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. 2023 Jan 18:13:1079608.
doi: 10.3389/fpsyt.2022.1079608. eCollection 2022.

Parentification, distress, and relationship with parents as factors shaping the relationship between adult siblings and their brother/sister with disabilities

Annalisa Levante  1   2 , Chiara Martis  1 , Cristina Maria Del Prete  3 , Paola Martino  4 , Ferruccio Pascali  3 , Patrizia Primiceri  3 , Massimo Vergari  3 , Flavia Lecciso  1   2
Affiliations

Parentification, distress, and relationship with parents as factors shaping the relationship between adult siblings and their brother/sister with disabilities

Annalisa Levante et al. Front Psychiatry. .

Abstract

According to parentification theory, when the siblings of a brother/sister with disabilities assume parent-like duties, this role reversal is known as sibling-focused parentification. It has a significant impact on these siblings' distress and the quality of their family relationships; 605 Italian adult siblings (19-26 years) of people with disabilities completed the online survey. Measures of siblings' parentification, distress, quality of family relationships, social support, and perceived benefits of parentification were used. The hypothesized model aims to test, on the target sample, the distress and the quality of the relationship with parents as mediators on the interplay between the siblings' parentification and their sibling relationship. Additionally, social support and perceived benefits of parentification as protective factors were considered. Results showed that the distress and the low quality of the relationship with parents negatively affected the interplay between the siblings' parentification and the relationship with their own brother/sister with disabilities. Social support and the perceived benefits of parentification decreased the siblings' distress levels; the perceived benefits of parentification served as a protective factor for the quality of the relationship with parents. Current findings extend the knowledge regarding the risk and protective factors of the siblings' mental health when disability occurs in the family. Additionally, they inform family-based intervention programs, which should involve the whole family system for reducing distress and improving the wellbeing of siblings without disabilities.

Keywords: disability; distress; parentification; serial mediation model; sibling; sibling relationship; sibling-parents relationship.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
The hypothesized serial mediation model.
FIGURE 2
FIGURE 2
Serial mediation model testing the expected mediation effects. *p < 0.05; **p < 0.01; ***p < 0.001. Non-significant paths were displayed by dotted lines.
See this image and copyright information in PMC

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