Effectiveness of a group intervention to improve mental health in siblings of children with chronic disorders: a cluster randomized controlled trial.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-03-26 DOI:10.1093/jpepsy/jsaf021

Solveig M Kirchhofer, Trude Fredriksen, Stian Orm, Matteo Botta, Erica Zahl, Hugo Cogo-Moreira, Caitlin M Prentice, Torun M Vatne, Yngvild B Haukeland, Wendy K Silverman, Krister W Fjermestad

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引用次数: 0

Abstract

Objective: We evaluated the effectiveness of SIBS, a preventive intervention for siblings and parents of children with chronic disorders (CDs).

Methods: This two-arm, unmasked cluster randomized controlled trial registered on ClinicalTrials.gov (NCT04056884), included 288 siblings (M age = 10.4 years, SD = 1.9) and parents of children with CDs (mainly neurodevelopmental disorders) randomly assigned to intervention (k = 34, n = 137) or waitlist control (k = 35, n = 151) groups. Eligible siblings were aged 8-16 years and had a sibling diagnosed with a CD. SIBS is manual-based and was delivered as five sessions over 2 weeks in primary care and hospital settings across Norway. Three sessions are separate for siblings and parents, and two are integrated sibling-parent dialogues. The primary outcome was sibling mental health, rated by siblings, parents, and teachers. The secondary outcome was parent-child communication, rated by siblings and parents. Analyses included intention-to-treat (ITT) and complier average causal effects (CACE).

Results: Although not statistically significant, at 3-month follow-up, the intervention group showed fewer mental health problems (ITT: sibling-rated d = -0.16, 95% CI [-0.49, 0.17]; parent-rated d = -0.10, 95% CI [-0.48, 0.12]; teacher-rated d = -0.18, 95% CI [-0.50, 0.29]) and higher-quality parent-child communication (ITT: sibling-rated d = 0.21, 95% CI [-0.10, 0.52]; parent-rated d = 0.24, 95% CI [-0.07, 0.55]) compared to waitlist.

Conclusions: The SIBS intervention demonstrated small, consistent positive effects on sibling mental health and parent-child communication. This suggests SIBS is a promising preventive program for siblings of children with CDs.

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群体干预改善慢性疾病患儿兄弟姐妹心理健康的有效性：一项聚类随机对照试验

目的：我们评估SIBS的有效性，这是一种对患有慢性疾病（cd）儿童的兄弟姐妹和父母的预防性干预。方法：这项在ClinicalTrials.gov （NCT04056884）注册的双组、无屏蔽集群随机对照试验，包括288名兄弟姐妹（M年龄= 10.4岁，SD = 1.9）和cd（主要是神经发育障碍）患儿的父母，随机分为干预组（k = 34, n = 137）和等候组（k = 35, n = 151）。符合条件的兄弟姐妹年龄在8-16岁之间，并且有一个兄弟姐妹被诊断患有乳糜泻。SIBS是基于手册的，在挪威各地的初级保健和医院环境中进行了5次为期2周的治疗。三个会议分别为兄弟姐妹和父母，两个是整合的兄弟姐妹-父母对话。主要结果是兄弟姐妹的心理健康状况，由兄弟姐妹、父母和老师打分。次要结果是亲子沟通，由兄弟姐妹和父母评分。分析包括意向治疗（ITT）和编译者平均因果效应（CACE）。结果：虽然没有统计学意义，但在3个月的随访中，干预组出现的心理健康问题较少(ITT：兄弟姐妹评分d = -0.16, 95% CI [-0.49, 0.17]；家长评分d = -0.10, 95% CI [-0.48, 0.12]；教师评分d = -0.18, 95% CI[-0.50, 0.29])和更高质量的亲子沟通(ITT：兄弟姐妹评分d = 0.21, 95% CI [-0.10, 0.52]；家长评分d = 0.24, 95% CI[-0.07, 0.55])。结论：SIBS干预对兄弟姐妹心理健康和亲子沟通表现出小而一致的积极影响。这表明SIBS是一个有希望的预防计划，为兄弟姐妹的儿童患有cd。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.