Roberts Rachel M, Ejova Anastasia, Giallo Rebecca, Strohm Kate, Lillie Meredith E
a School of Psychology , University of Adelaide , Adelaide , Australia ;
b Faculty of Social Studies, Institute for Research of Children, Youth and Family , Masaryk University , Brno , Czech Republic ;
Disabil Rehabil. 2016 Oct;38(21):2063-72. doi: 10.3109/09638288.2015.1116621. Epub 2016 Jan 5.
A pilot study to identify the predictors of improvement in emotional and behavioural functioning of siblings of children with special needs following participation in SibworkS, a six-week manual-based, cognitive-behavioural group programme.
Data from 36 participants from a recent evaluation of the SibworkS programme was used. Measures were administered pre-intervention, immediately post-intervention and three months post-intervention. Treatment effects were measured using change scores for siblings on the Strengths and Difficulties Questionnaire - Parent Version (SDQ). Seven predictors were analysed: symptom severity of the child with special needs, participant age and gender, sibling birth order, family socio-economic status, participant baseline SDQ score and participant use of additional support services.
The overall model significantly predicted change in SDQ scores at post-intervention and follow-up (adjusted R(2) = 0.41 and 0.40). At both evaluation points, SDQ change scores were significantly predicted by baseline SDQ score. Furthermore, symptom severity of the child with special needs was a significant predictor at three months post-intervention.
Poorer emotional and behavioural functioning among participants and symptom severity of the child with special needs were associated with greater intervention effects. These results indicate that SibworkS is likely to be beneficial for siblings who have difficulties adjusting, and siblings of children with more severe special needs. Implications for Rehabilitation Siblings of children with disability are at increased risk of emotional and behavioural difficulties. Sibworks is a manualised group-based intervention for the siblings of children with a disability. Poorer emotional and behavioural functioning among participants and symptom severity of the child with special needs were associated with greater intervention effects. SibworkS is likely to be beneficial for siblings who have difficulties adjusting and siblings of children with more severe disabilities.
一项试点研究，旨在确定有特殊需求儿童的兄弟姐妹在参加SibworkS（一项为期六周的基于手册的认知行为团体项目）后情绪和行为功能改善的预测因素。
使用了近期对SibworkS项目评估中36名参与者的数据。在干预前、干预后即刻和干预后三个月进行测量。使用优势与困难问卷-家长版（SDQ）中兄弟姐妹的变化分数来衡量治疗效果。分析了七个预测因素：有特殊需求儿童的症状严重程度、参与者年龄和性别、兄弟姐妹出生顺序、家庭社会经济地位、参与者基线SDQ分数以及参与者对额外支持服务的使用情况。
总体模型在干预后和随访时显著预测了SDQ分数的变化（调整后R² = 0.41和0.40）。在两个评估点，基线SDQ分数均显著预测了SDQ变化分数。此外，有特殊需求儿童的症状严重程度在干预后三个月是一个显著的预测因素。
参与者较差的情绪和行为功能以及有特殊需求儿童的症状严重程度与更大的干预效果相关。这些结果表明，SibworkS可能对难以适应的兄弟姐妹以及有更严重特殊需求儿童的兄弟姐妹有益。康复意义 残疾儿童的兄弟姐妹出现情绪和行为困难的风险增加。Sibworks是一项针对残疾儿童兄弟姐妹的基于手册的团体干预措施。参与者较差的情绪和行为功能以及有特殊需求儿童的症状严重程度与更大的干预效果相关。SibworkS可能对难以适应的兄弟姐妹以及有更严重残疾儿童的兄弟姐妹有益。
