Psychosocial functioning and risk factors among siblings of children with cancer: An updated systematic review

Long, Kristin A.; Lehmann, Vicky; Gerhardt, Cynthia A.; Carpenter, Aubrey L.; Marsland, Anna L.; Alderfer, Melissa A.

doi:10.1002/pon.4669

Cited by 151 publications

(212 citation statements)

References 118 publications

(753 reference statements)

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“…The siblings explained that if they articulate their needs, they appear dissatisfied, ungrateful, or even ill mannered. In line with previous research, they changed their behaviour and mode of interacting with their parents, trying to be cooperative and nonconflicting …”

Section: Discussionsupporting

confidence: 76%

“…Like previous research, this study reports that siblings are affected by changes in their daily life and interactions with their parents . The siblings involuntarily face situations of unfulfilled needs, and they must respond to a life situation beyond the limits of their previous experience.…”

Section: Discussionmentioning

confidence: 61%

“…Siblings are thereby positioned at the bottom of the hierarchy and ignore or defer their needs. Parents have previously reported that they attempt to protect siblings from distress and that their parent‐sibling relationship has changed, leading to decreased discipline and increased spoiling . Yet, siblings position themselves actively as optimistic and positive to support their parents and continuously try to guard the rest of the family from additional psychological pain .…”

Section: Discussionmentioning

confidence: 99%

“…Siblings might experience feelings of isolation or exclusion, leading them to cope with negative perceptions alone instead of seeking parental support . Furthermore, even though siblings only show a minor increase in the incidence of psychiatric disorders (eg, posttraumatic stress disorder [PTSD] and depression), they experience negative emotions such as fear, anxiety, loneliness, helplessness, and guilt related to the cancer and the future . They are also affected at school, their academic performance declining as a result of learning difficulties …”

Section: Introductionmentioning

confidence: 99%

“…Although the impact on siblings has been examined and acknowledged in recent decades, few studies have included the perspective of both the siblings themselves and other family members' perception of the siblings' perspective . This article aims to examine the consequences of being a childhood cancer patient's sibling primarily from the sibling perspective.…”

Section: Introductionmentioning

confidence: 99%

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Adaption strategies used by siblings to childhood cancer patients

2019

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Objective Siblings of childhood cancer patients experience social challenges. The results presented in this article are part of a larger qualitative study aiming to generate empirical knowledge about social consequences of childhood cancer from the family's perspective. Methods Data were collected through interviews, observational studies, and questionnaires. The study included 68 childhood cancer patients, 39 siblings, and 39 parents from a total of 78 families. Grounded theory informed the data analysis. Results Major life changes caused by childhood cancer entail an emotional hierarchy regarding the accommodation of each family member's need for help. This study identified a dynamic three‐variable, four‐adaption model for adaption strategies among siblings towards their parents, based on the sibling's perspective: (1) receives help without asking; (2) receives help after asking; (3) receives no help despite asking; and (4) receives no help and does not ask. Three variables are elaborative to understand the dynamic in adaption strategies: the patient's prognosis, the course of the disease, and the current situation of the diagnosed child. Even though the adaptions are reported by siblings, both patients and parents are aware of and concerned about the siblings' challenges. Conclusions These results have implications for practice and have the potential to improve social and health care professionals' awareness and ability to offer support and information needed by the families and the siblings. The knowledge presented in this article should be considered basic health care information in line with other information such as treatment protocols.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adaption strategies used by siblings to childhood cancer patients

2019

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Burden of Childhood Cancer and the Social and Economic Challenges in Adulthood

Hernádfői,

Koch,

Kói

et al. 2024

JAMA Pediatr

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ImportanceSignificant advancements in pediatric oncology have led to a continuously growing population of survivors. Although extensive research is being conducted on the short-, medium-, and long-term somatic effects, reports on psychosocial reintegration are often conflicting; therefore, there is an urgent need to synthesize the evidence to obtain the clearest understanding and the most comprehensive answer.ObjectiveTo provide a comprehensive review and analysis of the socioeconomic attainment of childhood cancer survivors (CCSs) compared with their unaffected peers.Data SourcesA systematic review and meta-analysis was conducted using data obtained from a comprehensive search of MEDLINE (via PubMed), Embase, and CENTRAL (Cochrane Central Register of Controlled Trials) databases on October 23, 2021; the search was updated until July 31, 2023.Study SelectionEligible articles reported on educational attainment, employment, family formation, quality of life (QoL), or health-risk behavior-related outcomes of CCSs, and compared them with their unaffected peers. Study selection was performed in duplicate by 4 blinded independent coauthors.Data Extraction and SynthesisData extraction was performed in duplicate by 4 independent authors following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Outcome measures were odds ratios (ORs) and mean differences with 95% CIs; data were pooled using a random-effects model.ResultsThe search identified 43 913 articles, 280 of which were eligible for analysis, reporting data on a total of 389 502 survivors. CCSs were less likely to complete higher levels of education (OR, 0.69; 95% CI, 0.40-1.18), had higher odds of health-related unemployment (OR, 2.94; 95% CI, 1.90-4.57), and showed lower rates of marriage (OR, 0.72; 95% CI, 0.63-0.84) and parenthood (OR, 0.60; 95% CI, 0.49-0.74) compared with population-based controls.Conclusion and RelevanceStudy findings suggest that CCSs face several socioeconomic difficulties; as a result, the next goal of pediatric oncology should be to minimize adverse effects, as well as to provide lifelong survivorship support aimed at maximizing social reintegration.

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