Tara Anne Moran

Major: Nursing Minor: Psychology

University Honors with Honors in Nursing

Supervisor: Dr. Jane A. Fox

THE EFFECTS OF CHILDHOOD CANCER ON SIBLINGS:

A REVIEW OF THE LITERATURE

Childhood cancer survival rates are at an all time high; however, the number of new cases diagnosed each year continues to rise (National Cancer Institute, 2007). Although a childhood cancer diagnosis has widespread effects on all of the members of the child’s family, siblings are frequently most affected. Parents, in addition to experiencing grief or blame, often shift the focus of their time and energy onto the sick child, bypassing the needs of their other children. Siblings often experience negative psychosocial effects and adjustment difficulties in response to changing family dynamics. This literature review examines the impact of a childhood cancer diagnosis from the point of view of the well sibling, allowing for a more comprehensive understanding of the sibling experience. Theoretical frameworks used to guide studies of sibling response to childhood cancer are highlighted, as well as a discussion of implications for nursing clinical practice. The discussion emphasizes

the importance of conducting family assessments, encouraging the involvement of the siblings, and the need for providing education. Beneficial resources for families and health care providers are also identified.