title: Recent developments in supporting adolescent and young adult siblings of cancer patients.
abstract: OBJECTIVE
  The psychosocial needs of adolescent and young adult (AYA) siblings of cancer patients are easily overlooked. Accordingly, the evidence base informing short and long-term outcomes for these young people is sparse. This review provides an overview of recent research highlighting the experiences, unmet needs and psychosocial issues of AYA siblings, together with recent interventions.
  
  
  RESULTS
  The reviewed studies bring focus to the range of informational and supportive care needs that typically remain unmet in AYA siblings. The limited number of interventions designed specifically for this group not only appear to have positive results but also underscore the need for effective risk stratification preintervention and tailoring of interventions to the specific needs of participants.
  
  
  CONCLUSIONS
  AYA siblings of cancer patients display a range of psychosocial symptoms that can be ameliorated with age-appropriate information and targeted intervention programs. Limited research suggests that the majority of unmet needs for AYA siblings seem to occur during the acute phases of the brother or sister's initial diagnosis, treatment and relapse. Further research is required on siblings' long-term psychosocial assessment and management, bereavement, family systems, the impact of the cancer experience on siblings' personality and identity, and the development and evaluation of tailored psychosocial interventions. Policy research is also required to identify opportunities for expanding established healthcare systems to include sibling support.
authors.affiliation: aCanTeen Australia bCancer Nursing Research Unit, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Pandora
authors.initials: P
authors.lastname: Patterson
authors.forename: Sharon
authors.initials: S
authors.lastname: Medlow
authors.forename: Fiona E J
authors.initials: FE
authors.lastname: McDonald
mesh_terms: D000293:Adolescent; D000328:Adult; D005190:Family / Q000523:psychology*; D006801:Humans; D009369:Neoplasms / Q000453:epidemiology / Q000523:psychology*; D035781:Siblings / Q000523:psychology*; D017741:Survivors / Q000523:psychology*; D055815:Young Adult