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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.
Abstract:
Congenital heart disease (CHD) is the most common birth defect. Little is known of the impact of having a sibling with CHD. Available literature documents negative impact of having a sibling with other chronic conditions. This literature review considers empirical evidence investigating the impact of having a sibling with CHD. Twelve databases were searched, and 202 articles retrieved. Eleven articles met the inclusion criteria and were subject to data extraction, quality appraisal, and narrative synthesis. Three themes emerged: changes in normal life, impact on siblings, and factors affecting the extent of impact on siblings. Only one intervention study was identified, 5 of 10 studies were conducted over 20 years ago, and only 4 studies included children as participants. Evidence suggests siblings of children with CHD experience adverse life changes which lead to negative impacts in several domains. Evidence is inconclusive regarding mitigating factors of these impacts. Further research is needed to understand the experiences of being a sibling of a child with CHD.
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