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患有罕见疾病儿童的兄弟姐妹的情感体验。

Emotional Experiences Among Siblings of Children With Rare Disorders.

作者信息

Haukeland Yngvild B, Fjermestad Krister W, Mossige Svein, Vatne Torun M

机构信息

Department of Psychology, University of Oslo and

Department of Psychology, University of Oslo and Frambu Resource Center for Rare Disorders.

出版信息

J Pediatr Psychol. 2015 Aug;40(7):712-20. doi: 10.1093/jpepsy/jsv022. Epub 2015 Mar 29.

Abstract

OBJECTIVE

This research aimed to provide new knowledge about the emotional experiences of siblings of children with rare disorders.

METHODS

Qualitative thematic analysis was conducted based on videotapes of 11 support groups for 58 siblings aged 7-17 years (Mage = 11.4 years, SD = 2.4) of children with rare disorders.

RESULTS

Participants described contradictory emotions in three main contexts: (1) implications of the disorder (knowledge, medical issues, prognosis); (2) consequences for family life (practical implications, limitations of the child with disorder, perspectives on the sibling relationship); and (3) consequences for social life (reflections about (ab)normality, reactions from others). Passive coping strategies were frequently described relative to active coping strategies. An emerging dilemma for participants was hiding versus sharing emotional experiences.

CONCLUSIONS

Siblings' emotional experiences are characterized by diverse and contradictory feelings. Interventions to promote emotional health in siblings of children with rare disorder should address this complexity.

摘要

目的

本研究旨在提供有关罕见病患儿兄弟姐妹情感体验的新知识。

方法

基于针对58名7至17岁(平均年龄=11.4岁,标准差=2.4)罕见病患儿兄弟姐妹的11个支持小组的录像带进行定性主题分析。

结果

参与者在三个主要情境中描述了矛盾的情绪:(1)疾病的影响(知识、医疗问题、预后);(2)对家庭生活的影响(实际影响、患病儿童的局限性、对兄弟姐妹关系的看法);(3)对社交生活的影响(对(非)正常的思考、他人的反应)。相对于积极应对策略,被动应对策略被频繁提及。参与者面临的一个新困境是隐藏与分享情感体验。

结论

兄弟姐妹的情感体验具有多样且矛盾的特点。促进罕见病患儿兄弟姐妹情绪健康的干预措施应应对这种复杂性。

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