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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(2):147-153.
Emotional and Psychosocial Development in Siblings of Children with Cerebral Palsy.
Nam, Ji Hyun , Kim, Seong Woo , Shin, Jung Bin , You, Sung , Lee, Sun Kyoung , Kim, Young Ki , No, Joung Suk
1Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hostpital, Korea. nayanj@freechal.com
2Department of Psychiatry, National Health Insurance Corporation Ilsan Hostpital, Korea.
뇌성마비 아동의 형제자매에서 나타나는 정서와 사회성 발달
남지현, 김성우, 신정빈, 유성, 이선경, 김영기1, 노정숙1
국민건강보험공단 일산병원 재활의학과, 1신경정신과
Abstract
Objective
To investigate the psychological development such as emotional and social aspects of typically developing siblings of children with cerebral palsy.


Method
Eighteen siblings of children with cerebral palsy aged 5 to 12 years and their mothers were included and the interview and psychological assessment were administered by developmental psychologist. All children were asked to complete the Children's Depression Inventory (CDI), State- Trait Anxiety Inventory (STAI), Piers-Harris Children's Self- Concept Scale, Korea Child Behavior Checklist and Korean Educational Developmental Institute-Wechsler Intelligence Scale for Children (KEDI-WISC). All participating mother were asked to complete Minnesota Multiphasic Personality Inventory (MMPI), Beck's Depression Inventory (BDI). For control group, eighteen children with healthy sibling and their mothers were enrolled.


Results
Siblings of children with cerebral palsy showed higher mean score of CDI and STAI. And there were no differences in the CDI and STAI according to frequency of treatment, duration of treatment of children with cerebral palsy. There were no significant difference in Piers-Harris children's Self-Concept Scale and Korea Child Behavior Checklist between study group and control group. More than half of mothers of children with cerebral palsy showed depression in BDI and higher score of psychopathic Deviate and psychasthenia in MMPI. Children of mothers with depression in BDI showed higher mean score of CDI and STAI.


Conclusion
It is necessary to consider extended service to promote psychosocial well-being of children with cerebral palsy and siblings in community-based service organizations. (J Korean Acad Rehab Med 2008; 32: 147-153)

Key Words: Siblings, Cerebral palsy, Psychosocial development, Depression


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