Risk and protective factors affecting the adjustment of siblings of children with chronic disabilities
Risk and protective factors affecting the adjustment of siblings of children with chronic disabilities
复制标题
DOI：
10.1097/00004583-199611000-00023
复制
发表时间：
1996-11-01
影响因子：
13.3
通讯作者：
Szatmari, P
中科院分区：
文献类型：
--
作者：
Fisman, S;Wolf, L;Szatmari, P
目的：探讨残疾儿童非残疾同胞的适应状况。方法：在一项为期3年的纵向研究中，46个兄弟姐妹的儿童广泛性发展障碍（PDD），45个兄弟姐妹的儿童唐氏综合征，和46个兄弟姐妹的发育正常的儿童（作为对照）进行了检查，在时间1使用的兄弟姐妹，主要照顾者，和教师作为线人。直接和间接的变量有关的兄弟姐妹的调整被认为是。结果：PDD患儿的兄弟姐妹的困难程度明显高于其他两组。与非残疾儿童相比，残疾儿童的兄弟姐妹中存在不同的调整相关性，PDD儿童兄弟姐妹中内化困难的父母和教师报告中的中介因素不同。婚姻满意度，缺乏父母的抑郁症，一个有凝聚力的家庭，和一个温暖的，非冲突的兄弟姐妹关系是保护正常对照组和唐氏综合征的兄弟姐妹，但不是PDD兄弟姐妹。结论：研究结果强调了PDD儿童的兄弟姐妹的风险，并建议在预测兄弟姐妹调整中，交易机制而不是识别单一风险或保护因素的重要性。在这项纵向研究中的后续数据分析将有助于确定这些机制，并允许改进干预策略。
Objective: To examine the adjustment of nondisabled siblings of handicapped children. Method: In a 3-year longitudinal study, 46 siblings of children with pervasive developmental disorder (PDD), 45 siblings of children with Down syndrome, and 46 siblings of developmentally normal children (serving as controls) were examined at time 1 using the sibling, primary caretaker, and teacher as informants. Both direct and indirect variables related to sibling adjustment were considered. Results: Significantly more difficulties were found in the siblings of children with PDD compared with the other two groups. Different correlates of adjustment were present in the siblings of the disabled compared with nondisabled children, and mediating factors differed in parent and teacher reports of internalizing difficulties in siblings of children with PDD. Marital satisfaction, lack of parental depression, a cohesive family, and a warm, nonconflictual sibling relationship were protective for normal control and Down syndrome siblings but not for PDD siblings. Conclusion: Findings underline the risks for the siblings of children with PDD and suggest the importance of a transactional mechanism rather than identification of single risk or protective factors in predicting sibling adjustment. Subsequent data analysis in this longitudinal study will assist in defining these mechanisms and allow for improved intervention strategies.