| Shrnutí: | <p><strong>Systematic Review of the Literature</strong></p>
<p><strong>Communication With Siblings About Their Siblings Life-Threatening or Life-Limiting Conditions: A Narrative Review</strong></p>
<p><strong>Background:</strong> Thousands of children in the UK live with a life-limiting or life-threatening condition, with many of these having siblings. Evidence consistently shows that a child's illness and death are likely to impact all family members, including siblings, with siblings being found to have poorer psychosocial outcomes. This review aimed to consider the extent to which communication with siblings may be important, the impact this can have on the well and unwell sibling, and parental and familial outcomes. In addition, this review will explore what influences communication and the potential challenges and barriers to this process as well as reporting on the preferences of siblings and parents regarding the way they would like information to be shared.</p>
<p><strong>Methods:</strong> Eight electronic databases CINAHL, Embase, Medline, PsycINFO, Global Health, PubMed, Web of Science Core Collection and Sociology Collection were searched in November 2022 and April 2024, using these search term variations: children, adolescents, siblings, communication, and life-threatening/life-limiting illness. 7371 studies were retrieved, 2710 studies were screened by title and abstract and 264 were eligible for full-text screening. The Mixed Methods Appraisal Tool was used to assess the quality of the studies. PROSPERO registration number: CRD42022332276.</p>
<p><strong>Results:</strong> A total of 40 studies were included. Several different variables were found to influence the communication of illness-related information, namely, parental demographics, age and gender of sibling and the severity and type of sibling illness. Sibling, parent and healthcare professionals’ barriers to communication were also considered. Siblings wanted more information about their sibling’s illness, with a preference for this to be provided by their parents over time in a developmentally appropriate way.</p>
<p><strong>Conclusions:</strong> Given the reported benefits to both parents and siblings of effective communication with siblings about their sibling’s condition, parents should be encouraged to communicate with siblings, with a role for health professionals to help support this.</p></br>
<p><strong>Service Improvement Project</strong></p>
<p><strong>Wellbeing in Trainee Clinical Psychologists on the University of Oxford Clinical Psychology Doctoral Course</strong></p>
<p>The current literature indicates training to be a clinical psychologist can be a demanding process with the potential to experience a number of stressors. This project aimed to explore the wellbeing levels of the trainees on the Oxford Clinical Psychology Doctorate and to explore the potential barriers and facilitators in relation to wellbeing. A total of 82 trainees participated in the mixed-methods design which included a standardised self-report questionnaire, bespoke rating scales and qualitative survey responses. All qualitative data was analysed using thematic analysis. A significant negative correlation was found between the number of additional hours trainees worked and their wellbeing score. Three major themes were identified within the qualitative data: relationships, workload and diversity. A total of 40 recommendations were made to the Oxford course, in relation to these themes.</p></br>
<p><strong>Theory-Driven Research Project</strong></p>
<p><strong>The Impact of Social Media Comparison on Body Dissatisfaction and Disordered Eating in an Adolescent Population</strong></p>
<p><strong>Background:</strong> Social media use among adolescents is high, however, few studies explore the links between social media, appearance comparison, body dissatisfaction and eating disorders. The Tripartite Influence model suggests body dissatisfaction is developed and maintained by three sociocultural influences: media, peers and parents, with this occurring through two mediating processes: internalisation of societal standards of appearance and social appearance comparisons. It is then hypothesised that this body dissatisfaction leads to disordered eating. This study experimentally investigates the impact of social media social comparison on body dissatisfaction and disordered eating in an adolescent population.</p>
<p><strong>Methods:</strong> A repeated measures (body dissatisfaction), within (self and other social media comparison) and between (high vs. low eating disorder symptomology group) experimental groups design was used in which participants who self-reported as having high or low levels of eating disorder symptomology were asked to make comparisons of themselves and others in relation to social media images.</p>
<p><strong>Results:</strong> One hundred and two UK-based females aged between 16 – 21 years old participated. Individuals with high levels of eating disorder symptomatology were found to have greater overall body dissatisfaction, and following the self and other comparison task, compared to those with low levels of eating disorder symptomology. The overall body dissatisfaction for the whole sample was greater following a self-comparison than the other-comparisons task. Those with high levels of eating disorder symptomology experienced significantly greater body dissatisfaction following the self-comparison or the other-comparison task when compared to baseline. No significant difference in body dissatisfaction between self and other comparisons was observed. Those with low levels of ED symptomatology experienced no significant difference in body dissatisfaction following either social comparison task.</p>
<p><strong>Conclusions:</strong> This study provides support for the Tripartite Influence model, suggesting adolescents with eating disorder symptomology experience greater body dissatisfaction after social media comparison compared to adolescents without eating disorder symptomology.</p>
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