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Does having an asthmatic sibling affect the quality of life in children?
Özge Yılmaz1, Ahmet Türkeli2, Özlem Karaca3
1Division of Pediatric Allergy and Immunogy, Celal Bayar University, Manisa, Turkey.
Insights
Healthy children with an asthmatic sibling experience lower emotional quality of life (QoL). This study highlights potential psychosocial impacts on siblings of children with chronic conditions like asthma.
Area of Science:
- Pediatric Health
- Quality of Life Research
- Family Studies
Background:
- Chronic illnesses within a family can negatively impact the well-being of other family members.
- Asthma is a prevalent chronic respiratory condition affecting children.
- Understanding the ripple effects of a child's chronic illness on siblings is crucial for holistic family care.
Purpose of the Study:
- To investigate the influence of having an asthmatic sibling on the quality of life (QoL) of healthy children.
- To compare the QoL of healthy children with an asthmatic sibling to that of healthy children with healthy siblings.
Main Methods:
- A cross-sectional study involving 228 healthy children aged 2-12 years.
- Study group: healthy children with an asthmatic sibling (n=114).
- Control group: healthy children with a healthy sibling (n=114).
- Quality of life assessed using the Turkish generic Pediatric Quality of Life Inventory (PedsQL™) short form.
- Sociodemographic and disease severity data were collected.
Main Results:
- No significant differences were found in total PedsQL™ scores between the study and control groups across all age brackets.
- Children with an asthmatic sibling reported significantly lower emotional QoL scores compared to controls (p≤0.002 for all age groups).
- Psychosocial sub-scores were significantly lower in younger children (2-7 years) with an asthmatic sibling, but not in the 8-12 year olds (p=0.01, p=0.01, p=0.08 respectively).
Conclusions:
- Healthy children with asthmatic siblings exhibit significantly diminished emotional quality of life.
- The findings underscore the emotional burden on siblings of children with chronic conditions.
- Further research is recommended to explore these effects in the context of other chronic childhood diseases.
Abstract:
Yılmaz Ö, Türkeli A, Karaca Ö, Yüksel H. Does having an asthmatic sibling affect the quality of life in children? Turk J Pediatr 2017; 59: 274-280. Chronic illness in a family member leads to deterioration of quality of life in other members of that family. We aimed to investigate the influence of having an asthmatic sibling on a child`s quality of life (QoL). We enrolled 2-12 year aged healthy children with an asthmatic sibling in the study group and healthy children with a healthy sibling in the control group of this cross-sectional study. Sociodemographic characteristics of children and disease severity characteristics of asthmatic siblings were recorded. All parents filled in Turkish generic PedsQLTM short form appropriate for the child`s age group. Study and control groups had 114 children each. Total PedsQLTM scores were not significantly different in any of the age groups (p=0.23, p=0.13, p= 0.11 respectively). Emotional PedsQLTM sub-scores in children with an asthmatic sibling were significantly worse (83.0±16.5 vs 91.6±10.9 in the 2-4 year age group, 72.0±17.8 vs 92.2±11.6 in the 5-7 year age group, 73.7±24.1 vs 88.7±14.8 in the 8-12 year age group respectively, p≤0.002 for all). Similarly, psychosocial sub-score was significantly lower in the 2-4 and 5-7-year-olds but not the 8-12 year old groups (p=0.01, p=0.01, p=0.08 respectively). In conclusion, healthy children with asthmatic siblings have significantly lower emotional QoL and this needs to investigated for other chronic diseases in further research.
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