Centre for Educational Development, Appraisal and Research, University of Warwick, Coventry, CV4 7AL, UK.
Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, Monash University, Melbourne, Australia.
J Abnorm Child Psychol. 2019 Aug;47(8):1409-1419. doi: 10.1007/s10802-018-00510-5.
This is the first study on the behavioral and emotional adjustment of siblings of children with intellectual disabilities (ID) to use a population-based sample, from the third wave of the Millennium Cohort Study (MCS); a UK longitudinal birth cohort study. We examined differences between nearest-in-age older siblings (age 5-15) of MCS children (likely mainly with mild to moderate ID) identified with ID (n = 257 siblings) or not (n = 7246 siblings). The Strengths and Difficulties Questionnaire (SDQ) measured all children's adjustment. For SDQ total problems, 13.9% of siblings of children with ID and 8.9% of siblings of children without had elevated scores (OR 1.65; 95% CI 1.04, 2.62; p = 0.031). Similar group differences were found for SDQ peer and conduct problems. In logistic regression models, variables consistently associated with older sibling adjustment were: adjustment of the MCS cohort child, older sibling being male, family socio-economic position, primary carer psychological distress, and being from a single parent household. The ID grouping variable was no longer associated with adjustment for all SDQ domains, except siblings of children with ID were less likely to be identified as hyperactive (OR 0.30; 95% CI 0.10, 0.87; p = 0.027). Some older siblings of children with ID may be at additional risk for behavioral and emotional problems. Group differences were related mainly to social and family contextual factors. Future longitudinal research should address developmental pathways by which children with ID may affect sibling adjustment.
这是第一项使用基于人群样本研究智力障碍（ID）儿童兄弟姐妹行为和情绪调整的研究，该研究来自千年队列研究（MCS）的第三波；这是一项英国纵向出生队列研究。我们研究了 MCS 儿童（可能主要患有轻度至中度 ID）中 ID 识别的最接近年龄的年长兄弟姐妹（年龄 5-15 岁）（n = 257 兄弟姐妹）和未识别 ID 的年长兄弟姐妹（n = 7246 兄弟姐妹）之间的差异。《长处和困难问卷》（SDQ）衡量了所有儿童的适应情况。对于 SDQ 总问题，有 13.9%的 ID 儿童的兄弟姐妹和 8.9%的非 ID 儿童的兄弟姐妹的得分较高（OR 1.65；95%CI 1.04，2.62；p = 0.031）。在 SDQ 同伴和行为问题方面也发现了类似的组间差异。在逻辑回归模型中，与年长兄弟姐妹调整一致相关的变量包括：MCS 队列儿童的调整、年长兄弟姐妹为男性、家庭社会经济地位、主要照顾者心理困扰以及来自单亲家庭。除了 ID 儿童的兄弟姐妹不太可能被认定为多动（OR 0.30；95%CI 0.10，0.87；p = 0.027）外，ID 分组变量与所有 SDQ 领域的调整不再相关。一些 ID 儿童的年长兄弟姐妹可能面临额外的行为和情绪问题风险。组间差异主要与社会和家庭环境因素有关。未来的纵向研究应该探讨 ID 儿童可能影响兄弟姐妹适应的发展途径。
