Coping behaviours among siblings of children with chronic health conditions

Abstract

ABSTRACT Objective Siblings of children with chronic health conditions (SCCHCs) often experience stressful situations and are at increased risk for mental health problems. This study aimed to identify coping behaviours that may have positive effects on mental health among SCCHCs. Such information can be used to inform preventive programs. Method 81 children aged 6–16 years and their caregivers were recruited from SCCHC support service providers across Germany. The study applied a cross-sectional design. Self-reported coping behaviours and quality of life were recorded. Correlation analysis was followed by cluster analysis. Results Minimisation, situation control, positive self-instructions, and the need for social support showed a positive correlation with quality of life. Cluster analysis identified two behavioural patterns: high coping (37%) and low coping (63%). Interestingly, both patterns demonstrated no significant difference in terms of quality of life. Follow-up analyses indicated that adopting at least one coping behaviour (as opposed to none) was associated with an improved quality of life. Discussion Interventions promoting problem-focused coping are recommended for preventing mental health problems in SCCHC.