Giallo Rebecca, Roberts Rachel, Emerson Eric, Wood Catherine, Gavidia-Payne Susana
Parenting Research Centre, 5/232 Victoria Parade, East Melbourne, Victoria 3002, Australia; RMIT University, GPO Box 2476, Melbourne, Victoria 3001, Australia; Murdoch Childrens Research Institute, Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia.
School of Psychology, The University of Adelaide, Level 4, Hughes Building, South Australia 5005, Australia.
Res Dev Disabil. 2014 Apr;35(4):814-25. doi: 10.1016/j.ridd.2014.01.017. Epub 2014 Feb 7.
This study examined the emotional and behavioural functioning of siblings of children with special health care needs identified in the Longitudinal Study of Australian Children (LSAC). Of the 106 siblings identified, 15-52% had emotional and behavioural difficulties in the at-risk or clinical range on the parent-reported Strengths and Difficulties Questionnaire (SDQ) subscales when aged 4-5 (wave 1), 6-7 (wave 2), 8-9 (wave 3) and 10-11 years (wave 4). After controlling for differences in socio-economic position, siblings had significantly higher difficulties on all subscales than their peers without a brother or sister with a special health care need at most time points. Latent growth modelling revealed little change in emotional and behavioural symptoms for siblings across childhood, while behavioural symptoms decreased for their peers. These findings suggest that some siblings are at heightened risk of emotional and behavioural difficulties across childhood, underscoring the importance of assessing and promoting the wellbeing of all family members when providing services to children with special health care needs.
本研究调查了在澳大利亚儿童纵向研究（LSAC）中被确定为有特殊医疗需求儿童的兄弟姐妹的情绪和行为功能。在确定的106名兄弟姐妹中，15%至52%的人在4至5岁（第1波）、6至7岁（第2波）、8至9岁（第3波）和10至11岁（第4波）时，在家长报告的优势与困难问卷（SDQ）分量表上处于有风险或临床范围内的情绪和行为困难。在控制了社会经济地位的差异后，在大多数时间点，兄弟姐妹在所有分量表上的困难都显著高于没有患有特殊医疗需求的兄弟姐妹的同龄人。潜在增长模型显示，兄弟姐妹在整个童年时期的情绪和行为症状变化不大，而他们的同龄人行为症状有所下降。这些发现表明，一些兄弟姐妹在整个童年时期面临情绪和行为困难的风险更高，这凸显了在为有特殊医疗需求的儿童提供服务时评估和促进所有家庭成员福祉的重要性。
