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Behavior Problems, Self-Esteem, and Prosocial Behavior in Siblings of Children With Chronic Physical Health

Martin Pinquart1

  • 1Department of Psychology, Philipps University, Marburg, Germany.

Journal of Pediatric Psychology
|August 11, 2022
PubMed

Insights

Healthy siblings of children with chronic physical health conditions (CPHC) show increased behavioral problems but also higher prosocial behavior. Interventions are recommended for at-risk siblings.

Area of Science:

  • Child Psychology
  • Family Health
  • Behavioral Science

Background:

  • Chronic physical health conditions (CPHC) in children significantly impact family dynamics and well-being.
  • The psychosocial adjustment of healthy siblings in families with CPHC requires further investigation.

Purpose of the Study:

  • To compare the psychosocial outcomes of healthy siblings of children with CPHC against control groups and normative data.
  • To analyze internalizing, externalizing, and total behavior problems, self-esteem, and prosocial behavior.

Main Methods:

  • A systematic literature search was performed across major scientific databases (CINAHL, PsycInfo, PubMed, PSYNDEX, Web of Science).
  • Random-effects meta-analyses were conducted on data from 216 studies published before February 15, 2022.

Main Results:

  • Healthy siblings exhibited small to very small elevations in internalizing (g = .18), externalizing (g = .13), and total behavior problems (g = .22).
  • Self-esteem levels did not significantly differ (g = .08), but prosocial behavior was higher (g = .18) in siblings of children with CPHC.
  • Moderating effects of CPHC type, intrusiveness, mortality risk, country, group equivalence, and publication year were identified.

Conclusions:

  • CPHC in a child can lead to both negative and positive psychosocial effects on healthy siblings.
  • Psychosocial interventions should be considered for healthy siblings at higher risk for psychological difficulties.
Abstract

Keywords:
chronic health conditionchronic illnesshealthy siblingmeta-analysispsychosocial outcomes

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