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Sibling Involvement and Documentation in Pediatric Eating Disorder Care
Amalie Schumann1, Elizabeth Rapa1, Louise Dalton1
1Department of Psychiatry, University of Oxford, Oxford, UK.
The International Journal of Eating Disorders
|March 24, 2026
Summary
Documentation of sibling involvement in child and adolescent eating disorder (ED) care is limited. Healthcare professionals face challenges like workload and resource constraints, impacting sibling support and family communication.
Area of Science:
- Clinical Psychology
- Family Studies
- Healthcare Management
Background:
- Eating disorders (EDs) significantly impact the entire family system, including siblings.
- Clinical guidelines recommend sibling involvement, but practical implementation and documentation remain unclear.
Purpose of the Study:
- To audit the documentation of sibling information and involvement in child and adolescent ED services.
- To assess alignment with clinical guidelines.
- To explore healthcare professionals' perspectives on sibling involvement.
Main Methods:
- Mixed-methods design combining clinical record review (102 patients) and a focus group (14 healthcare professionals).
- Descriptive analysis of documented sibling involvement.
- Thematic analysis of healthcare professionals' views on sibling involvement.
Main Results:
- Only 19% of patients' records documented any sibling involvement, with 13% of siblings attending sessions.
- One record mentioned sibling perspective or support.
- Professionals perceived sibling involvement as overwhelming due to workload, privacy, and resource limitations, with a narrow focus on session attendance.
Conclusions:
- Current documentation of sibling involvement in pediatric ED care is insufficient.
- Broader conceptualizations of sibling involvement and improved documentation practices are necessary.
- Further research is needed to ensure adequate sibling support within ED treatment.
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