Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Zurich, Switzerland.
Child Adolesc Psychiatry Ment Health. 2012 Jan 11;6(1):3. doi: 10.1186/1753-2000-6-3.
Since siblings of pediatric cancer patients are at risk for emotional, behavioral, and social problems, there is considerable interest in development of early psychological interventions. This paper aimed at evaluating the effectiveness of a two-session psychological intervention for siblings of newly diagnosed pediatric cancer patients.
Thirty siblings age 6-17 years were randomly assigned to an intervention group or an active control group with standard psychosocial care. The manualized intervention provided to siblings in the first 2 months after the cancer diagnosis of the ill child included medical information, promotion of coping skills, and a psychoeducational booklet for parents. At 4 to 6 weeks, 4 months, and 7 months after the diagnosis, all siblings and their parents completed measures (from standardized instruments) of social support, quality of life, medical knowledge, posttraumatic stress symptoms, and anxiety.
At follow-up siblings in the intervention group showed better psychological well-being, had better medical knowledge, and reported receiving social support from more people. However, the intervention had no effects on posttraumatic stress symptoms and anxiety.
The results of this pilot trial suggest that a two-session sibling intervention can improve siblings' adjustment, particularly psychological well-being, in the early stage after a cancer diagnosis.
ClinicalTrials.gov NCT00296907.
由于儿科癌症患者的兄弟姐妹面临情绪、行为和社交问题的风险，因此人们对开发早期心理干预措施非常感兴趣。本文旨在评估针对新诊断的儿科癌症患者的兄弟姐妹的两阶段心理干预措施的有效性。
将 30 名年龄在 6-17 岁的兄弟姐妹随机分配到干预组或接受标准心理社会关怀的活动对照组。在患病儿童癌症诊断后的头 2 个月内，为兄弟姐妹提供的标准化干预措施包括医疗信息、应对技能的促进和为父母提供的心理教育手册。在诊断后 4 至 6 周、4 个月和 7 个月时，所有兄弟姐妹及其父母都完成了（来自标准化工具）社会支持、生活质量、医学知识、创伤后应激症状和焦虑的测量。
在随访时，干预组的兄弟姐妹表现出更好的心理健康状况，具有更好的医学知识，并且报告得到更多人的社会支持。但是，该干预措施对创伤后应激症状和焦虑没有影响。
这项初步试验的结果表明，两阶段的兄弟姐妹干预措施可以改善癌症诊断后早期阶段兄弟姐妹的适应能力，特别是心理健康状况。
ClinicalTrials.gov NCT00296907。
