Impact of congenital heart disease on siblings: A review

Roses Parker1, Sarah Houghton2, Elizabeth Bichard2

  • 1The Cochrane Collaboration, St Albans House, Haymarket, St. James's, London.

Insights

Siblings of children with congenital heart disease (CHD) experience significant life changes and negative impacts. More research is needed to understand these experiences and identify supportive factors.

Area of Science:

  • Pediatric Cardiology
  • Developmental Psychology
  • Family Health

Background:

  • Congenital heart disease (CHD) is the most common birth defect, affecting numerous families.
  • Limited research exists on the specific impact of having a sibling with CHD.
  • Existing literature suggests negative effects on siblings of children with other chronic conditions.

Purpose of the Study:

  • To review empirical evidence on the impact of having a sibling with CHD.
  • To synthesize findings regarding life changes, sibling impact, and influencing factors.
  • To identify gaps in current research and future directions.

Main Methods:

  • A comprehensive literature search was conducted across twelve databases.
  • Eleven articles meeting inclusion criteria were selected for data extraction and analysis.
  • A narrative synthesis approach was used to interpret the findings.

Main Results:

  • Three emergent themes: changes in normal life, impact on siblings, and factors influencing impact.
  • Evidence indicates adverse life changes and negative impacts on siblings across multiple domains.
  • Limited intervention studies and a lack of recent research, with few child participants.

Conclusions:

  • Siblings of children with CHD face considerable challenges and negative consequences.
  • Mitigating factors require further investigation as current evidence is inconclusive.
  • There is a critical need for more research to fully understand and support siblings of children with CHD.

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