Using administrative data to examine variables affecting the mental health of siblings of children who have a developmental disability

Res Dev Disabil. 2020 Jan:96:103516. doi: 10.1016/j.ridd.2019.103516. Epub 2019 Nov 19.

Abstract

Background: There is evidence that siblings of children with a developmental disability (DD) experience poorer mental health outcomes and increased stress compared to siblings of non-disabled children. The variables which contribute to this are unclear.

Aims: This study was designed to examine population-level and individual variables associated with differences in mental health outcomes among siblings of children who have a variety of developmental disabilities.

Methods: Population-level administrative health data covering 1985-2014 for the province of British Columbia, Canada were used to develop a cohort of over 45,000 children who have a sibling with a DD. Individual-level, demographic and health care services variables were used in logistic regression to assess their relationship to diagnoses of depression or other mental health problems.

Outcomes: Odds of a diagnosis of depression or a mental health problem other than depression were associated with sex of the non-disabled sibling, sex of the child with the developmental disability, type of disability, birth order and income.

Conclusions: Type of developmental disability, and characteristics of the non-disabled sibling and their family are associated with mental health outcomes of siblings of children with a DD.

Keywords: Administrative data; Children; Depression; Developmental disability; Mental health; Population level; Siblings.

MeSH terms

  • Adolescent
  • Autism Spectrum Disorder
  • Birth Order*
  • British Columbia / epidemiology
  • Child
  • Child, Preschool
  • Databases, Factual
  • Depression / epidemiology*
  • Depression / psychology
  • Developmental Disabilities*
  • Down Syndrome
  • Female
  • Fetal Alcohol Spectrum Disorders
  • Humans
  • Income / statistics & numerical data*
  • Infant
  • Infant, Newborn
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / psychology
  • Mental Health
  • Sex Factors
  • Siblings / psychology*
  • Young Adult