EMOTIONAL-BEHAVIORAL DISORDERS IN HEALTHY SIBLINGS OF CHILDREN WITH NEURODEVELOPMENTAL DISORDERS AND ITS IMPACT ON FAMILY-SPECIAL EDUCATION CENTERS, LAHORE, PAKISTAN

Main Article Content

Arooj Fatima
Dr. Samina Kausar
Tanzeel Ul Rehman
Rashida Kanwal
Shazia Saleem
Noor Ul Haq

Keywords

Neurodevelopmental Disorder, Healthy Siblings, Emotional Disorder, Behavioral Disorder, impact on family life

Abstract

Introduction: Globally, the increasing rates of childhood mental health disorders have raised serious concerns. The typically developing siblings of children with neurodevelopmental disorders are vulnerable to behavioral problems as they grow up in a stressful environment. The uneven cognitive development and maladaptive behavior of children with neurodevelopmental disorders, place significant stress not only on parents but also on the healthy siblings who are growing up alongside them in a stressful environment.


Purpose of study: The objectives of the study were to assess the emotional and behavioral disorder in healthy siblings of children with neurodevelopmental disorders (ND) and to examine their correlation with family life.


Research methodology: A correlational study involving 204 participants utilized a non-probability purposive sampling technique. Data were collected from parents, who had both children with neurodevelopmental disorders and healthy children, through a structured questionnaire, at government special education centers of Lahore, Pakistan.


Results: The results indicated that healthy siblings of children with neurodevelopmental disorders had emotional and behavioral problems. Statistically significant positive correlation was also found between healthy siblings’ emotional and behavioral disorders and their family life.


Conclusion: The majority of healthy siblings living with children having ND indicating significant level of problems in their emotions and behaviors. Clinical and policy measures recommended to ensure the well-being of healthy siblings living with children having neurodevelopmental disorders, mainly through appropriate coping training of healthy sibling.

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References

1. Ali Nathwani, A., Lakhdir, M. P. A., Azam, S. I. & Siddiqui, A. R. 2022. Behavioral problems and its associated factors among siblings of children with developmental disabilities: analytical cross-sectional study. Vulnerable Children and Youth Studies, 1-13.
2. Aslam, Z., Ghani, M., Manzoor, S., Rahman, S. U., Aslam, A., Sumreen, A., Naz, A. M. & Batool, A. 2022. The primary caregiver’s stress: its correlation with the chronological and diagnostic age of children with autism spectrum disorder. Biomedica, 38(2): 99-104.
3. Bitsko, R. H., Claussen, A. H., Lichstein, J., Black, L. I., Jones, S. E., Danielson, M. L., Hoenig, J. M., Jack, S. P. D., Brody, D. J. & Gyawali, S. 2022. Mental health surveillance among children—United States, 2013–2019. MMWR supplements, 71(2): 1.
4. Bruno, W., Dehnel, R. & Al‐Delaimy, W. 2023. The impact of family income and parental factors on children's resilience and mental well‐being. Journal of Community Psychology.
5. Caliendo, M., Lanzara, V., Vetri, L., Roccella, M., Marotta, R., Carotenuto, M., Russo, D., Cerroni, F. & Precenzano, F. 2020. Emotional–behavioral disorders in healthy siblings of children with neurodevelopmental disorders. Medicina, 56(10): 491.
6. Control, C. F. D. & Prevention 2019. Data and statistics on children’s mental health. Centers for Disease Control and Prevention. Retrieved September, 132019.
7. Cui, Y., Li, F., Leckman, J. F., Guo, L., Ke, X., Liu, J., Zheng, Y. & Li, Y. 2021. The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6–16: a national survey. European Child & Adolescent Psychiatry, 30233-241.
8. Dammeyer, J., Hansen, A. T., Crowe, K. & Marschark, M. 2019. Childhood hearing loss: Impact on parents and family life. International journal of pediatric otorhinolaryngology, 120140-145.
9. Davis-Kean, P. E., Tighe, L. A. & Waters, N. E. 2021. The role of parent educational attainment in parenting and children’s development. Current Directions in Psychological Science, 30(2): 186-192.
10. Fekadu, W., Mihiretu, A., Craig, T. K. & Fekadu, A. 2019. Multidimensional impact of severe mental illness on family members: systematic review. BMJ open, 9(12).
11. Giannotti, M., Mazzoni, N., Bentenuto, A., Venuti, P. & De Falco, S. 2021. Family adjustment to COVID‐19 lockdown in Italy: Parental stress, coparenting, and child externalizing behavior. Family Process.
12. Haque, M. A., Salwa, M., Sultana, S., Tasnim, A., Towhid, M. I. I., Karim, M. R. & Abdullah Al Mamun, M. 2022. Parenting stress among caregivers of children with neurodevelopmental disorders: a cross-sectional study in Bangladesh. Journal of Intellectual Disabilities, 26(2): 407-419.
13. Howe, N., Paine, A. L., Ross, H. S. & Recchia, H. 2022. Sibling relations in early and middle childhood. The Wiley‐Blackwell handbook of childhood social development, 443-458.
14. Islam, M. A., Rahman, M. A. & Akhtar, S. 2022. Psychosocial impact of parenting children with intellectual disabilities in Bangladesh. International Journal of Public Health, 11(1): 211-219.
15. Kaiser, S. & Halvorsen, M. B. 2022. The Strengths and Difficulties Questionnaire self-report-, parent-, and teacher version in children with intellectual and developmental disabilities. Research in Developmental Disabilities, 123104194.
16. Malik, T. A., Siddiqui, S. & Mahmood, A. 2019. Behavioural and emotional problems among school children in Pakistan: A telephonic survey for prevalence and risk factors. Journal of Paediatrics and child Health, 55(12): 1414-1423.
17. Operto, F. F., Smirni, D., Scuoppo, C., Padovano, C., Vivenzio, V., Quatrosi, G., Carotenuto, M., Precenzano, F. & Pastorino, G. M. G. 2021. Neuropsychological profile, emotional/behavioral problems, and parental stress in children with neurodevelopmental disorders. Brain sciences, 11(5): 584.
18. Piao, J., Huang, Y., Han, C., Li, Y., Xu, Y., Liu, Y. & He, X. 2022. Alarming changes in the global burden of mental disorders in children and adolescents from 1990 to 2019: a systematic analysis for the Global Burden of Disease study. European Child & Adolescent Psychiatry, 31(11): 1827-1845.
19. Pillay, A. L. 2019. The minimum age of criminal responsibility, international variation, and the Dual Systems Model in neurodevelopment. Journal of child & adolescent mental health, 31(3): 224-234.
20. Plana-Ripoll, O., Pedersen, C. B., Agerbo, E., Holtz, Y., Erlangsen, A., Canudas-Romo, V., Andersen, P. K., Charlson, F. J., Christensen, M. K. & Erskine, H. E. 2019. A comprehensive analysis of mortality-related health metrics associated with mental disorders: a nationwide, register-based cohort study. The Lancet, 394(10211): 1827-1835.
21. Posserud, M. B., Skretting Solberg, B., Engeland, A., Haavik, J. & Klungsøyr, K. 2021. Male to female ratios in autism spectrum disorders by age, intellectual disability and attention‐deficit/hyperactivity disorder. Acta Psychiatrica Scandinavica, 144(6): 635-646.
22. Pourbagheri, N., Mirzakhani, N. & Akbarzadehbaghban, A. 2018. A comparison of emotional-behavioral problems of siblings at the age range of 3-9 year old children with autism and Down syndrome. Iranian Journal of Child Neurology, 12(2): 73.
23. Quatrosi, G., Genovese, D., Amodio, E. & Tripi, G. 2023. The Quality of Life among Siblings of Autistic Individuals: A Scoping Review. Journal of Clinical Medicine, 12(3): 735.
24. Sarmiento, C. & Lau, C. 2020. Diagnostic and statistical manual of mental disorders: DSM‐5. The Wiley Encyclopedia of Personality and Individual Differences: Personality Processes and Individual Differences, 125-129.
25. Torvik, F. A., Eilertsen, E. M., Mcadams, T. A., Gustavson, K., Zachrisson, H. D., Brandlistuen, R., Gjerde, L. C., Havdahl, A., Stoltenberg, C. & Ask, H. 2020. Mechanisms linking parental educational attainment with child ADHD, depression, and academic problems: a study of extended families in The Norwegian Mother, Father and Child Cohort Study. Journal of Child Psychology and Psychiatry, 61(9): 1009-1018.
26. Vasileva, M., Graf, R. K., Reinelt, T., Petermann, U. & Petermann, F. 2021. Research review: A meta‐analysis of the international prevalence and comorbidity of mental disorders in children between 1 and 7 years. Journal of Child Psychology and Psychiatry, 62(4): 372-381.
27. Vizard, T., Sadler, K., Ford, T., Newlove-Delgado, T., Mcmanus, S., Marcheselli, F., Davis, J., Williams, T., Leach, C. & Mandalia, D. 2020. Mental health of children and young people in England. Health and social care information centre, 1-53.
28. Yang, Y., Qi, Y., Cui, Y., Li, B., Zhang, Z., Zhou, Y., Chen, X., Zhu, D., He, F. & Zheng, Y. 2019. Emotional and behavioral problems, social competence and risk factors in 6–16-year-old students in Beijing, China. Plos one, 14(10): e0223970.
29. Yousafzai, A., Bano, S. & Khan, S. 2020. Rising suicide rates in Pakistan: Is it about time to break the silence. J. Ayub, 32153-154.
30. Zafar, S., Johar, N., Haseeb, F., Azam, N., Mahmood, H. & Pervaiz, F. 2019. Prevalence of socio-emotional problems in school-aged adolescents of Army Public Schools of Rawalpindi. Pakistan Armed Forces Medical Journal, 69(SUPPL 2): S181-6.