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Journal of Pediatric Psychology, Vol. 27, No. 8, 2002, pp. 699-710
© 2002 Society of Pediatric Psychology

Siblings of Children With a Chronic Illness: A Meta-Analysis

Donald Sharpe, PhD and Lucille Rossiter, MA

University of Regina

All correspondence should be sent to Donald Sharpe, Department of Psychology, 3737 Wascana Pkwy, University of Regina, Regina, Saskatchewan, Canada S4S OA2. E-mail: sharped{at}uregina.ca.

Objective: To review the literature pertaining to the siblings of children with a chronic illness.

Methods: Fifty-one published studies and 103 effect sizes were identified and examined through meta-analysis.

Results: We found (1) a modest, negative effect size statistic existed for siblings of children with a chronic illness relative to comparison participants or normative data; (2) heterogeneity existed for those effect sizes; (3) parent reports were more negative than child self-reports; (4) psychological functioning (i.e., depression, anxiety), peer activities, and cognitive development scores were lower for siblings of children with a chronic illness compared to controls; and (5) a cluster of chronic illnesses with daily treatment regimes was associated with negative effect statistics compared to chronic illnesses that did not affect daily functioning.

Conclusions: More methodologically sound studies investigating the psychological functioning of siblings of children with a chronic illness are needed. Clinicians need to know that siblings of children with a chronic illness are at risk for negative psychological effects. Intervention programs for the siblings and families of children with a chronic illness should be developed.

Key words: pediatric chronic illness; siblings; meta-analysis; psychological adjustment.


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