Siblings of children with a complex chronic disorder treated by non-invasive ventilation

J Paediatr Child Health. 2022 May;58(5):842-847. doi: 10.1111/jpc.15856. Epub 2021 Dec 17.

Abstract

Aim: The aim of the study was to assess the emotional and behavioural functioning of siblings of children treated with long term non-invasive ventilation (NIV).

Methods: Parents of children treated with NIV completed the Child Behaviour Checklist and a qualitative questionnaire for each sibling, aged 1.5-18 years old.

Results: The parents of 49 ventilated children were questioned about 79 siblings. For the siblings aged 1.5-5, mean total T score was 57 ± 22 (range 28-92), and five siblings (31%) were in the clinical range. For the siblings aged 6-18, mean total T score was 49 ± 12 (range 26-71), and six siblings (10%) were in the clinical range. Siblings felt responsible for their affected sibling (31%) and involved with his/her illness (52%), with 31% being worried about him/her. A change in behaviour was observed in 19% of the siblings since the initiation of NIV; 26% were impacted by the use of the NIV device.

Conclusions: The majority of siblings of children treated with NIV do not present significant emotional and behavioural problems. They feel deeply responsible for their affected sibling and involved in his/her illness and treatment, highlighting the importance to involve the siblings in the care of the affected child.

Keywords: chronic disease; non-invasive ventilation; questionnaire; sibling; sleep-disordered breathing.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Chronic Disease
  • Family
  • Female
  • Humans
  • Infant
  • Male
  • Noninvasive Ventilation*
  • Parents / psychology
  • Siblings* / psychology