Marquis Sandra M, McGrail Kimberlyn, Hayes Michael V
School of Public Health and Social Policy, University of Victoria, PO BOX 1700 STN CSC, Victoria, BC, V8W 2Y2, Canada.
School of Population and Public Health, University of British Columbia, 201-2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
SSM Popul Health. 2019 Jun 28;8:100441. doi: 10.1016/j.ssmph.2019.100441. eCollection 2019 Aug.
This study used population level administrative data for health service utilization from the Ministry of Health, British Columbia, Canada to assess the mental health of siblings of children who have a developmental disability. At a population level, the study found strong evidence that siblings of children who have a developmental disability experience higher odds of a depression or other mental health diagnosis compared to siblings of children who do not have a developmental disability. In addition, there was evidence that in families with a child with a developmental disability, siblings who are diagnosed with depression or another mental health problem use physician and/or hospital services for these conditions to a greater extent than siblings who are diagnosed with depression or a mental health problem but do not have a family member with a developmental disability. Evidence of increased depression and mental health problems existed across all income levels, indicating that other stressors may have an impact. These findings suggest that siblings of children who have a developmental disability are a vulnerable group in need of programs and services that support their mental health.
本研究使用了加拿大不列颠哥伦比亚省卫生部提供的关于卫生服务利用情况的人群层面行政数据,以评估发育障碍儿童的兄弟姐妹的心理健康状况。在人群层面,该研究发现有力证据表明,与无发育障碍儿童的兄弟姐妹相比,发育障碍儿童的兄弟姐妹经历抑郁或其他心理健康诊断的几率更高。此外,有证据表明,在有发育障碍儿童的家庭中,被诊断患有抑郁或其他心理健康问题的兄弟姐妹,相比于被诊断患有抑郁或心理健康问题但家庭成员无发育障碍的兄弟姐妹,因这些状况使用医生和/或医院服务的程度更高。所有收入水平均存在抑郁和心理健康问题增加的证据,这表明其他压力源可能产生影响。这些发现表明,发育障碍儿童的兄弟姐妹是一个弱势群体,需要有支持其心理健康的项目和服务。