Diagnostics and intervention in healthy children whose brother or sisters are seriously ill

Authors: J. Mareš
Authors‘ workplace: Ústav sociálního lékařství, Lékařská fakulta UK, Hradec Králové přednosta doc. MUDr. S. Býma, CSc.
Published in: Čes-slov Pediat 2013; 68 (4): 266-277.
Category: Review


The establishment of severe diagnosis and exacting therapy of a severe or even life threatening disease is a stressful condition for the whole family including the healthy brothers and sisters. Newly diagnosed cases of severe disease in children and adolescents are concurrently on the increase. Physicians, nurses and clinical psychologists devote themselves to the child patient and his or her parents, whereas the healthy brother or sister is kept aside, there is not enough time for them. The worldwide research indicate that if such situation last long, which is common condition, the healthy individual get the problems internalized and his or her quality of life deteriorates.

This review summarizes present knowledge about psychical, behavioral and social problems of these healthy siblings. The authors review available psychodiagnostic tools, generic as well as specific. The way how physicians and nurses can intervene in children and adolescents, whose sibling undergoes an oncologic disease is indicated

Key words:
serious pediatric disease, ill child, ill adolescent, healthy siblings, family system, psychic problems, behavioral problems, social problems, diagnostics, assessment, intervention


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Neonatology Paediatrics General practitioner for children and adolescents
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