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Niedbalski J. The impact of individuals with profound intellectual and multiple disabilities on peer relationships of typically developing siblings. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2024; 28:514-532. [PMID: 36972705 DOI: 10.1177/17446295231168184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
INTRODUCTION/BACKGROUND This study aims to determine the impact of a person with profound intellectual and multiple disabilities on peer relationships of their siblings. METHODS Information obtained from typically developing siblings of individuals with profound intellectual and multiple disabilities served as research material for this study. There were a total of 18 participants in the study. The analysis and interpretation were based on the procedures of grounded theory. RESULTS AND CONCLUSION The results of the study show that young adults with a brother or sister with profound intellectual and multiple disabilities have some difficulties in establishing relationships with their peers, especially those more intimate such as friendships or romantic endeavors. At the same time, research confirms that siblings of individuals with profound intellectual and multiple disabilities have high levels of empathy and understanding for others as well as sincere attachment to family.
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Affiliation(s)
- Jakub Niedbalski
- Institute of Sociology, Faculty of Economics and Sociology, University of Łódź, Poland
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Cuskelly M, Gilmore L, Rayner C, Girkin F, Mulvihill A, Slaughter V. The impacts of typically developing siblings on the developmental outcomes of children with disability: A scoping review. RESEARCH IN DEVELOPMENTAL DISABILITIES 2023; 140:104574. [PMID: 37531815 DOI: 10.1016/j.ridd.2023.104574] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 06/06/2023] [Accepted: 07/19/2023] [Indexed: 08/04/2023]
Abstract
BACKGROUND Siblings represent an important influence on children's development. It is possible that sibling influence on developmental outcomes differs in sibling pairs when one of the children has a disability. Previous research has tended to focus on outcomes for typically developing siblings when they have a brother/sister with a disability. AIMS The purpose of this scoping review was to explore empirical studies reporting on the impact of siblings on the developmental outcomes of children with disability to better understand the areas that are influenced by siblings and the factors that contribute to this influence. METHOD To identify relevant studies, the electronic databases of EBSCO, ERIC, Informit, Ovid, ProQuest and Scopus were searched. These searches were supplemented by direction from the authors on relevant literature and citation searches of papers identified for inclusion. Descriptive details were extracted, followed by details related to research design and findings of the studies. OUTCOMES AND RESULTS Twenty-two papers were determined to meet inclusion criteria. Investigations of sibling influence have concentrated on children with ASD; other groups are not well represented. There is some evidence that having older siblings may be protective for children with ASD; however, this was not an invariable finding. There is too little consistency across studies to determine whether and how siblings influence development of children with disability. CONCLUSIONS AND IMPLICATIONS Further work is required to understand the potentially crucial influence that siblings may have on developmental outcomes of children with disability.
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Affiliation(s)
| | - Linda Gilmore
- School of Psychology & Counselling, Queensland University of Technology, Australia
| | | | - Fiona Girkin
- School of Education, University of Tasmania, Australia
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Hayden NK, Hastings RP, Bailey T. Behavioural adjustment of children with intellectual disability and their sibling is associated with their sibling relationship quality. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2023; 67:310-322. [PMID: 36602088 PMCID: PMC10952136 DOI: 10.1111/jir.13006] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 10/04/2022] [Accepted: 12/12/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Understanding sibling relationship quality is important, as it is associated with mental health outcomes in both childhood and adulthood. Arguably, these relationships are even more important for individuals with intellectual disability, as siblings can be important sources of care, support, advocacy and friendship for one another. The intellectual disability field, however, has a tendency to assume that the relationship lacks reciprocity, and that it is the sibling with intellectual disability who affects the sibling, and that this effect is somehow 'negative'. METHODS We examined whether the behaviour problems and prosocial behaviour of 500 child sibling pairs, where one child has an intellectual disability, were associated with their sibling relationship quality. Measures included the Strengths and Difficulties Questionnaires and the Sibling Relationship Questionnaire. Family poverty, the gender of both children, birth order and whether the child with intellectual disability had autism or Down syndrome were also included in the analyses. RESULTS Confirmatory factor analysis indicated an adequate model fit for the latent variables measuring sibling relationships. The final structural model found that the prosocial behaviour and internalising problems of the children with intellectual disability, their typically developing siblings' prosocial behaviours and sibling birth order were associated with intimacy-companionship in the sibling relationship. The internalising, externalising and prosocial behaviours of the children with intellectual disability, their siblings' externalising behaviours and sibling birth order were associated with antagonism-quarrelling in the sibling relationship. CONCLUSIONS We found that the behaviours of both the child with intellectual disability and their sibling were associated with both 'positive' and 'negative' dimensions of their sibling relationship. This indicates a bidirectional and reciprocal effect.
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Affiliation(s)
- N. K. Hayden
- Centre for Educational Development, Appraisal and ResearchUniversity of WarwickCoventryUK
| | - R. P. Hastings
- Centre for Educational Development, Appraisal and ResearchUniversity of WarwickCoventryUK
- Centre for Developmental Psychiatry and Psychology, Department of PsychiatryMonash UniversityMelbourneAustralia
| | - T. Bailey
- Centre for Educational Development, Appraisal and ResearchUniversity of WarwickCoventryUK
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Williams CA, Bailey T, Hastings RP. Modelling triadic relationships in families of children with intellectual disability. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2022; 35:843-855. [PMID: 35187793 PMCID: PMC9306971 DOI: 10.1111/jar.12988] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 01/21/2022] [Accepted: 01/26/2022] [Indexed: 12/01/2022]
Abstract
Background Method Results Conclusions
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Affiliation(s)
- Caitlin A. Williams
- Centre for Educational Development, Appraisal, and Research (CEDAR) University of Warwick Coventry UK
| | - Tom Bailey
- Centre for Educational Development, Appraisal, and Research (CEDAR) University of Warwick Coventry UK
| | - Richard P. Hastings
- Centre for Educational Development, Appraisal, and Research (CEDAR) University of Warwick Coventry UK
- Centre for Developmental Psychiatry and Psychology, Department of Psychiatry Monash University Melbourne Victoria Australia
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Guidotti L, Musetti A, Barbieri GL, Ballocchi I, Corsano P. Conflicting and harmonious sibling relationships of children and adolescent siblings of children with autism spectrum disorder. Child Care Health Dev 2021; 47:163-173. [PMID: 33140483 DOI: 10.1111/cch.12823] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 09/21/2020] [Accepted: 10/29/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND The presence of a child with autism spectrum disorder (ASD) could have a strong psychological and emotional impact on typical development (TD) siblings, with different ways of adjustment and perception of fraternal relationships. In this study, we aimed to investigate the experience of the TD siblings of children with ASD, combining both quantitative and qualitative methodologies. METHOD An explanatory sequential design was employed. Forty-four TD siblings of children with ASD, aged 6 to 17 years old, participated in the study. Each participant completed the Sibling Relationship Inventory that investigated warmth, rivalry and conflict in sibling relationships. Moreover, in order to thoroughly evaluate the participants' perception of their sibling relationship, they were asked to draw themselves with their sibling with ASD in a condition of harmony and conflict. The drawings were collected and coded using the well-validated Pictorial Assessment of Interpersonal Relationships. Quantitative and qualitative analyses were conducted. RESULTS In general, TD siblings showed affection for their siblings with ASD. However, males showed more conflict than females. Quantitative analyses of the drawings showed high levels of similarity between the siblings, despite the disability. In drawings, greater cohesion emerged in conditions of harmony and greater distancing in situations of conflict. Content analysis of the drawings showed that the conflict is represented mainly at home and the siblings often show opposite emotions, with TD siblings experiencing negative emotions. Moreover, adolescent TD siblings displayed more annoyance, shame and embarrassment than child TD siblings. CONCLUSIONS It is important to combine quantitative and qualitative tools to understand the experience of TD siblings in detail. In particular, drawing is a useful tool for providing quantitative and qualitative information, supplying rich and detailed information that can be well integrated with the results coming from quantitative tools.
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Affiliation(s)
- Laura Guidotti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
| | | | - Ilenia Ballocchi
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
| | - Paola Corsano
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
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Travers HE, Carlton ME, Carter EW. Social Connections Among Siblings With and Without Intellectual Disability or Autism. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2020; 58:19-33. [PMID: 32011223 DOI: 10.1352/1934-9556-58.1.19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Although the significance of sibling relationships is widely affirmed, little is known about these relationships in young adulthood. In this study, we examined the experiences and perspectives of 155 siblings (ages 18-30) of individuals with intellectual disability or autism. Our focus was on how young adults spend time with their brother or sister with a disability, the ways in which they view their relationship, and the expectations they hold for the future. We found that most siblings spent time together engaging in a wide range of activities, described their relationships as of high quality, and held varied expectations regarding their brother's or sister's future. Several factors were associated with more time spent together and higher quality relationships. We address implications for practice and suggest future directions for research.
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Affiliation(s)
- Hilary E Travers
- Hilary E. Travers, Vanderbilt University; Mary Elizabeth Carlton, Dare County Schools, Nags Head, NC; Erik W. Carter, Vanderbilt University
| | - Mary Elizabeth Carlton
- Hilary E. Travers, Vanderbilt University; Mary Elizabeth Carlton, Dare County Schools, Nags Head, NC; Erik W. Carter, Vanderbilt University
| | - Erik W Carter
- Hilary E. Travers, Vanderbilt University; Mary Elizabeth Carlton, Dare County Schools, Nags Head, NC; Erik W. Carter, Vanderbilt University
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Zaidman-Zait A, Yechezkiely M, Regev D. The quality of the relationship between typically developing children and their siblings with and without intellectual disability: Insights from children's drawings. RESEARCH IN DEVELOPMENTAL DISABILITIES 2020; 96:103537. [PMID: 31783274 DOI: 10.1016/j.ridd.2019.103537] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Revised: 10/30/2019] [Accepted: 11/05/2019] [Indexed: 06/10/2023]
Abstract
The current study examined the relationships of typically developing (TD) children with siblings with and without intellectual disabilities (ID), as expressed in TD children's drawings and questionnaires answered by TD children and their mothers. It also examined group differences in the sibling relationships, as well as the associations between having a sibling with or without ID and sibling relationships, and TD children's social-emotional adjustment. Participants were mothers and their TD children (8-13 years). Some had ID siblings ID (N=28); others had TD siblings (N=31). Sibling relationships were examined via mothers' and target children's completion of questionnaires, and objective visual indicators (location, size, distance) and observed content-based indicators (support, investment, presence of parents) of children's drawings were assessed following the art-based phenomenological analytic approach. Mothers reported on children's social-emotional adjustment. Findings indicated differences in sibling relationships, including higher levels of positive relationships for children with ID siblings. Children's drawings also showed positive relationship aspects for these children. Sibling relationship qualities were significantly associated with children's adjustment. Children's drawings may be a useful data gathering tool to deepen our understanding of unique aspects of sibling relationships.
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Affiliation(s)
- Anat Zaidman-Zait
- Constantiner School of Education, Department of School Counseling and Special Education, School of Education, Tel Aviv University, Tel Aviv, 69978 Israel.
| | - Miri Yechezkiely
- The Graduate School of Creative Art Therapies and the Emili Sagol Creative Arts, Therapies Research Center, University of Haifa, Israel
| | - Dafna Regev
- The Graduate School of Creative Art Therapies and the Emili Sagol Creative Arts, Therapies Research Center, University of Haifa, Israel
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Lamsal R, Ungar WJ. Impact of growing up with a sibling with a neurodevelopmental disorder on the quality of life of an unaffected sibling: a scoping review. Disabil Rehabil 2019; 43:586-594. [PMID: 31106599 DOI: 10.1080/09638288.2019.1615563] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
PURPOSE Growing up with a sibling with a neurodevelopmental disorder can have positive and negative effects on personal, social and emotional well-being; however, little is known about the impacts on unaffected siblings' quality of life. The purpose of this review was to synthesize evidence from studies evaluating the quality of life of unaffected siblings of children with neurodevelopmental disorders. METHOD A systematic search was conducted on four databases to identify studies reporting the quality of life of unaffected siblings of children with neurodevelopmental disorders. RESULTS Seven studies met the inclusion criteria. Four studies reported impaired quality of life in unaffected siblings of children with neurodevelopmental disorder while three studies reported not the impaired quality of life. Parents reported the lower quality of life for children with or without neurodevelopmental disorders compared to children's self-reports. CONCLUSIONS This review provides the mixed evidence on the quality of life in unaffected siblings of children with neurodevelopmental disorders, and identifies the substantial gap in the research regarding the impacts of children's neurodevelopmental disorders on the quality of life of their unaffected siblings. Assessment of unaffected siblings' quality of life is necessary to identify those who may be at risk and to provide support programs for physical and emotional well-being. Future research examining the quality of life of unaffected siblings across a variety of NDD is needed.Implications for rehabilitationGrowing up with a sibling with a neurodevelopmental disorder influences the personal and social development of the unaffected child.Measuring quality of life can have a meaningful impact on the lives of unaffected siblings of children with neurodevelopmental disorders and their families. Evidence generated from such studies can be used by healthcare providers such as physicians, nurses, psychologists, and social workers to recommend appropriate supports to the family and siblings.
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Affiliation(s)
- Ramesh Lamsal
- Program of Child Health Evaluation Sciences, The Hospital for Sick Children Research Institute, Toronto, Canada.,Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
| | - Wendy J Ungar
- Program of Child Health Evaluation Sciences, The Hospital for Sick Children Research Institute, Toronto, Canada.,Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
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Adult Siblings Who Have a Brother or Sister with Autism: Between-Family and Within-Family Variations in Sibling Relationships. J Autism Dev Disord 2018; 48:4090-4102. [PMID: 29971655 DOI: 10.1007/s10803-018-3669-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Prior research on the sibling relationship in the context of autism spectrum disorder (ASD) has included only one sibling per family. We used multi-level modeling to examine aspects of the sibling relationship in 207 adults who have a brother or sister with ASD from 125 families, investigating variability in sibling relationship quality and pessimism within and between families. We found that there was greater variability in aspects of the sibling relationship with the brother or sister with ASD within families than between families. Sibling individual-level factors were associated with positive affect in the sibling relationship, while family-level factors were associated with the sibling's pessimism about their brother or sister's future. The findings illustrate the unique experiences of siblings within families.
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Sibling Relationships: Parent–Child Agreement and Contributions of Siblings With and Without ASD. J Autism Dev Disord 2017; 48:1612-1622. [DOI: 10.1007/s10803-017-3393-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Holbein CE, Peugh JL, Holmbeck GN. Social Skills in Youth With Spina Bifida: A Longitudinal Multimethod Investigation Comparing Biopsychosocial Predictors. J Pediatr Psychol 2017; 42:1133-1143. [PMID: 28369434 PMCID: PMC5896615 DOI: 10.1093/jpepsy/jsx069] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2016] [Revised: 03/03/2017] [Accepted: 03/04/2017] [Indexed: 11/12/2022] Open
Abstract
Objective To examine the relative contributions of neuropsychological (attention and executive function), family (cohesion and conflict), and health (body mass index, lesion level, gross motor function) domains on social skills over time in youth with spina bifida (SB). Methods In all, 140 youth with SB (T1 mean age = 11.43 years) and their families participated in the study at baseline with an additional visit 2 years later. Study variables were assessed with multiple methods (questionnaire, medical chart review, observation, neuropsychological tests) and reporters (parents, teachers). Multivariate hierarchical linear regressions determined the predictive power of the three domains for T2 social skills. Results Neuropsychological variables accounted for significant variance in mother- and father-reported T2 social skills. Neither family nor health variables contributed significantly to later social skills when other domains were included in the model. Conclusions Neuropsychological factors are particularly important for social skill development in youth with SB. Findings can inform screening and intervention practices.
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Affiliation(s)
- Christina E. Holbein
- Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center and
| | - James L. Peugh
- Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center and
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Hall SA, Rossetti Z. The roles of adult siblings in the lives of people with severe intellectual and developmental disabilities. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2017; 31:423-434. [PMID: 29064145 DOI: 10.1111/jar.12421] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2017] [Indexed: 11/27/2022]
Abstract
BACKGROUND Siblings of people with intellectual and developmental disabilities (IDD) often assume key roles to support their brothers and sisters. For people with more significant support needs, siblings may undertake additional roles and responsibilities throughout their lives. The purpose of the present study was to identify and describe the roles of adult siblings who have a brother or sister with severe IDD. METHOD Seventy-nine adult siblings from 19 to 72 years of age completed an online survey with open-ended questions about the roles they play in their relationships with their brother or sister. RESULTS Thematic analysis resulted in identification of several roles including caregiver, friend (social partner), advocate, legal representative, sibling (teacher/role model), leisure planner and informal service coordinator. CONCLUSION Siblings assume key roles in the lives of people with IDD and need support from family and professionals to perform these roles.
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Affiliation(s)
- Sarah A Hall
- Department of Inclusive Services and Exceptional Learners, Ashland University, Columbus, OH, USA
| | - Zach Rossetti
- Special Education Program, Boston University, Boston, MA, USA
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Shivers CM, Dykens EM. Adolescent Siblings of Individuals With and Without Intellectual and Developmental Disabilities: Self-Reported Empathy and Feelings About Their Brothers and Sisters. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2017; 122:62-77. [PMID: 28095054 DOI: 10.1352/1944-7558-122.1.62] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Siblings of brothers or sisters with intellectual and developmental disabilities (IDD) are important but understudied family members. As many previous studies have relied on parent report of sibling outcomes, the use of sibling self-report is an important addition to the research. This study assessed the feelings of adolescent siblings toward their brothers or sisters with and without IDD, as well as broader aspects of sibling empathy. Data were collected via a national, online survey from 97 parent-sibling pairs. Siblings of individuals with IDD reported higher levels of anxiety toward the target child than did siblings of typically developing individuals. Sibling feelings toward the target child were related to both parental and target child factors, but only among families of individuals with IDD.
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Affiliation(s)
- Carolyn M Shivers
- Carolyn M. Shivers, Virginia Tech; and Elisabeth M. Dykens, Vanderbilt University
| | - Elisabeth M Dykens
- Carolyn M. Shivers, Virginia Tech; and Elisabeth M. Dykens, Vanderbilt University
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Floyd FJ, Costigan CL, Richardson SS. Sibling Relationships in Adolescence and Early Adulthood With People Who Have Intellectual Disability. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2016; 121:383-397. [PMID: 27611350 DOI: 10.1352/1944-7558-121.5.383] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Cross-sectional (N = 106) and longitudinal (N = 35) samples of siblings (ages 11-38) reported on closeness and conflict in their relationships with sisters and brothers with intellectual disability. For closeness, confirmatory factor analysis (CFA) distinguished feelings of emotional closeness from reciprocal sharing behaviors for these siblings. Age effects and changes over time indicated increasing emotional closeness and a general reduction in conflict from adolescence to young adulthood, with stable reciprocal sharing. Cross-sectionally, closeness was greater when siblings were involved in caregiving, and conflict was less when siblings no longer co-resided. Sibling constellation features (sex, birth order, age spacing) had limited effects at this developmental period. Findings support a combination of life-span developmental change and enduring attachment in these sibling relationships.
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Affiliation(s)
- Frank J Floyd
- Frank J. Floyd, University of Hawaii at Manoa, Department of Psychology; Catherine L. Costigan, University of Victoria; and Shana S. Richardson, Georgia State University
| | - Catherine L Costigan
- Frank J. Floyd, University of Hawaii at Manoa, Department of Psychology; Catherine L. Costigan, University of Victoria; and Shana S. Richardson, Georgia State University
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Freeborn D, Knafl K. Growing up with cerebral palsy: perceptions of the influence of family. Child Care Health Dev 2014; 40:671-9. [PMID: 24148084 DOI: 10.1111/cch.12113] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/07/2013] [Indexed: 11/26/2022]
Abstract
BACKGROUND Cerebral palsy (CP) is a non-progressive condition present from birth or infancy that includes various neurological patterns of dysfunction. It is characterized by abnormal motor control and/or posture and can involve communication difficulties. Children and youth with CP face multiple social and developmental challenges during their formative years including mild to severe physical limitations, poor socialization, limited recreational activities, and stigmatization. Families play a key role in supporting adaptation to CP. The purpose of this paper was to explore women's perceptions of the ways their families contributed to their overall quality of life with CP. METHODS Drawing on data from a qualitative study of eight women with CP, the purpose of this analysis was to examine perceptions of the ways in which their families and individual family members contributed to participants' overall quality of life and adaptation to CP. Respondents ranged in age from 22 years to 55 years and had varied forms of CP. The study was based on a feminist biographical approach, which combines biographical methods with feminist principles. RESULTS Participants provided considerable, rich contextual data on their family life and the pivotal role family played. The analysis identified four themes related to supportive family roles: (1) being an advocate, and teaching advocacy; (2) promoting inclusion and acceptance; (3) integrating therapy into daily life; and (4) the importance of siblings as friends and mentors. CONCLUSIONS Health-care providers can contribute to the family's ability to facilitate quality of life by providing guidance on how to be advocates and teach advocacy, including the child with CP in family activities, accessing therapy and incorporating beneficial therapies at home, and promoting healthy sibling relationships.
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Affiliation(s)
- D Freeborn
- College of Nursing, Brigham Young University, Provo, UT, USA
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Hallberg U. Situation and psychosocial well-being of older sisters to children with disabilities or chronic illnesses--the forgotten children? Int J Qual Stud Health Well-being 2013; 8:21755. [PMID: 23823133 PMCID: PMC3701115 DOI: 10.3402/qhw.v8i0.21755] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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May C. An Investigation of Attitude Change in Inclusive College Classes Including Young Adults With an Intellectual Disability. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2012. [DOI: 10.1111/jppi.12013] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Cynthia May
- Department of Psychology; College of Charleston; Charleston SC USA
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Feinberg ME, Solmeyer AR, McHale SM. The third rail of family systems: sibling relationships, mental and behavioral health, and preventive intervention in childhood and adolescence. Clin Child Fam Psychol Rev 2012; 15:43-57. [PMID: 22105663 DOI: 10.1007/s10567-011-0104-5] [Citation(s) in RCA: 107] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Sibling relationships are an important context for development, but are often ignored in research and preventive interventions with youth and families. In childhood and adolescence, siblings spend considerable time together, and siblings' characteristics and sibling dynamics substantially influence developmental trajectories and outcomes. This paper reviews research on sibling relationships in childhood and adolescence, focusing on sibling dynamics as part of the family system and sibling influences on adjustment problems, including internalizing and externalizing behaviors and substance use. We present a theoretical model that describes three key pathways of sibling influence: one that extends through siblings' experiences with peers and school, and two that operate largely through family relationships. We then describe the few existing preventive interventions that target sibling relationships and discuss the potential utility of integrating siblings into child and family programs.
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Affiliation(s)
- Mark E Feinberg
- Prevention Research Center, Pennsylvania State University, Marion Suite 402, University Park, PA 16801, USA.
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Begum G, Blacher J. The siblings relationship of adolescents with and without intellectual disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2011; 32:1580-1588. [PMID: 21388782 PMCID: PMC6445739 DOI: 10.1016/j.ridd.2011.01.056] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2010] [Revised: 01/28/2011] [Accepted: 01/28/2011] [Indexed: 05/30/2023]
Abstract
The sibling relationship of adolescents with and without intellectual disabilities was examined. Participants were 70 sibling dyads--each dyad was comprised of one 12-year old adolescent with (N=23) or without intellectual disabilities (N=47). Sibling relationships, behavior problems, and social skills were assessed using mother reports. Results revealed three findings. First, for typically developing adolescents, mothers reported more warmth in the sibling relationship for opposite sex dyads. For adolescents with intellectual disabilities, mothers reported more warmth in the sibling relationship for same-sex dyads. Second, for typically developing adolescents, mothers reported more status/power differences when the sibling was younger than when the sibling was older. For adolescents with intellectual disabilities, birth order did not affect status/power in the sibling relationship. Third, for typically developing adolescents, conflict was related to internalizing behavior problems. For adolescents with intellectual disabilities, conflict was related to externalizing behavior problems. Implications, limitations, and future directions are discussed.
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Affiliation(s)
- Gazi Begum
- Graduate School of Education, University of California, Riverside, 900 University Avenue, Riverside, CA 92521, United States.
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Taylor JL, Shivers CM. Predictors of helping profession choice and volunteerism among siblings of adults with mild intellectual deficits. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2011; 116:263-277. [PMID: 21740255 PMCID: PMC3780405 DOI: 10.1352/1944-7558-116.3.263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
This study examined aspects of the sibling relationship that predicted helping profession choice and volunteerism in siblings of individuals with mild intellectual deficits at 3 points in adulthood: their mid-30s, early 50s, and mid-60s. The 393 respondents were from the Wisconsin Longitudinal Study, a prospective, longitudinal study following participants from ages 18 to 64 years. Being an only sibling predicted greater helping profession choice for female but not male siblings. Being older than the brother or sister with mild intellectual deficits as well as having more contact with and feeling closer to that brother or sister predicted more volunteerism for female but not for male siblings. Earlier measures of contact and closeness were better predictors of volunteerism than concurrent measures.
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Affiliation(s)
- Julie Lounds Taylor
- Department of Pediatrics, Vanderbilt Kennedy Center, Vanderbilt University School of Medicine, Nashville, TN, USA.
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