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Journal of Pediatric Psychology Advance Access published online on March 3, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsi054
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received September 15, 2003
Revised December 19, 2003
Accepted February 25, 2004

Brief Report

Brief Report: Family-Based Group Intervention for Young Siblings of Children with Chronic Illness and Developmental Disability

Debra J. Lobato PhD1* and Barbara T. Kao PhD1

1 Rhode Island Hospital and Brown Medical School

* To whom correspondence should be addressed.
Debra J. Lobato, E-mail: debra_lobato{at}brown.edu


  Abstract

Objective To evaluate the impact of a family-based group intervention for young siblings of children with chronic illness and developmental disability (CI/DD). Methods Forty-three healthy siblings (ages 4-7 years) of children with CI/DD and their parents participated in an intervention designed to address sibling challenges that cut across types of diagnostic conditions. The intervention consisted of six sessions of collateral and integrated sibling-parent groups. Measures of sibling knowledge, sibling sense of connectedness with other children in similar family circumstances, and sibling global functioning were collected before and after intervention. A subsample of 17 families completed a 3-month follow-up. Results Siblings’ knowledge of the child’s disorder and sibling connectedness increased significantly from pre- to posttreatment for both boys and girls, regardless of the nature of the brother or sister’s condition. Sibling perceptions of self-competence increased from pre- to posttreatment, whereas parent reports of sibling behavioral functioning remained within the normal range. Improvements in sibling knowledge and connectedness maintained at follow-up. Parent satisfaction with the program was high. Conclusions Results support more controlled evaluations of family-based intervention to improve young sibling adaptation to CI/DD.

Keywords: chronic illness; disability; family treatment; group therapy; siblings.
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