, relaxation, or biofeedback), which were aimed at improving psychological and psychosocial outcomes (e.g. quality of life, levels of stress or distress, psychopathology, etc.), adaptation to disease management and physiological outcomes. DATA COLLECTION AND ANALYSIS Three authors were involved in selecting the eligible studies and two of these authors assessed their risk of bias. MAIN RESULTS The review includes 16 studies (eight new studies included in this update) representing data from 556 participants. Studies are diverse in their design and their methods. They cover interventions with generic approaches, as well as interventions developed specifically to target disease-specific symptoms and problems in people with cystic fibrosis. These include cognitive behavioural interventions to improve adherence to nutrition or psychosocial adjustment, cognitive interventions to improve adherence or those associated with decision making in lung transplantation, a community-based support intervention and other interventions, such as self-hypnosis, respiratory muscle biofeedback, music therapy, dance and movement therapy, and a tele-medicine intervention to support patients awaiting transplantation.A substantial proportion of outcomes relate to adherence, changes in physical status or other specific treatment concerns during the chronic phase of the disease.There is some evidence that behavioural interventions targeting nutrition and growth in children (4 to 12 years) with cystic fibrosis are effective in the short term. Evidence was found that providing a structured decision-making tool for patients considering lung transplantation improves patients' knowledge of and expectations about the transplant, and reduces decisional conflict in the short term. One study about training in biofeedback-assisted breathing demonstrated some evidence that it improved some lung function measurements. Currently there is insufficient evidence for interventions aimed at other aspects of the disease process. AUTHORS' CONCLUSIONS Currently, insufficient evidence exists on psychological interventions or approaches to support people with cystic fibrosis and their caregivers, although some of the studies were promising. Due to the heterogeneity between studies, more of each type of intervention are needed to support preliminary evidence. Multicentre studies, with consequent funding implications, are needed to increase the sample size of these studies and enhance the statistical power and precision to detect important findings. In addition, multicentre studies could improve the generalisation of results by minimizing centre or therapist effects. Psychological interventions should be targeted to illness-specific symptoms or behaviours to demonstrate efficacy.
Collapse
Affiliation(s)
- Lutz Goldbeck
- Dptm. Child and Adolescent Psychiatry/Psychotherapy, University Clinic Ulm, Steinhoevelstr. 5, Ulm, Baden-Württemberg, Germany, D-89075
| | | | | | | |
Collapse
|
9
|
Williams PD, Ridder EL, Setter RK, Liebergen A, Curry H, Piamjariyakul U, Williams AR. Pediatric chronic illness (cancer, cystic fibrosis) effects on well siblings: parents' voices. ACTA ACUST UNITED AC 2012; 32:94-113. [PMID: 21992093 DOI: 10.1080/01460860902740990] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study is a secondary analysis of data gathered during baseline data collection prior to a cognitive-psychosocial-respite intervention provided in a randomized controlled trial (RCT). Content analysis was used to identify themes in parents' responses to an open-ended item about their perceptions of the effects on siblings of having a brother or sister who has either cancer or cystic fibrosis (CF). Of 91 themes tallied in the cancer group (n = 29), 74.5% reflected negative manifestations of increased risk in siblings, 1.1% no risk; and 24.2%, positive outcomes. Of 53 themes tallied in the CF group (n = 15), the same three categories had 67.9 %, 0%, and 32.1%, respectively. Contemporary life in these families portrayed in parents' descriptions not only validate the rationale for the RCT done, but also suggest the need in ambulatory pediatrics for intervention research on these vulnerable populations.
Collapse
Affiliation(s)
- Phoebe Dauz Williams
- University of Kansas School of Nursing, 3901 Rainbow Blvd., Kansas City, KS 66160, USA.
| | | | | | | | | | | | | |
Collapse
|
10
|
Anderson T, Davis C. Evidence-based practice with families of chronically ill children: a critical literature review. JOURNAL OF EVIDENCE-BASED SOCIAL WORK 2011; 8:416-425. [PMID: 21827307 DOI: 10.1080/15433710903269172] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A chronically ill child is financially, emotionally, and physically demanding on the family system. Although researchers have identified a plethora of risks, stressors, and needs of the families with a chronically ill child, there is a scarceness of evidence-based interventions in the existing literature. The purpose of the authors in this study was to critically analyze current treatment and identify the gaps in the available research. Findings revealed that there is a lack of support for empirically tested interventions that can help parents, siblings, and families of chronically ill children. The issues raised within this literature review bring attention to the need for shifts in research from exploratory to evidence based in order to successfully achieve more effective care.
Collapse
|
11
|
Buchbinder D, Casillas J, Zeltzer L. Meeting the Psychosocial Needs of Sibling Survivors. J Pediatr Oncol Nurs 2010; 28:123-36. [DOI: 10.1177/1043454210384601] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Although increasing numbers of studies have examined late effects in survivors, there is a paucity of long-term outcome studies in their siblings, so-called sibling survivors. Our aim was to provide a review of publications relevant to survivorship and its impact on the long-term psychosocial health of sibling survivors using a family systems framework. A review of publications identified 19 articles that reported findings suggesting that aspects of psychosocial health may be impaired in sibling survivors. Baseline functioning of sibling survivors may be altered at the start of survivorship secondary to apprehension, memories, and emotions. New demands are placed on sibling survivors, including doubts, questions, and worries due to survivorship. Survivor disfigurement may also place demands on sibling survivors associated with behavioral problems. Associated with these changes, there may be alterations in adaptation, including depression, somatic complaints, and posttraumatic stress symptoms. Sibling survivors may also report health risk behaviors and decreased vitality. Identification of the impact of survivorship on the long-term psychosocial health of sibling survivors may help ensure the long-term psychosocial health of all survivors.
Collapse
Affiliation(s)
| | | | - Lonnie Zeltzer
- University of California, Los Angeles, Los Angeles, CA, USA
| |
Collapse
|
12
|
Dauz Williams P, Piamjariyakul U, Graff JC, Stanton A, Guthrie AC, Hafeman C, Williams AR. Developmental disabilities: effects on well siblings. ACTA ACUST UNITED AC 2010; 33:39-55. [PMID: 20121579 DOI: 10.3109/01460860903486515] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Forty studies performed between 1970 and 1995 indicated that 60% of parents with children with developmental disabilities reported manifestations of increased risk or negative effects on the well siblings. METHOD A secondary data analysis was performed using qualitative data gathered during the baseline of a randomized controlled clinical trial of an intervention for siblings/families of children with long-term conditions, including developmental disabilities. Content analysis was used to identify themes from responses of 151 parents to an open-ended question on their perceptions of the effects on well siblings of living at home with a brother/sister with developmental disabilities. RESULTS Of 363 themes identified, 61.1% reflected negative manifestations of increased risk in well siblings; 1.7% indicated no risk; and 37.2% reflected positive outcomes, suggesting the continued need for potential interventions. CONCLUSION Contemporary family life in these families, as portrayed by parents' descriptions, reflects need in child health care for more intervention research on this vulnerable population.
Collapse
|
13
|
Messa AA, Fiamenghi Jr GA. O impacto da deficiência nos irmãos: histórias de vida. CIENCIA & SAUDE COLETIVA 2010; 15:529-38. [DOI: 10.1590/s1413-81232010000200029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2008] [Accepted: 11/07/2008] [Indexed: 11/21/2022] Open
Abstract
Quando uma criança nasce com deficiência, a expectativa da família necessita ser revista, pois se trata de uma situação inesperada, exigindo o ajuste às mudanças de planos. Devido ao significado do relacionamento fraterno, mudanças na saúde e no funcionamento de um irmão irão afetar os outros. As relações com um irmão deficiente dependerão das características da deficiência, além do significado compartilhado na família. O objetivo desta pesquisa foi analisar as repercussões da deficiência para os irmãos, investigando os sentimentos e reações que permeiam as vivências desses indivíduos. Realizouse um grupo de discussão. Os resultados apontaram que cada indivíduo dá significado a vivência com um irmão deficiente segundo seus recursos e história de vida. Os irmãos apresentaram sentimentos negativos como raiva, vergonha e culpa e também ganhos como maturidade, independência e altruísmo. Pode-se concluir que o impacto da deficiência nos irmãos compreende vivências negativas e positivas e que, portanto, deve ser considerado segundo uma rede de influências e peculiaridades intrínsecas das relações familiares. Evidencia-se a necessidade de que esses irmãos sejam assistidos de forma adequada, visando à ampliação dos recursos disponíveis.
Collapse
|
14
|
The Impact of Education Regarding the Needs of Pediatric Leukemia Patients' Siblings on the Parents' Knowledge and Practice. Health Care Manag (Frederick) 2010; 29:75-9. [DOI: 10.1097/hcm.0b013e3181cca479] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
15
|
Prchal A, Landolt MA. Psychological interventions with siblings of pediatric cancer patients: a systematic review. Psychooncology 2009; 18:1241-51. [DOI: 10.1002/pon.1565] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
16
|
Abstract
BACKGROUND With increasing survival estimates for cystic fibrosis (CF) long-term management has become an important focus. Psychological interventions are largely concerned with adherence to treatment, emotional and social adjustments and quality of life. We are unaware of any relevant systematic reviews. OBJECTIVES Assess whether psychological interventions for CF provide significant psychosocial and physical benefits in addition to standard care. SEARCH STRATEGY Trials were identified from two Cochrane trial registers (CF and Genetic Disorders Group; Depression, Anxiety and Neurosis Group), Ovid MEDLINE and PsychINFO; unpublished trials were located through professional networks and Listserves. Most recent search: September 2007. SELECTION CRITERIA Randomised controlled trials of a broad range of psychological interventions in children and adults with CF and their immediate family. DATA COLLECTION AND ANALYSIS Two authors independently selected relevant trials and assessed their methodological quality. MAIN RESULTS The review includes 13 studies (five new at this update) representing data from 529 participants. Studies mainly assessed behavioural and educational interventions:1. gene pre-test education counselling for relatives of those with CF;2. biofeedback, massage and music therapy to assist physiotherapy;3. behavioural and educational interventions to improve dietary intake and airway clearance;4. self-administration of medication and education to promote independence, knowledge and quality of life; and5. systemic interventions promoting psychosocial functioning.A substantial proportion of outcomes were educational or behavioural relating to issues of adherence, change in physical status or other specific treatment concerns during the chronic phase of the disease. Some evidence was found for relative's acceptance of a genetic test for carrier status when using home-based rather than clinic-based information leaflets and testing. There is some evidence that behavioural interventions improve emotional outcomes in people with CF and their carers, and that psychoeducational interventions improve knowledge in the short term. There was no consistent effect on lung function, although one small study showed that biofeedback-assisted breathing re-training helped improve some lung function measurements. Some studies point to educational and behavioural interventions aiding nutrition and growth in people with CF. Currently there is insufficient evidence for interventions aimed at other aspects of the disease process. AUTHORS' CONCLUSIONS Currently no clear evidence exists on the best psychological interventions to help people with CF and their carers manage the disease. Trials of interventions to improve adherence to treatment are needed. Multicentre approaches, with consequent funding implications, will increase the sample size of trials and enhance the power and precision of their findings.
Collapse
Affiliation(s)
- Claire A Glasscoe
- Academic Child Mental Health Unit, Royal Liverpool Children's Hospital, Eaton Road, Liverpool, UK, L12 2AP.
| | | |
Collapse
|
17
|
Dayan C, Picon I, Scelles R, Bouteyre E. Groupes pour les frères et sœurs d'enfant malade ou handicapé : état de la question. PRAT PSYCHOL 2006. [DOI: 10.1016/j.prps.2006.02.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
18
|
Williams PD, Schmideskamp J, Ridder EL, Williams AR. Symptom Monitoring and Dependent Care During Cancer Treatment in Children. Cancer Nurs 2006; 29:188-97. [PMID: 16783117 DOI: 10.1097/00002820-200605000-00004] [Citation(s) in RCA: 65] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Symptom monitoring by parents/caregivers of children with cancer and what the caregiver and child did to help alleviate symptoms during chemotherapy were studied. The Therapy-Related Symptom Checklist (TRSC) child version was administered to parents/caregivers of 11 children and adolescents (mean age, 10.4 years; SD, 6.1 years; range, 2-18 years; 45% were boys). The Karnofsky scale was completed by clinicians to rate the child's functional status. The TRSC child version and functional status scores were inversely related. All children experienced nausea; the most frequent symptoms reported were in TRSC subscales: fatigue, nausea, eating, fever, oropharynx, pain, and hair loss. Care strategies that helped were distraction, massage, mouth rinses, and vitamins; some reported that their child received medications for pain, nausea, and vomiting. Using complementary medicine categories, the care strategies were diet/nutrition/lifestyle change (eg, more high-fat, high-calorie foods; new foods; any food the child likes; and much sleep and rest); mind/body control (eg, play, video games, television, reading, activity puzzle, breathing exercises, relaxation methods, and prayer); manual healing method (massage and skin-to-skin contact); and biologic treatments (vitamins). The first 2 categories were the most used. Systematic assessment with a self-report checklist enables the provider to identify and prioritize (according to reported severity) those symptoms needing intervention.
Collapse
|
19
|
Abstract
The purpose of this qualitative investigation was to describe the lived experiences of families caring for a child with cystic fibrosis at the time of initial diagnosis. Phenomenological research methodology as described by Colaizzi (1978) was used to guide the investigation. A purposive sample of 9 family members voluntarily participated in the study. Data were gathered through focus groups and written narratives. Data analysis yielded 3 essential theme clusters with subthemes: Falling Apart, Pulling Together, and Moving Beyond. Within the theme of Falling Apart, the subthemes of Devastation of Diagnosis, An All-Encompassing Sense of Fear and Isolation, and An Overwhelming Sense of Guilt and Powerlessness are described. The theme of Pulling Together included the subthemes of Perpetual Vigilance and Returning to Normalcy, and the third theme of Moving Beyond included the subtheme of An Optimal Unfolding of a New Kind of Consciousness. This article describes in detail the themes and subthemes identified during data analysis and the fluid nature of the relationship that exists within the essential structure of caring for a family member with cystic fibrosis. The diagnosis of cystic fibrosis most often comes as a life-shattering experience to families. Lifestyle readjustments are made in an attempt to return to some sense of family normalcy. In order to achieve stability in their daily lives, families are vigilant in the care and monitoring of the health of a child with cystic fibrosis. Ongoing support from health care professionals that is grounded in the realities of living with cystic fibrosis is critical. This study describes how families develop their own unique way of controlling the experience of living with cystic fibrosis, one day and one breath at a time.
Collapse
|
20
|
Sawin KJ, Bellin MH, Roux G, Buran C, Brei TJ, Fastenau PS. The Experience of Parenting an Adolescent with Spina Bifida. Rehabil Nurs 2003; 28:173-85. [PMID: 14649165 DOI: 10.1002/j.2048-7940.2003.tb02057.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Parents of adolescents with spina bifida (SB) face unique challenges of which they may not be aware. The purpose of this study was to heighten awareness of the challenge of parenting such adolescents. This enhanced understanding can help rehabilitation professionals optimize their interventions with families. In this qualitative study, which was part of a larger mixed-method descriptive investigation exploring adaptation by adolescents with SB, we used content analysis to evaluate 20 parent interviews for common domain, themes, and subthemes. The analysis yielded four major domains: (a) daily life experiences, (b) the dance of individuation, (c) reflections on parenting, and (d) practice suggestions for healthcare professionals. Overall, experiences of the parents were positive. Parents described meeting daily demands and balancing independence-dependence needs with the adolescent as major challenges. Rehabilitation professionals must provide guidance to foster autonomy, decision making, cognitive skill building, and coping skills to help parents and adolescents manage independence-dependence issues and multiple life demands.
Collapse
Affiliation(s)
- Kathleen J Sawin
- School of Nursing, Virginia Commonwealth University, Spina Bifida Program, Children's Hospital, Richmond, VA, USA.
| | | | | | | | | | | |
Collapse
|
21
|
Williams PD, Williams AR, Graff JC, Hanson S, Stanton A, Hafeman C, Liebergen A, Leuenberg K, Setter RK, Ridder L, Curry H, Barnard M, Sanders S. A community-based intervention for siblings and parents of children with chronic illness or disability: the ISEE study. J Pediatr 2003; 143:386-93. [PMID: 14517525 DOI: 10.1067/s0022-3476(03)00391-3] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Siblings of children with chronic illness or disability have been reported to have a 1.6 to 2.0 risk for behavioral and mental health problems. Our objective was to examine the effects of an intervention for siblings (age 7-15 years) of children with chronic illness or disability. METHOD A randomized, three-group repeated-measures design was used: full intervention (n=79), partial intervention (n=71), and a waiting list control group (n=102). Outcomes were sibling knowledge about illness, behavior problems, social support, self-esteem, attitude, and mood measured over four postintervention periods. Covariates were family cohesion, maternal mood, socioeconomic status, and well sibling age. The full intervention included structured teaching and psychosocial sessions at a 5-day residential summer camp. The partial intervention included camp only. Treatment effects were estimated by using generalized estimating equation panel analyses. RESULTS The full treatment group showed significant improvements on all six outcomes over most periods, the partial treatment group on three outcomes, and the control group on two outcomes. Improvements in outcomes ranged from 5% to 25% increases over baseline measures. CONCLUSIONS A dose-response relationship to intervention was found. Treatment gains were sustained over a period of 12 months.
Collapse
Affiliation(s)
- Phoebe Dauz Williams
- University of Kansas School of Nursing; University of Kansas Medical Center, Kansas City, Kansas.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Abstract
BACKGROUND As survival estimates for cystic fibrosis (CF) steadily increase long-term management has become an important focus for intervention. Psychological interventions are largely concerned with emotional and social adjustments, adherence to treatment and quality of life, however no systematic review of such interventions has been undertaken for this disease. OBJECTIVES To describe the extent and quality of effectiveness studies utilising psychological interventions for CF and whether these interventions provide significant psychosocial and physical benefits in addition to standard care. SEARCH STRATEGY Relevant trials were identified from searches of Ovid MEDLINE, the Cochrane trial registers for CF and Depression, Anxiety and Neurosis Groups and PsychINFO; unpublished trials were located through professional networks and Listserves. Most recent search: April 2003. SELECTION CRITERIA This review included RCTs and quasi-randomised trials. Study participants were children and adults diagnosed with CF, and their immediate family members. Psychological interventions were from a broad range of modalities and outcomes were primarily psychosocial, although physical outcomes and cost effectiveness were also considered. DATA COLLECTION AND ANALYSIS Two reviewers independently selected relevant trials and assessed their methodological quality. For binary and continuous outcomes a pooled estimate of treatment effect was calculated for each outcome. MAIN RESULTS This review is based on the findings of eight studies, representing data from a total of 358 participants. Studies fell into four conceptually similar groups: (1) gene pre-test education counselling for relatives of those with CF (one study); (2) biofeedback, massage and music therapy to assist physiotherapy (three studies); (3) behavioural intervention to improve dietary intake in children up to 12 years (three studies); and (4) self-administration of treatments to improve quality of life in adults (one study). Interventions were largely educational or behavioural, targeted at specific treatment concerns during the chronic phase. No completed studies concentrating on complex treatment approaches were found. There is some evidence that behavioural interventions can improve emotional outcomes in people with CF and their carers. There was no consistent effect on lung function although one small study showed that biofeedback assisted breathing re-training was associated with improvement in some measures of spirometric lung function. Insufficient evidence is available at this point for interventions aimed at other aspects of the disease process. REVIEWER'S CONCLUSIONS Multicentre approaches are required to increase the sample sizes of studies in the psychosocial field and to enhance the power and precision of the findings. This has consequent implications for funding.
Collapse
Affiliation(s)
- C A Glasscoe
- University Child Mental Health, Royal Liverpool Children's NHS Trust, 1st Floor, Mulberry House, Alder Hey Children's Hospital, Eaton Road, Liverpool, Merseyside, UK, L12 2AP
| | | |
Collapse
|
23
|
Scott JT, Prictor MJ, Harmsen M, Broom A, Entwistle V, Sowden A, Watt I. Interventions for improving communication with children and adolescents about a family member's cancer. Cochrane Database Syst Rev 2003:CD004511. [PMID: 14584017 DOI: 10.1002/14651858.cd004511] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND A diagnosis of cancer creates multiple problems for affected families, including major changes in living patterns, roles and relationships. It has not been common practice for families and health practitioners to share information with children or adolescents about a family member's cancer, or to allow them to express their feelings about this. In recent years, however, researchers and practitioners have begun to recognise that children and adolescents might appreciate and benefit by being better informed about, and having more opportunity to communicate their responses to, cancer in the family. OBJECTIVES To examine the effects of different ways of enhancing communication with children and/or adolescents about a family member's cancer and its treatment. SEARCH STRATEGY We searched the following sources: Cochrane Central Register of Controlled Trials (CENTRAL), The Cochrane Library, Issue 1 2003; MEDLINE (1966 to January week 2 2003); EMBASE (1985 to 2003 week 6); CINAHL (1982 to February Week 1 2003); ERIC (1966 to 23 January 2003); PsycINFO (1985 to February week 1 2003). For the original (1999) version of this review we also searched the following databases: CancerLIT, Health Management Information Consortium, British Nursing Index, IAC Health & Wellness, JICSTE-Plus, Pascal, Linguistics and Language Behavior Abstracts, Mental Health Abstracts, AMED, HUMN, MANTIS and ASSIA. Bibliographies of identified studies were also checked and contact made with experts in the field. SELECTION CRITERIA Randomised and non-randomised controlled trials, and controlled and uncontrolled before and after studies that evaluated the effects of interventions to enhance communication with children and/or adolescents about a family member's cancer and its treatment. DATA COLLECTION AND ANALYSIS Data on knowledge and understanding, coping, adjustment and wellbeing were extracted by one reviewer and checked by another reviewer. Study quality was assessed using six criteria. A qualitative synthesis of the results is presented. MAIN RESULTS Five studies satisfied the selection criteria: one non-randomised controlled before and after study, and four uncontrolled before and after studies. They differed in terms of the interventions evaluated and the outcomes measured. One study of a camping program and two studies of structured group interventions reported improvements in cancer-related knowledge. One out of two structured group intervention studies found significant reductions in psychological and social problems. The camping program study reported significant improvements in siblings' behaviour. One structured group intervention study reported significantly more positive mood states after the intervention. Another structured group intervention study reported significantly lower levels of anxiety after the intervention. REVIEWER'S CONCLUSIONS Different methods of communicating with children and adolescents about a family member's cancer have not been widely evaluated in controlled trials. There is weak evidence to suggest that some interventions, such as structured group interventions, may lead to improvements in knowledge and understanding, in coping, anxiety, adjustment and wellbeing. More research is needed to investigate the comparative value of these interventions.
Collapse
Affiliation(s)
- J T Scott
- School of Public Health, University of California, Berkeley, Warren Hall, Room 408, Berkeley, California 94707-7360, USA
| | | | | | | | | | | | | |
Collapse
|
24
|
Abstract
The work required to raise a child with a chronic illness or disability is above and beyond that of raising a typical child. This article presents a model, Parenting and Childhood Chronicity (PACC), that was developed during an interpretive study with 43 parents of 34 children (aged 15 months to 16 years) with various chronic conditions, is presented. "Special needs parenting" describes the additional care that a child needs and includes medical care, parenting plus, and working the systems. "Minimizing consequences" reflects the struggle to balance the rest of family life and includes parenting siblings, maintaining relationships, and keeping yourself going.
Collapse
Affiliation(s)
- Lynne D Ray
- Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
| |
Collapse
|
25
|
Abstract
This qualitative study investigated what school-aged siblings of children with cancer perceive to be helpful in adjusting to having a sibling with cancer. The conceptual framework was guided by the work of House (1981) on social support. The sample comprised 50 school-aged siblings of children with cancer. Siblings were asked to "write about things they wish nurses or parents would do to help children who have a brother or sister with cancer" and "discuss things that nurses or their parents have done that have been helpful in adjusting to the childhood cancer experience." Content analysis revealed that the majority of siblings reported interventions aimed at meeting their needs for emotional and instrumental support, followed by informational and appraisal support, as being most helpful in adjusting to the childhood cancer experience. Social support interventions should be provided to siblings based on comprehensive assessments.
Collapse
Affiliation(s)
- John S Murray
- Wright-Patterson Medical Center, 4881 Sugar Maple Drive, Wright-Patterson Air Force Base, OH 45433-5529, USA.
| |
Collapse
|
26
|
Murray JS. Social support for school-aged siblings of children with cancer: a comparison between parent and sibling perceptions. J Pediatr Oncol Nurs 2001; 18:90-104. [PMID: 11373715 DOI: 10.1177/104345420101800302] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This descriptive, exploratory study investigated the social support interventions received by school-aged siblings of children with cancer and which of those interventions are perceived as being helpful. A comparison between the siblings' and parents' perceptions was made. The conceptual framework was guided by House's (1981) work on social support, which includes major categories of support variables including emotional, informational, instrumental, and appraisal support. A nonprobability purposive sample consisted of 50 school-aged siblings of children with cancer and their parents. Subjects completed either the sibling or parent version of the Nurse-Sibling Social Support Questionnaire (NSSSQ). Descriptive statistical analyses were performed to examine NSSSQ helpfulness and frequency scores for both siblings and parents. Paired t tests were used to test the difference between the responses given by siblings and by their parents on the NSSSQ helpfulness and frequency scales. Results demonstrated that siblings perceive interventions aimed at providing emotional and instrumental support as the most helpful. Parents perceived interventions aimed at meeting the siblings' need for emotional and informational support the most beneficial. Parents reported that siblings receive emotional, informational, and appraisal support more frequently than siblings did.
Collapse
Affiliation(s)
- J S Murray
- Wright-Patterson Medical Center, Wright Patterson AFB, 4881 Sugar Maple Drive, Dayton, OH 45433-5529, USA.
| |
Collapse
|
27
|
Abstract
PURPOSE One of the important factors in helping both children with acute lymphoblastic leukemia (ALL) and their family members during the difficult treatment period is the support they receive. However, there is a scarcity of research that examines the adaptation to such an experience from the family's perspective. This discussion presents the findings from recent research on accessing support from the perspective of parents with a child undergoing treatment for ALL. DESCRIPTION OF STUDY A longitudinal, qualitative study informed by a phenomenological methodology. The results are taken from parent interviews undertaken during the time period from the end of induction-remission to the end of the 5-week period (time period T1), collected over the first year of operation of the study. RESULTS The need for support was reported as intense, and offers of support tend to lessen over time. Among the sources of support noted were partners, family, friends, employers, hospital staff, and other parents in the same situation. However, community resources appeared to be lacking, underused, or both. CLINICAL IMPLICATIONS Suggestions for support include the provision of practical assistance through appropriately trained volunteers, the involvement of a liaison person to mentor families through the initial stages of treatment, development of parent support groups, and the opportunity for families to meet children who are successfully off treatment. Such support strategies involve sensitivity to particularly vulnerable families who have limited support available and respect for the variation in individual styles of accessing support.
Collapse
Affiliation(s)
- P McGrath
- Centre for Public Health Research, Queensland University of Technology, Red Hill, Australia
| |
Collapse
|
28
|
Abstract
Social support is a complex phenomenon. The concept is variably defined by multiple disciplines. This article analyzes the concept of social support by using the methods outlined in the nursing literature. The concept analysis focuses on psychosocial support of siblings of children with cancer. Each step in the concept analysis is presented to show the relevance of the concept with siblings of children with cancer.
Collapse
Affiliation(s)
- J S Murray
- Doctoral Program in Clinical Nursing Research, University of Texas at Austin, USA.
| |
Collapse
|
29
|
Abstract
Anxiety disorders represent one of the most common and debilitating forms of psychopathology in children. While empirical research, mental health funding, and mental health professionals continue to focus on the treatment rather than prevention of anxiety disorders in children, preliminary research presents an optimistic picture for preventative strategies in the future. Knowledge of the risk factors, protective factors, and treatment strategies associated with childhood anxiety disorders, in conjunction with theories regarding the methods, timing, levels, and targets of prevention, equip us well for effectively preventing childhood anxiety disorders in the future.
Collapse
Affiliation(s)
- C L Donovan
- University of Queensland, Brisbane, Australia
| | | |
Collapse
|
30
|
Williams PD, Williams AR, Hanson S, Gruff C, Ridder L, Curry H, Liebergen A, Karlin-Setter R. Maternal Mood, Family Functioning, and Perceptions of Social Support, Self-Esteem, and Mood Among.. CHILDRENS HEALTH CARE 1999. [DOI: 10.1207/s15326888chc2804_2] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|