Explaining Differences Between Sibling Relationships in Schizophrenia and Nonclinical Sibling Relationships.
adult siblings
family structure
schizophrenia
sibling relationship
symptom severity
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2020
2020
Historique:
received:
20
12
2019
accepted:
31
03
2020
entrez:
5
5
2020
pubmed:
5
5
2020
medline:
5
5
2020
Statut:
epublish
Résumé
Good sibling relationships in adulthood are known to be a protective factor for mental health. The quality of these relationships is influence by the sibship's inherent characteristics (e.g., birth order, number of brothers and sisters, sex composition, age gaps). The present study explored whether these same determinants can help to explain how individuals experience their relationship with a sibling who has been diagnosed with schizophrenia. A total of 374 adults completed the Adult Sibling Relationship Questionnaire, a scale that probes the quality of these relationships on three dimensions: warmth, conflict, and rivalry. We also collected sociodemographic data and information about family structure from each of the participants. Participants were divided into two matched groups: nonclinical sibling group ( Results showed that sociodemographic and family structure data explained a significant proportion of variance in the sibling relationship, but solely for nonclinical siblings. When participants had a sibling with schizophrenia, we found that disease-related variables (symptom severity, frequency of treatment) also had to be included to predict the conflict dimension. Our results suggest that feelings of conflict experienced by the schizophrenia sibling group were fueled by the symptoms the ill person displayed. Healthy brothers and sisters probably have only a poor understanding of these symptoms. This could be improved by supporting them and helping them learn more about the disease. Future research will have to prove that providing such support for siblings does indeed improve the quality of their sibling relationships and, by so doing, enhance the wellbeing of both members of a sibling dyad.
Sections du résumé
BACKGROUND
BACKGROUND
Good sibling relationships in adulthood are known to be a protective factor for mental health. The quality of these relationships is influence by the sibship's inherent characteristics (e.g., birth order, number of brothers and sisters, sex composition, age gaps). The present study explored whether these same determinants can help to explain how individuals experience their relationship with a sibling who has been diagnosed with schizophrenia.
METHOD
METHODS
A total of 374 adults completed the Adult Sibling Relationship Questionnaire, a scale that probes the quality of these relationships on three dimensions: warmth, conflict, and rivalry. We also collected sociodemographic data and information about family structure from each of the participants. Participants were divided into two matched groups: nonclinical sibling group (
RESULTS
RESULTS
Results showed that sociodemographic and family structure data explained a significant proportion of variance in the sibling relationship, but solely for nonclinical siblings. When participants had a sibling with schizophrenia, we found that disease-related variables (symptom severity, frequency of treatment) also had to be included to predict the conflict dimension.
CONCLUSIONS
CONCLUSIONS
Our results suggest that feelings of conflict experienced by the schizophrenia sibling group were fueled by the symptoms the ill person displayed. Healthy brothers and sisters probably have only a poor understanding of these symptoms. This could be improved by supporting them and helping them learn more about the disease. Future research will have to prove that providing such support for siblings does indeed improve the quality of their sibling relationships and, by so doing, enhance the wellbeing of both members of a sibling dyad.
Identifiants
pubmed: 32362849
doi: 10.3389/fpsyt.2020.00321
pmc: PMC7180867
doi:
Types de publication
Journal Article
Langues
eng
Pagination
321Informations de copyright
Copyright © 2020 Plessis, Wilquin, Pavani and Bouteyre.
Références
Res Dev Disabil. 2016 Apr-May;51-52:116-25
pubmed: 26820453
Psychiatr Serv. 2008 Jan;59(1):57-62
pubmed: 18182540
Int J Soc Psychiatry. 2014 Mar;60(2):107-16
pubmed: 23292614
Psychiatr Serv. 2001 Aug;52(8):1039-45
pubmed: 11474048
Psychiatr Serv. 2008 Mar;59(3):261-7
pubmed: 18308906
Child Dev. 1985 Apr;56(2):448-61
pubmed: 3987418
Health Soc Work. 1991 May;16(2):94-103
pubmed: 2071070
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
Child Dev. 1990 Oct;61(5):1387-98
pubmed: 2245732
Psychiatry. 2015;78(2):141-55
pubmed: 26168092
Milbank Q. 1993;71(2):323-39
pubmed: 8510604
Int J Aging Hum Dev. 1989;28(1):37-51
pubmed: 2707894
Acta Psychiatr Scand. 1999 Jan;99(1):10-5
pubmed: 10066002
J Child Psychol Psychiatry. 2007 Feb;48(2):167-75
pubmed: 17300555
BMC Psychiatry. 2020 Mar 13;20(1):122
pubmed: 32169060
Schizophr Bull. 2004;30(2):445-58
pubmed: 15279059
J Behav Health Serv Res. 1999 Aug;26(3):289-304
pubmed: 10425867
Child Dev. 1972 Mar;43(1):282-7
pubmed: 5027668
Psychiatry Res. 2017 Dec;258:116-123
pubmed: 28992548
Int J Qual Stud Health Well-being. 2014 Apr 15;9:24152
pubmed: 24746247
Pharmacoeconomics. 2008;26(2):149-62
pubmed: 18198934
Int J Psychiatry Clin Pract. 2009;13(4):326-37
pubmed: 24916945
Schizophr Bull. 1994;20(3):557-66
pubmed: 7973471
J Marriage Fam. 2012 Oct 1;74(5):913-930
pubmed: 24653527
Dtsch Arztebl Int. 2013 Jun;110(23-24):413-9
pubmed: 23837086
Arch Psychiatr Nurs. 2019 Feb;33(1):93-103
pubmed: 30663631
Psychol Med. 2002 Jul;32(5):763-82
pubmed: 12171372
Soc Psychiatry Psychiatr Epidemiol. 2005 Nov;40(11):899-904
pubmed: 16245190
J Psychosoc Nurs Ment Health Serv. 2008 Jun;46(6):33-40
pubmed: 18595457
J Intellect Disabil Res. 2007 Sep;51(Pt 9):682-96
pubmed: 17845237
Child Dev Perspect. 2010;4(2):87-94
pubmed: 20700389
Clin Psychol Rev. 2013 Feb;33(1):97-106
pubmed: 23159327
J Fam Psychol. 2005 Dec;19(4):523-32
pubmed: 16402867
Psychiatr Rehabil J. 2002 Summer;26(1):23-32
pubmed: 12171279
Schizophr Bull. 1993;19(3):637-47
pubmed: 8235464
Neurosci Biobehav Rev. 2016 Aug;67:57-78
pubmed: 26743859
Am J Orthopsychiatry. 2007 Jan;77(1):29-37
pubmed: 17352582
Clin Psychol Rev. 2017 Aug;56:13-24
pubmed: 28578249
Early Interv Psychiatry. 2012 Feb;6(1):53-9
pubmed: 21952020
J Fam Issues. 2018 Sep;39(13):3641-3663
pubmed: 30906094
Community Ment Health J. 2007 Apr;43(2):129-51
pubmed: 16514475
Community Ment Health J. 2005 Jun;41(3):327-38
pubmed: 16131010