科研之友
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摘要
Background: The siblings of children with neoplastic disease are at risk of emotional and behavioral problems, but few studies have focused on these risks, and findings across studies are inconsistent. Objective: The objective of this study was to assess psychological adjustment in siblings of children with cancer and analyze the impact of several moderating variables. Methods: Parents of children with cancer completed the Child Behavior Checklist (CBCL) on their healthy offspring (n = 30, aged 4-18 years), and a semistructured interview on potential risk factors to their child%26apos;s adaptation. Child Behavior Checklist scores were compared with those of a control sample of the same age (n = 33). Results: Contrary to expectations, CBCL scores were better for the siblings of children with cancer. Healthy siblings%26apos; sex and age, family size, understanding of the situation, and changes in daily routine had no influence on CBCL scores. Parent-reported scores indicated that older siblings of the child with cancer have more observable difficulties than do younger siblings. Conclusions: Future research about healthy siblings will need to clarify whether these results are attributable to healthy siblings%26apos; resilience or to parents%26apos; difficulties in assessing their psychosocial difficulties. Directly measuring the siblings%26apos; perceptions will be of special importance. Distinguishing short-and long-term adjustment will also be important. Implications for Practice: It is essential to design support programs for all family members and to help parents be aware of their healthy children%26apos;s needs.
- 出版日期2012-2
