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Experiences and Support Needs of Siblings of Individuals With Prader-Willi Syndrome: An Integrative Systematic Review
Meghana Wadnerkar Kamble1, Jen Dawe1, Karen Bunning1
1School of Health Sciences, Faculty of Medicine and Health, University of East Anglia, Norwich, UK.
Insights
Siblings of individuals with Prader-Willi syndrome (PWS) experience psychological effects and altered family dynamics. A family-centered approach is crucial for supporting these siblings.
Area of Science:
- Neurogenetics
- Family Studies
- Psychology
Background:
- Prader-Willi syndrome (PWS) is a complex neurogenetic disorder impacting the entire family unit.
- The experiences and support needs of siblings of individuals with PWS are not well understood.
Purpose of the Study:
- To review the experiences of siblings of people with Prader-Willi syndrome.
- To identify the support needs of these siblings.
Main Methods:
- A comprehensive literature search was conducted across eight databases and grey literature (October 2000-May 2024).
- Search terms focused on siblings and their experiences with a brother or sister who has PWS.
- Qualitative data were analyzed thematically, and quantitative data were synthesized narratively, with quality appraisal using the Mixed Methods Appraisal Tool.
Main Results:
- Seven studies were selected from 7588 results.
- Quantitative findings indicated negative psychological effects in siblings.
- Qualitative findings emphasized the impact on family relationships, with narrative synthesis highlighting psychological impact, relationship dynamics, and familial characteristics.
Conclusions:
- Sibling experiences are significantly influenced by the family context.
- There is a clear need for family-centered approaches in both research and clinical practice concerning Prader-Willi syndrome.
Background:
Prader-Willi syndrome is a complex neurogenetic condition. Recognised to affect the entire family, little is known of the sibling experience.
Objectives:
Review the experiences and support needs of siblings of people with Prader-Willi syndrome.
Methods:
Eight databases, registers and grey literature were searched covering October 2000-May 2024. Search terms were based on siblings and their experiences of a sibling who has Prader-Willi syndrome. Quality appraisal deployed the Mixed Methods Appraisal Tool. Qualitative findings were assessed using thematic analysis. Quantitative results were summarised and integrated using narrative synthesis.
Results:
Out of 7588 results, seven studies were selected. Quantitative reports primarily highlighted negative psychological effects, whilst qualitative reports concentrated on family relations. Narrative synthesis identified psychological impact, influence on family relationships, and the effect of familial characteristics.
Conclusions And Implications:
Sibling experiences are shaped by family context. The need for family-centred approach in research and practise is advocated.
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