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
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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