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Journals / Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi / 2026 / Cilt: 8 Sayı: 1

An Examination of the Psychological Symptoms and Healthy Lifestyle Behaviors of Adolescents with a Sibling with Type 1 Diabetes Mellitus

Tip 1 Diyabetli Kardeşi Olan Ergenlerde Psikolojik Belirtilerin ve Sağlıklı Yaşam Biçimi Davranışlarının İncelenmesi

Sümeyye Ekici(Atatürk University, Faculty of Nursing, Department of Child Health and Diseases Nursing, Erzurum, Türkiye)0000-0001-5007-695X
Fatma Kurudirek(ATATURK UNIVERSITY)0000-0002-5829-2400
Pages
69–78
Publication Date
2026-04-03
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

It was also found that there was a relationship between psychological symptoms and healthy lifestyle behaviours in healthy adolescent siblings.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Having a sibling with Type 1 Diabetes Mellitus may influence adolescents’ psychological symptoms and healthy lifestyle behaviors.
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Key Findings & Data:Aim: This study examined the psychological symptoms and healthy lifestyle behaviors of adolescents with siblings who have Type 1 diabetes.
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Conclusion & Impact:It was also found that there was a relationship between psychological symptoms and healthy lifestyle behaviours in healthy adolescent siblings.
🔬Design:Araştırma Makalesi
📍Scope:2020 Verileri
⚙️Variables:ergen · kardeş · psikolojik belirtiler

Abstract

Introduction: Having a sibling with Type 1 Diabetes Mellitus may influence adolescents’ psychological symptoms and healthy lifestyle behaviors. Examining this relationship can guide the development of family-based support programs that promote adolescents’ well-being. Aim: This study examined the psychological symptoms and healthy lifestyle behaviors of adolescents with siblings who have Type 1 diabetes. Method: This descriptive study was conducted at a university hospital between November 2020 and July 2021. The study involved 100 healthy siblings aged 12–18 years of 170 children with Type 1 diabetes registered at the hospital's paediatric endocrinology clinic. The data was collected using personal information form, the Brief Symptom Inventory (BSI), and the Healthy Lifestyle Behaviours Scale II (HLBS II). Results: Among the healthy adolescent siblings who participated in the study, 60% stated that they were afraid of developing diabetes, and 42% said that their sibling's disease negatively affected their lives. The mean total score of the adolescents was 36.09±29.71 on the BSI and 137.01±21.66 on the HLBS II. It was determined that there was a statistically significant, negative correlation between the total score of the BSI and the total score of the HLBS II (p<0.05). Conclusion: As a result of this study, it was determined that having a sibling with diabetes can affect siblings' mental states and healthy lifestyle behaviours. It was also found that there was a relationship between psychological symptoms and healthy lifestyle behaviours in healthy adolescent siblings.

Özet

Giriş: Tip 1 diyabetli bir kardeşe sahip olmak, ergenlerde psikolojik belirtileri ve sağlıklı yaşam davranışlarını etkileyebilir. Bu durumun incelenmesi, aile temelli destek programlarının geliştirilmesine katkı sağlayacaktır. Amaç: Bu araştırma, Tip 1 diyabetli kardeşi olan ergenlerde psikolojik belirtilerin ve sağlıklı yaşam biçimi davranışlarının incelenmesi amacıyla yapıldı. Yöntem: Tanımlayıcı tipte bu araştırma, Kasım 2020-Temmuz 2021 tarihleri arasında bir üniversite hastanesinde gerçekleştirildi. Araştırma, hastanenin pediatrik endokrinoloji kliniğinde kayıtlı 170 Tip 1 diyabetli çocuğun 12-18 yaş arasındaki 100 sağlıklı kardeşi ile yürütüldü. Verilerin toplanmasında, Kişisel Bilgi Formu, Kısa Semptom Envanteri (KSE) ve Sağlıklı Yaşam Biçimi Davranışları Ölçeği II (SYBDÖ II) kullanıldı. Bulgular: Araştırmaya katılan kardeşlerin %60'ı diyabet hastalığına yakalanmaktan korktuklarını, %42'si ise kardeşlerinin hastalığının kendi yaşamlarını olumsuz etkilediğini belirtmiştir. Ergenlerin, KSE toplam puan ortalamaları 36.09±29.71, SYBDÖ II toplam puan ortalamaları ise 137.01±21.66 olarak bulundu. KSE toplam puanı ile SYBDÖ II toplam puanları arasında istatistiksel olarak anlamlı, negatif yönlü ve düşük düzeyli ilişki olduğu sonucuna varıldı (p<0.05). Sonuç: Bu çalışmanın sonucunda, diyabetli bir kardeşe sahip olmanın kardeşlerin ruhsal durumlarını ve sağlıklı yaşam tarzı davranışlarını etkileyebileceği tespit edilmiştir. Ayrıca, sağlıklı ergen kardeşlerde psikolojik belirtiler ile sağlıklı yaşam tarzı davranışları arasında bir ilişki olduğu da bulunmuştur.

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Cite This Article

Ekici, S., Kurudirek, F. (2026). An Examination of the Psychological Symptoms and Healthy Lifestyle Behaviors of Adolescents with a Sibling with Type 1 Diabetes Mellitus. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, Cilt: 8 Sayı: 1, 69–78. https://doi.org/10.48071/sbuhemsirelik.1830604

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References (50)

  1. Alderfer, M. A., & Hodges, J. A. (2010). Supporting siblings of children with cancer: A need for family–school partnerships. School mental health, 2, 72-81. doi: 10.1007/s12310-010-9027-4
  2. Alderfer, M. A., Long, K. A., Lown, E. A., Marsland, A. L., Ostrowski, N. L., Hock, J. M., & Ewing, L. J. (2010). Psychosocial adjustment of siblings of children with cancer: a systematic review. Psycho‐oncology, 19(8), 789-805. doi: 10.1002/pon.1638
  3. Bahar, Z. (2008). Healthy life style behavior scale II: A reliability and validity study. Journal of Cumhuriyet University School of Nursing, 12(1), 1. doi:10.53493/avrasyasbd.963485
  4. Baker, K., & Claridge, A. M. (2023). “I have a Ph. D. in my daughter”: Mother and Child Experiences of Living with Childhood Chronic Illness. Journal of Child and Family Studies, 32(9), 2625-2636. doi: 10.1007/s10826-022-02506
  5. Biddle, S. J., Ciaccioni, S., Thomas, G., & Vergeer, I. (2019). Physical activity and mental health in children and adolescents: An updated review of reviews and an analysis of causality. Psychology of sport and exercise, 42, 146-155. doi: 10.1016/j.psychsport.2018.08.011
  6. Blamires, J., Foster, M., Rasmussen, S., Zgambo, M., & Mörelius, E. (2024). The experiences and perceptions of healthy siblings of children with a long-term condition: Umbrella review. Journal of pediatric nursing, 77, 191-203. doi: 10.1016/j.pedn.2024.03.022
  7. Chan, K. K. L., & Shorey, S. (2022). Experiences and needs of children with siblings diagnosed with type 1 diabetes: a mixed studies systematic review. Journal of pediatric nursing, 63, 1-8. doi: 10.1016/j.pedn.2021.12.002
  8. Committee, A. D. A. P. P. (2023). 14. Children and Adolescents: Standards of Care in Diabetes—2024. Diabetes Care, 47(Supplement_1), S258-S281. doi:10.2337/dc24-S014 doi: 10.2337/dc24-S014
  9. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum.
  10. Deavin, A., Greasley, P., & Dixon, C. (2018). Children’s perspectives on living with a sibling with a chronic illness. Pediatrics, 142(2). doi: 10.1542/peds.2017-4151
  11. Driscoll, K. A., Raymond, J., Naranjo, D., & Patton, S. R. (2016). Fear of hypoglycemia in children and adolescents and their parents with type 1 diabetes. Current diabetes reports, 16, 1-9. doi: 10.1007/s11892-016-0762-2
  12. Er, D. M. (2006). Child, illness, parents and siblings. Journal of Children's Health and Diseases, 49, 155.
  13. Gan, L. L., Lum, A., Wakefield, C. E., Nandakumar, B., & Fardell, J. E. (2017). School experiences of siblings of children with chronic illness: a systematic literature review. Journal of pediatric nursing, 33, 23-32. doi: 10.1016/j.pedn.2016.11.007
  14. Grulich-Henn, J., & Klose, D. (2018). Understanding childhood diabetes mellitus: new pathophysiological aspects. Journal of Inherited Metabolic Disease, 41, 19-27. doi: 10.1007/s10545-017-0120-9
  15. Gül, E., & Bayat, M. (2005). Evaluating the difficulties of the sibling of the children with diabetes mellitus. Journal of Health Sciences, 14(Suppl), 7-13.
  16. Gürsu, O. (2012). An investigation of adolescents’ psychological health in terms of demographic variables. Journal of Theoretical Educational Science, 5(1), 110-130.
  17. Halfon, N., & Newacheck, P. W. (2010). Evolving notions of childhood chronic illness. Jama, 303(7), 665-666. doi: 10.1001/jama.2010.130
  18. Herrman, J. W. (2006). Children's and young adolescents' voices: perceptions of the costs and rewards of diabetes and its treatment. Journal of pediatric nursing, 21(3), 211-221. doi: 10.1016/j.pedn.2005.07.012
  19. Herrman, J. W. (2010). Siblings' perceptions of the costs and rewards of diabetes and its treatment. Journal of pediatric nursing, 25(5), 428-437. doi: 10.1016/j.pedn.2009.07.004
  20. Hollidge, C. (2001). Psychological adjustment of siblings to a child with diabetes. Health & Social Work, 26(1), 15-25. doi: 10.1093/hsw/26.1.15
  21. Incledon, E., Williams, L., Hazell, T., Heard, T. R., Flowers, A., & Hiscock, H. (2015). A review of factors associated with mental health in siblings of children with chronic illness. Journal of Child Health Care, 19(2), 182-194. doi: 10.1177/1367493513503584
  22. Kao, B., Romero‐Bosch, L., Plante, W., & Lobato, D. (2012). The experiences of Latino siblings of children with developmental disabilities. Child: care, health and development, 38(4), 545-552. doi: 10.1111/j.1365-2214.2011.01266.x
  23. Knecht, C., Hellmers, C., & Metzing, S. (2015). The perspective of siblings of children with chronic illness: A literature review. Journal of pediatric nursing, 30(1), 102-116. doi: 10.1016/j.pedn.2014.10.010
  24. Körük, S., & Aypay, A. (2017). The mediator role of psychological symptoms on the predictive strength of insecure attachment and perceived social support on risky behaviours among adolescents. UHPPD, 8, 23-51. doi: 10.17360/UHPPD.2017.1.001
  25. Loos, M., & Kelly, S. (2006). Social well-being of siblings living with a child with diabetes: a qualitative study. Social Work in Health Care, 43(4), 53-69. doi: 10.1300/J010v43n04_04
  26. Maenhout, L., Peuters, C., Cardon, G., Compernolle, S., Crombez, G., & DeSmet, A. (2020). The association of healthy lifestyle behaviors with mental health indicators among adolescents of different family affluence in Belgium. BMC Public Health, 20, 1-13.
  27. Mariñez, M. G. Q., Chakkera, M., Ravi, N., Ramaraju, R., Vats, A., Nair, A. R.,. Khan, S. (2022). The other sibling: a systematic review of the mental health effects on a healthy sibling of a child with a chronic disease. Cureus, 14(9). doi: 10.7759/cureus.29042
  28. Martinez, B., Pechlivanoglou, P., Meng, D., Traubici, B., Mahood, Q., Korczak, D.,. Cohen, E. (2022). Clinical health outcomes of siblings of children with chronic conditions: a systematic review and meta-analysis. The Journal of pediatrics, 250, 83-92. e88. doi: 10.1016/j.jpeds.2022.07.002
  29. Mutluer, T., Gorker, I., Akdemir, D., Ozdemir, D. F., Ozel, O. O., Vural, P.,. Fis, N. P. (2023). Prevalence, comorbidities and mediators of childhood anxiety disorders in urban Turkey: a national representative epidemiological study. Social Psychiatry and Psychiatric Epidemiology, 58(6), 919-929. doi: 10.1007/s00127-002-02396-7
  30. O’Brien, I., Duffy, A., & Nicholl, H. (2009). Impact of childhood chronic illnesses on siblings: a literature review. British Journal of Nursing, 18(22), 1358-1365. doi: 10.12968/bjon.2009.18.22.45562
  31. O’neil, A., Quirk, S. E., Housden, S., Brennan, S. L., Williams, L. J., Pasco, J. A.,. Jacka, F. N. (2014). Relationship between diet and mental health in children and adolescents: a systematic review. American journal of public health, 104(10), e31-e42. doi: 10.2105/AJPH.2014.302110
  32. Opperman, S., & Alant, E. (2003). The coping responses of the adolescent siblings of children with severe disabilities. Disability and rehabilitation, 25(9), 441-454. doi: 10.1080/0963828031000069735
  33. Overgaard, M., Lundby‐Christensen, L., & Grabowski, D. (2020). Disruption, worries and autonomy in the everyday lives of adolescents with type 1 diabetes and their family members: A qualitative study of intrafamilial challenges. Journal of clinical nursing, 29(23-24), 4633-4644. doi: 10.1111/jocn.15500
  34. Pals, R. A. S., Coyne, I., Skinner, T., & Grabowski, D. (2021). A delicate balance between control and flexibility: experiences of care and support among pre‐teenage children with type 1 diabetes and their families. Sociology of Health & Illness, 43(2), 369-391. doi: 10.1111/1467-9566.13223
  35. Sahin, N. H., & Durak, A. (1994). Brief Symptom Invetory-BSI. A study of the Brief Symptom Inventory in Turkish Youth. Turkish Journal of Psychiatry, 9(31), 44-56.
  36. Sahin, N. H., & Uğurtaş, S. (2002). The validity, reliability and factor structure of the Brief Symptom Inventory (BSI). Turk psikiyatri dergisi= Turkish journal of psychiatry, 13(2), 125-135.
  37. Sand, P., Blom, M. D., Forsander, G., & Lundin, C. S. (2018). Family dynamics when a child becomes chronically ill: Impact of type 1 diabetes onset in children and adolescents. Nordic psychology, 70(2), 97-114. doi: 10.1080/19012276.2017.1362990
  38. Serin, N. B., & Topses, G. (2017). A study of psychological symtoms seen in senior high school students according to gender and academic achievement. Electronic Turkish Studies, 12(18). doi: 10.7827/TurkishStudies.12118
  39. Sharpe, D., & Rossiter, L. (2002). Siblings of children with a chronic illness: A meta-analysis. Journal of pediatric psychology, 27(8), 699-710. doi: 10.1093/jpepsy/27.8.699
  40. Sleeman, F., Northam, E., Crouch, W., & Cameron, F. (2010). Psychological adjustment of well siblings of children with Type 1 diabetes. Diabetic Medicine, 27(9), 1084-1087. doi: 10.1111/j.1464-5491.2010.03041.x
  41. Velten, J., Bieda, A., Scholten, S., Wannemüller, A., & Margraf, J. (2018). Lifestyle choices and mental health: a longitudinal survey with German and Chinese students. BMC Public Health, 18, 1-15. doi: 10.1186/s12889-018-5526
  42. Vermaes, I. P., Van Susante, A. M., & Van Bakel, H. J. (2012). Psychological functioning of siblings in families of children with chronic health conditions: A meta-analysis. Journal of pediatric psychology, 37(2), 166-184. doi: 10.1093/jpepsy/jsr081
  43. Wennick, A., Lundqvist, A., & Hallström, I. (2009). Everyday experience of families three years after diagnosis of type 1 diabetes in children: a research paper. Journal of pediatric nursing, 24(3), 222-230. doi: 10.1016/j.pedn.2008.02.028
  44. White, T. E., Hendershot, K. A., Dixon, M. D., Pelletier, W., Haight, A., Stegenga, K.,. Hinds, P. (2017). Family strategies to support siblings of pediatric hematopoietic stem cell transplant patients. Pediatrics, 139(2). doi: 10.1542/peds.2016-1057
  45. Zysberg, L., & Lang, T. (2015). Supporting parents of children with type 1 diabetes mellitus: A literature review. Patient Intelligence, 21-31. doi: 10.2147/PI.S77566
  46. Mariñez, M. G. Q., Chakkera, M., Ravi, N., Ramaraju, R., Vats, A., Nair, A. R.,. Khan, S. (2022). The other sibling: a systematic review of the mental health effects on a healthy sibling of a child with a chronic disease. Cureus, 14(9). doi: 10.7759/cureus.29042
  47. Martinez, B., Pechlivanoglou, P., Meng, D., Traubici, B., Mahood, Q., Korczak, D.,. Cohen, E. (2022). Clinical health outcomes of siblings of children with chronic conditions: a systematic review and meta-analysis. The Journal of pediatrics, 250, 83-92. e88. doi: 10.1016/j.jpeds.2022.07.002
  48. Mutluer, T., Gorker, I., Akdemir, D., Ozdemir, D. F., Ozel, O. O., Vural, P.,. Fis, N. P. (2023). Prevalence, comorbidities and mediators of childhood anxiety disorders in urban Turkey: a national representative epidemiological study. Social Psychiatry and Psychiatric Epidemiology, 58(6), 919-929. doi: 10.1007/s00127-002-02396-7
  49. O’neil, A., Quirk, S. E., Housden, S., Brennan, S. L., Williams, L. J., Pasco, J. A.,. Jacka, F. N. (2014). Relationship between diet and mental health in children and adolescents: a systematic review. American journal of public health, 104(10), e31-e42. doi: 10.2105/AJPH.2014.302110
  50. White, T. E., Hendershot, K. A., Dixon, M. D., Pelletier, W., Haight, A., Stegenga, K.,. Hinds, P. (2017). Family strategies to support siblings of pediatric hematopoietic stem cell transplant patients. Pediatrics, 139(2). doi: 10.1542/peds.2016-1057