Anxiety in typically developing children with a sibling with a special healthcare need: A concept analysis

Kimberly Egan Gonzalez1, Elif Isik1

  • 1School of Nursing, Texas Woman's University, 6700 Fannin, Houston, TX 77030.

Nursing Outlook
|April 27, 2025
PubMed

Insights

Children aged 8-12 with a sibling with special healthcare needs (SHCN) may experience anxiety. This study identified psychological, structural, and educational factors contributing to this anxiety.

Area of Science:

  • Child psychology
  • Pediatric health
  • Family studies

Background:

  • Rising anxiety levels in children globally.
  • Over 240 million children worldwide live with disabilities.
  • Children with siblings with special healthcare needs (SHCN) may face increased anxiety.

Purpose of the Study:

  • To examine the determinants of anxiety in typically developing children aged 8 to 12 years.
  • Focus on children who have a sibling with special healthcare needs (SHCN).

Main Methods:

  • Concept analysis utilizing the iterative eight-step method by Walker and Avant (2019).

Main Results:

  • Identified three key attributes of anxiety in this population: psychological, structural, and educational factors.

Conclusions:

  • Provides a foundational understanding of anxiety in children with SHCN siblings.
  • Enables the development of targeted interventions.
  • Identifies potential areas for future research.
Abstract

Related Concept Videos

Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
33
Social Anxiety Disorder01:28

Social Anxiety Disorder

Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
12
Anxiety: Overview01:18

Anxiety: Overview

Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
204