Interventions for siblings of children and young people with mental health conditions: A systematic review

Abstract Background Childhood mental health conditions typically affect the entire family, including siblings, however there is a lack of research investigating interventions supporting siblings. Methods The review was prospectively registered with PROSPERO (CRD42022377163). We conducted systematic...

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Main Authors: Irena Tetkovic, Joanna K. Anderson, Danielle Brocklebank, Jessica O’Logbon, Anne‐Marie Burn, Tamsin J. Ford
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:JCPP Advances
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Online Access:https://doi.org/10.1002/jcv2.12300
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author Irena Tetkovic
Joanna K. Anderson
Danielle Brocklebank
Jessica O’Logbon
Anne‐Marie Burn
Tamsin J. Ford
author_facet Irena Tetkovic
Joanna K. Anderson
Danielle Brocklebank
Jessica O’Logbon
Anne‐Marie Burn
Tamsin J. Ford
author_sort Irena Tetkovic
collection DOAJ
description Abstract Background Childhood mental health conditions typically affect the entire family, including siblings, however there is a lack of research investigating interventions supporting siblings. Methods The review was prospectively registered with PROSPERO (CRD42022377163). We conducted systematic searches of 7 databases (Medline, EMBASE, PsycINFO, Child and Developmental and Adolescent Studies, Applied Social Science Index and Abstracts, Education Research Information Centre, and British Eduction Index) for studies evaluating interventions for children and young people (CYP) with siblings presenting with mental health conditions from January 1980 to August 2024. We included interventions for young people aged 4 to 24 years who have a sibling with a mental health condition, with symptoms and impact lasting at least 3 months. Quality of reporting was assessed using the Critical Appraisal Skills Programme qualitative checklist for qualitative and the Effective Public Health Project Practice quality assessment Tool for quantitative studies. Results We identified 4 eligible studies; 2 of family‐based treatment and the other of drop‐in group support from 2469 studies that were screened in total. Quantitative results were rated weak for three out of four studies, while qualitative results were rated moderate for two studies, and high for one study. The two studies of sibling support groups reported high acceptability. Conclusion The evidence for the effectiveness of interventions for siblings of CYP with mental health conditions is limited in both size and quality, highlighting a significant gap in research and practice. We cannot draw definitive conclusions from the available evidence, but it suggests support groups have potential to improve sibling outcomes. Additional research is required to determine sibling mental health trajectories and to identify risk and resilience factors possibly influencing poorer mental health outcomes. Clinicians should be mindful of potential effects of mental health conditions on other family members and encourage parents to communicate openly with siblings about family dynamics and the challenges they may face.
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spelling doaj-art-0374935232694a2bbd759519b7a6fa552025-08-20T03:25:47ZengWileyJCPP Advances2692-93842025-06-0152n/an/a10.1002/jcv2.12300Interventions for siblings of children and young people with mental health conditions: A systematic reviewIrena Tetkovic0Joanna K. Anderson1Danielle Brocklebank2Jessica O’Logbon3Anne‐Marie Burn4Tamsin J. Ford5Department of Psychiatry University of Cambridge Cambridge UKDepartment of Psychiatry University of Cambridge Cambridge UKDepartment of Psychiatry University of Cambridge Cambridge UKDepartment of Psychiatry University of Cambridge Cambridge UKDepartment of Psychiatry University of Cambridge Cambridge UKDepartment of Psychiatry University of Cambridge Cambridge UKAbstract Background Childhood mental health conditions typically affect the entire family, including siblings, however there is a lack of research investigating interventions supporting siblings. Methods The review was prospectively registered with PROSPERO (CRD42022377163). We conducted systematic searches of 7 databases (Medline, EMBASE, PsycINFO, Child and Developmental and Adolescent Studies, Applied Social Science Index and Abstracts, Education Research Information Centre, and British Eduction Index) for studies evaluating interventions for children and young people (CYP) with siblings presenting with mental health conditions from January 1980 to August 2024. We included interventions for young people aged 4 to 24 years who have a sibling with a mental health condition, with symptoms and impact lasting at least 3 months. Quality of reporting was assessed using the Critical Appraisal Skills Programme qualitative checklist for qualitative and the Effective Public Health Project Practice quality assessment Tool for quantitative studies. Results We identified 4 eligible studies; 2 of family‐based treatment and the other of drop‐in group support from 2469 studies that were screened in total. Quantitative results were rated weak for three out of four studies, while qualitative results were rated moderate for two studies, and high for one study. The two studies of sibling support groups reported high acceptability. Conclusion The evidence for the effectiveness of interventions for siblings of CYP with mental health conditions is limited in both size and quality, highlighting a significant gap in research and practice. We cannot draw definitive conclusions from the available evidence, but it suggests support groups have potential to improve sibling outcomes. Additional research is required to determine sibling mental health trajectories and to identify risk and resilience factors possibly influencing poorer mental health outcomes. Clinicians should be mindful of potential effects of mental health conditions on other family members and encourage parents to communicate openly with siblings about family dynamics and the challenges they may face.https://doi.org/10.1002/jcv2.12300interventionmental healthsiblingswell‐being
spellingShingle Irena Tetkovic
Joanna K. Anderson
Danielle Brocklebank
Jessica O’Logbon
Anne‐Marie Burn
Tamsin J. Ford
Interventions for siblings of children and young people with mental health conditions: A systematic review
JCPP Advances
intervention
mental health
siblings
well‐being
title Interventions for siblings of children and young people with mental health conditions: A systematic review
title_full Interventions for siblings of children and young people with mental health conditions: A systematic review
title_fullStr Interventions for siblings of children and young people with mental health conditions: A systematic review
title_full_unstemmed Interventions for siblings of children and young people with mental health conditions: A systematic review
title_short Interventions for siblings of children and young people with mental health conditions: A systematic review
title_sort interventions for siblings of children and young people with mental health conditions a systematic review
topic intervention
mental health
siblings
well‐being
url https://doi.org/10.1002/jcv2.12300
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