Sibship and Self-esteem in Children with Asthma
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Updated: Mar 17, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Concetta Polizzi1, Valentina Fontana1, Antonio Carollo2
1Department of Psychological, Educational and Training Sciences, University of Palermo , Palermo, Italy.
Insights
Children with asthma who have siblings show higher self-esteem. Siblings can positively impact a child’s development and asthma management, supporting overall well-being.
Area of Science:
- Psychology
- Pediatrics
- Child Development
Background:
- Asthma negatively impacts child development across interpersonal, environmental control, emotional, and body-image domains.
- Sibling relationships may moderate these negative effects, offering crucial support.
- Understanding the role of sibship is vital for holistic pediatric care.
Purpose of the Study:
- To explore how sibling relationships influence the self-esteem of children with asthma.
- To investigate the moderating effect of sibship on asthma's developmental impact.
- To assess the role of siblings in managing asthma and supporting child development.
Main Methods:
- A comparative study involving 70 children with chronic asthma.
- Experimental group: 40 children with siblings.
- Control group: 30 children without siblings.
Main Results:
- Children with asthma and siblings demonstrated significantly higher self-esteem than those without siblings.
- Sibling involvement was clinically significant in supporting development and asthma compliance.
- The positive valence of sibship for self-esteem in asthmatic children was confirmed.
Conclusions:
- Sibling relationships are a valuable resource for enhancing self-esteem in children with asthma.
- Involving healthy siblings can improve developmental outcomes and treatment adherence.
- Sibship support is a key factor in mitigating asthma's psychosocial impact on children.
Abstract:
This study has explored the valence of sibship that may empower the self-esteem of children with asthma at the interpersonal, environmental control competence, emotionality management, and body-image levels. It has been assumed that the relationship between siblings may have a moderating effect on the negative impact that asthma has on child's development. Seventy children suffering from chronic asthma have been involved: 40 children with siblings (experimental group) and 30 sibling-free children (control group). The children with asthma have exhibited higher levels of self-esteem in comparison with the sibling-free children. The results of the study, at the clinical significance level, highlight how meaningful could be the involvement of healthy siblings to support the development, and to ease the compliance of children suffering from asthma. The outcomes have confirmed the supportive valence of sibship for the self-esteem of the children with asthma.
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