Yang Vevette J H, Bergman Kathleen N, Cummings E Mark
Department of Psychology, University of Notre Dame, Notre Dame, IN 46556, USA.
Int J Environ Res Public Health. 2024 Dec 13;21(12):1666. doi: 10.3390/ijerph21121666.
Parents and typically developing (TD) youth siblings of individuals with intellectual and/or developmental disabilities (IDD) often experience greater caregiving burden, stress, and hardships in family functioning. They are at increased risk of family conflict and youth adjustment problems when TD siblings are adolescents since they need to balance caregiving responsibilities and various changes that naturally occur during adolescence. However, there is a lack of intervention research on parents and TD adolescent siblings that focuses on family conflict and family-wide participation. This study analyzed whether participating in a brief family intervention could improve families' knowledge of marital and family-wide conflict and TD adolescents' adjustment problems. We found that mothers and fathers significantly improved their knowledge of marital conflict and that TD adolescents significantly improved their knowledge of family-wide conflict. We also found that fathers reported significant reductions in internalizing and externalizing problems in TD adolescents. The findings support the impact of even brief evidence-based interventions targeting family-level improvements for families with both TD adolescent siblings and individuals with IDD. The findings also accentuate the significance of involving both mothers and fathers in family intervention research, suggesting that different caregivers may experience both shared and unique benefits from participating.
智力和/或发育障碍(IDD)患者的父母以及发育正常(TD)的青少年兄弟姐妹,在家庭功能方面往往承受着更大的照顾负担、压力和困难。当TD兄弟姐妹处于青少年时期时,他们面临家庭冲突和青少年适应问题的风险会增加,因为父母需要平衡照顾责任以及青少年时期自然发生的各种变化。然而,针对父母和TD青少年兄弟姐妹的干预研究较少,且缺乏聚焦于家庭冲突和全家庭参与的研究。本研究分析了参与简短的家庭干预是否能提高家庭对婚姻冲突和全家庭冲突的认知,以及TD青少年的适应问题。我们发现,母亲和父亲对婚姻冲突的认知有显著改善,TD青少年对全家庭冲突的认知也有显著提高。我们还发现,父亲报告说TD青少年的内化和外化问题显著减少。研究结果支持了即使是简短的循证干预对有TD青少年兄弟姐妹和IDD患者的家庭在家庭层面改善的影响。研究结果还强调了让母亲和父亲都参与家庭干预研究的重要性,这表明不同的照顾者可能会从参与中获得共同和独特的益处。