Siblings of Children With a Complex Chronic Health Condition: Maternal Posttraumatic Growth as a Predictor of Changes in Child Behavior Problems.
The present study examined the role of maternal posttraumatic growth in changes in behavioral problems among the siblings of children with complex chronic health conditions.



Data were collected from a sample of 70 siblings from 58 families with at least one child diagnosed with a life-threatening genetic, metabolic, or neurological condition. Every 6 months for up to 4 years, sibling behavior problems were assessed through both parent-reports and youth self-reports. At each visit, mothers also completed self-reports of posttraumatic growth.



Time-lagged multilevel regression analyses revealed that higher levels of maternal posttraumatic growth predicted subsequent declines in parent-reported internalizing, externalizing, and total behavior problems among healthy siblings. These findings were partially replicated using youth self-reports of their own behavior problems.



The findings suggest that the benefits of posttraumatic growth may extend beyond the self to other family members, particularly to children in the family.
Department of Psychology, University of British Columbia,  2136 West Mall, Vancouver, British Columbia, Canada.
Ellen
E
Stephenson
Department of Psychology, University of British Columbia,  2136 West Mall, Vancouver, British Columbia, Canada.
Anita
A
DeLongis
School of Nursing, York University, Toronto, Ontario, Canada.
Rose
R
Steele
School of Social Work, University of Waterloo, Waterloo, ON, Canada.
Susan
S
Cadell
Developmental Neurosciences & Child Health, Child & Family Research Institute,  Vancouver, British Columbia, Canada.
Gail S
GS
Andrews
Developmental Neurosciences & Child Health, Child & Family Research Institute,  Vancouver, British Columbia, Canada.|Departments of Pediatrics, University of British Columbia , Vancouver,  Canada.
Harold
H
Siden
D000293:Adolescent; D002648:Child; D002652:Child Behavior / Q000523:psychology; D002653:Child Behavior Disorders / Q000175:diagnosis* / Q000523:psychology; D002908:Chronic Disease / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009035:Mothers; D000066553:Problem Behavior / Q000523:psychology*; D057566:Self Report; D035781:Siblings / Q000523:psychology*
child behavior problems; complex chronic conditions; families; pediatric palliative care; posttraumatic growth; siblings