University of Birmingham, UK.
Trauma Violence Abuse. 2023 Dec;24(5):3513-3527. doi: 10.1177/15248380221134289. Epub 2022 Nov 16.
Adverse childhood experiences (ACEs) are traumatic events during childhood known to affect health and well-being across the life span. The detrimental impact ACEs have on children and young people is well-established. It is also known that 85 to 90% of children have at least one sibling. Using this as the foundation for our inquiry, the purpose of this scoping review was to understand what we currently know about the experiences of siblings living with ACEs. Sibling relationships are unique, and for some the most enduring of experiences. These relationships can be thought of as bonds held together by love and warmth; however, they can also provide scope for undesirable outcomes, such as escalation of conflicts and animosities. This scoping review was conducted following Arksey and O'Malley's (2005) methodological framework, complemented by the PAGER framework (Bradbury-Jones et al. 2021), offering a structured approach to the review's analysis and reporting through presenting the atterns, dvances, aps, and vidence for practice and esearch. In June 2020, we searched 12 databases, with 11,469 results. Articles were screened for eligibility by the review team leaving a total of 148 articles meeting the inclusion criteria. Included articles highlighted overwhelming evidence of older siblings shielding younger siblings, and the likelihood that when one sibling experiences adversity, other siblings will be experiencing it themselves or vicariously. The implications of this in practice are that support services and statutory bodies need to ensure considerations are given to all siblings when one has presented with experiencing childhood adversity, especially to older siblings who may take far more burden as regards care-giving and protection of younger siblings. Given that more than half of the included articles did not offer any theoretical understanding to sibling experiences of ACEs, this area is of importance for future research. Greater attention is also needed for research exploring different types of sibling relationships (full, step, half), and whether these influence the impact that ACEs have on children and young people.
不良的童年经历（ACEs）是儿童时期经历的创伤性事件，已知会影响整个生命周期的健康和幸福感。ACEs 对儿童和年轻人的不利影响已经得到充分证实。此外，85%到 90%的儿童至少有一个兄弟姐妹。基于这一事实，本研究旨在了解目前我们对患有 ACEs 的兄弟姐妹的经历的了解程度。兄弟姐妹关系是独特的，对一些人来说是最持久的经历。这些关系可以被认为是由爱和温暖维系在一起的纽带；然而，它们也可能为冲突和敌意的升级等不良后果提供空间。本综述遵循 Arksey 和 O'Malley（2005）的方法论框架进行，同时辅以 PAGER 框架（Bradbury-Jones 等人，2021），通过呈现模式、进展、应用和实践与研究证据，为综述的分析和报告提供了一种结构化的方法。2020 年 6 月，我们搜索了 12 个数据库，得到了 11469 个结果。审查团队对文章进行了筛选，以确定其是否符合纳入标准，最终共有 148 篇文章符合纳入标准。纳入的文章突出表明，年长的兄弟姐妹会保护年幼的兄弟姐妹，而且当一个兄弟姐妹经历逆境时，其他兄弟姐妹很可能自己或间接地经历同样的逆境。这在实践中的意义是，支持服务和法定机构在一个兄弟姐妹经历童年逆境时，需要确保考虑到所有兄弟姐妹，尤其是那些在照顾和保护年幼兄弟姐妹方面承担更多责任的年长兄弟姐妹。鉴于超过一半的纳入文章没有提供关于兄弟姐妹经历 ACEs 的任何理论理解，因此这是未来研究的重要领域。还需要更多关注研究不同类型的兄弟姐妹关系（全、步、半），以及这些关系是否会影响 ACEs 对儿童和年轻人的影响。
