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"Additionally, cultural, parenting, or family patterns of secrecy prevent siblings from being included." Although the siblings know that there is something wrong, they are "left in the waiting room, wondering what is going on with their brother or sister." "Because children have wild imaginations, in the absence of accurate information, they imagine that the situation is worse than it actually is," said Dr Milevsky, who is also associate professor, Department of Psychology, Kutztown University of Pennsylvania.

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According to a 2011 report of the US Census Bureau, 2.8 million children have a disability, defined as an impairment in visual, auditory, cognitive, and ambulatory domains, as well as self-care or independent living.

A significant proportion of these children have at least 1 sibling.

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