Abstract

Objective 

The purpose of this study was to better understand conflicting findings in the literature regarding the adjustment of siblings of children with cancer by examining, in a single sample, differences in patterns of results as a function of reporter and comparator used (i.e., population norms, demographically matched classmates).

Method 

Self- and parent-report standardized measures of depression, anxiety, and behavioral problems were collected for 67 siblings and 67 demographically matched classmates. Comparisons were made to norms and controls.

Results 

Siblings consistently demonstrated poorer psychosocial functioning than their demographically matched peers across all measures but their scores did not differ from norms. A significantly greater percentage of siblings fell outside the normal range than that expected in the general population for parent-reported total and internalizing problems, but not for externalizing problems or the self-report measures.

Conclusions 

Findings regarding the psychological adjustment of siblings of children with cancer differ according to the research methods used. It is important to use rigorous methods such as demographically matched peer comparisons when investigating the impact of childhood cancer on siblings.

中文翻译：

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方法很重要：比较与癌症相关的兄弟姐妹对规范和匹配良好的同伴的调整

摘要

客观的 

这项研究的目的是通过在单个样本中检查结果模式随报告者和使用的比较者的不同（即人口规范，人口统计学匹配的同学）。

方法 

收集了67位兄弟姐妹和67位人口统计学匹配的同伴的自我和父母报告的抑郁，焦虑和行为问题的标准化测量。与规范和对照进行了比较。

结果 

在所有指标上，兄弟姐妹始终表现出比在人口统计学上相称的同伴差的社会心理功能，但他们的分数与标准无差异。对于父母报告的总体问题和内部化问题，兄弟姐妹的比例超出正常范围的比例明显高于普通人群，但对于外部化问题或自我报告措施则没有。

结论 

根据所使用的研究方法，有关癌症儿童的兄弟姐妹心理适应的发现有所不同。在调查儿童期癌症对同胞的影响时，必须使用严格的方法，例如人口统计学匹配的同龄人比较。