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Siblings Dealing with Pediatric Cancer: A Family- and Context-oriented Approach
Marieke Van Schoors1, Laura Sels1, Liesbet Goubert1
1Department of Experimental Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, 26656Ghent University, Ghent, Belgium.
Insights
Family and network support are crucial for children adjusting to a sibling
Area of Science:
- Pediatric Oncology
- Child Psychology
- Family Systems
Background:
- Pediatric cancer significantly impacts siblings' well-being.
- Understanding the challenges faced by siblings of children with cancer is essential.
Purpose of the Study:
- To explore the association between intrafamilial and contextual resources and sibling adjustment.
- To investigate the role of family functioning, family support, and network support in sibling adjustment.
Main Methods:
- Utilized a multi-level analysis approach.
- Surveyed 81 siblings of children diagnosed with leukemia or non-Hodgkin lymphoma.
- Employed validated questionnaires assessing family environment, social support, emotional reactions, and quality of life.
Main Results:
- Family functioning, family support, and network support were significantly related to siblings' emotional reactions post-diagnosis.
- Sibling adjustment is influenced by both intrafamilial and contextual resources.
- Consideration of the ill child's gender and the sibling's age is recommended.
Conclusions:
- Intrafamilial and contextual resources are vital for sibling adjustment to childhood cancer.
- Interventions should target siblings, families, and external support networks to improve adjustment outcomes.
Abstract:
Background: Pediatric cancer is a severe life-threatening disease that poses significant challenges to the life of the siblings. Based on the social ecology model, the current study is aimed at exploring the association between intrafamilial (family functioning, family support) and contextual (network support) resources, and the individual adjustment of siblings facing cancer in their brother/sister. Methods: Participants were 81 siblings of children with leukemia or non-Hodgkin lymphoma. The mean siblings' age was 10.32 years. Siblings completed the Family Environment Scale, the Social Support Questionnaire for Children, the Situation-Specific Emotional Reactions Questionnaire, and the Pediatric Quality of Life Inventory. Data were analyzed using a multi-level approach. Results: Family functioning, family support, and network support proved to be related to siblings' cancer-related emotional reactions post-diagnosis. In addition, the present study suggests taking into account the gender of the ill child and the age of the siblings. Discussion: Our findings led to the conclusion that resources at both the intrafamilial level and the contextual level are important for explaining sibling adjustment post-diagnosis. Interventions targeting the sibling, the family, and the external network are warranted to enhance sibling adjustment.
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