Children and young people's experiences of having a sibling with complex health needs: a literature review
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Updated: Nov 2, 2025

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Published on: June 6, 2020
Marie Grant1, Patricia McNeilly1
1School of Nursing and Midwifery, Faculty of Medicine, Health and Life Sciences, Queen's University Belfast, Belfast, Northern Ireland.
Abstract:
Children with complex health needs require significant healthcare input for one or more conditions. Much of the literature on the effects of living with children with complex heath needs focuses on parents, and there is little research into the effects on siblings. This article reports on a literature review that examined the experiences of siblings growing up with a brother or sister with complex health needs and how this affects their lives. Three main themes were identified: emotional experiences; coping strategies and support; and family life. The findings identified in relation to mixed emotions, coping strategies and support systems are similar to those of studies of siblings of autistic children and children with cancer. However, in most countries the provision and availability of support for this group of siblings is inadequate.
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