Siblings of cancer victims often feel left out and have nobody to share their grief with. However, the illness may help strengthen the bond between a healthy and a cancer-stricken sibling. This is shown in a doctoral thesis at the Sahlgrenska Academy at University of Gothenburg, Sweden.
Three hundred Swedish children and adolescents are diagnosed with cancer every year.
'The illness always brings anxiety and grief to the family. Everybody seems to focus on the ill child, and my thesis is the first large study on how the siblings experience and manage the situation', says Margaretha Nolbris, nurse, who interviewed 35 siblings of children who were being treated/had been treated for or had died of cancer. The interviewed siblings were 8-36 years old.
The siblings reported feeling grief for many reasons, for example because their brother or sister had suffered so much pain or because they wondered why their brother or sister had to become ill. They also felt sad that the ill sibling had lost so much time from his or her childhood or adolescent years.
'But they felt like they had nobody to share these thoughts with. In situations where the thoughts of an ill brother or sister get too difficult, they try to either think positively or not think at all', says Nolbris.
The study also found that the unspoken threat of the illness may strengthen the bond between the siblings, and neither parents nor friends are included in this relationship.
The thesis shows that the siblings experience anticipatory grief related to the risk of losing a close person as soon as the diagnosis has been made. This grief persists throughout the entire course of treatments and follow-up checks.