Bradley Hasbro Children's Research Center and the Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, RI 02903, USA.
J Child Psychol Psychiatry. 2011 Jun;52(6):696-703. doi: 10.1111/j.1469-7610.2010.02357.x. Epub 2011 Jan 4.
Siblings of children with disabilities are at risk for internalizing psychological disorders; however, little is known about how culture influences this effect. This study examined the psychological and school functioning of Latino siblings of children with intellectual disability (ID).
Participants were 100 Latino (L) and nonLatino (NL) siblings (8-15 years) of children with ID (50 LID, 50 NLID) and 100 Latino and nonLatino control siblings (50 LC, 50 NLC). Siblings, parents, and teachers completed standard questionnaires regarding sibling emotional and behavioral functioning; sibling school report cards were obtained. Analyses of variance were conducted, controlling for parent age and family income; planned contrasts compared LID siblings to the other sibling groups.
LID siblings reported significantly more internalizing (t(1) = 2.41, p < .05) and emotional t(1) = 3.06, p < .05) symptoms, poorer awareness of (t(1) = 2.26, p < .01) and greater reluctance to express (t(1) = 3.12, p < .01) their emotions, and more problems in personal adjustment and relationships with parents (t(1) = -2.50, p < .05). Significantly higher percentages of LID siblings scored in the at-risk or clinical range for internalizing and emotional symptoms, and were more likely to score above the clinical cut-off for separation anxiety disorder and to endorse global impairment. LID siblings experienced more school absences and lower academic performance. There were no group differences in externalizing behavior problems, somatic symptoms, or teacher-reported internalizing symptoms.
Latino siblings of children with ID are at greater risk for internalizing psychological disorders and greater impairment in personal and school functioning. Results are discussed in terms of their sociocultural significance and clinical implications.
残疾儿童的兄弟姐妹有患内化心理障碍的风险;然而,人们对文化如何影响这种效应知之甚少。本研究检查了智障儿童(ID)的拉丁裔兄弟姐妹的心理和学校功能。
参与者为 100 名拉丁裔(L)和非拉丁裔(NL)兄弟姐妹(智力障碍儿童 50 名 LID,50 名 NLID)和 100 名拉丁裔和非拉丁裔对照组兄弟姐妹(50 名 LC,50 名 NLC)。兄弟姐妹、父母和老师完成了关于兄弟姐妹情绪和行为功能的标准问卷;获得了兄弟姐妹的学校报告卡。进行方差分析,控制父母年龄和家庭收入;计划对比比较了 LID 兄弟姐妹与其他兄弟姐妹群体。
LID 兄弟姐妹报告的内化(t(1)=2.41,p<.05)和情绪(t(1)=3.06,p<.05)症状明显更多,情绪意识较差(t(1)=2.26,p<.01)和更不愿意表达(t(1)=3.12,p<.01),个人调整和与父母的关系存在更多问题(t(1)=-2.50,p<.05)。LID 兄弟姐妹的内化和情绪症状有更高比例的人处于风险或临床范围内,更有可能在分离焦虑症的临床截止点以上得分,并表示存在整体障碍。LID 兄弟姐妹的学校缺勤率更高,学习成绩更低。在外化行为问题、躯体症状或教师报告的内化症状方面,各组之间没有差异。
智障儿童的拉丁裔兄弟姐妹患内化心理障碍和个人及学校功能障碍的风险更高。结果从社会文化意义和临床意义方面进行了讨论。