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When One Sibling has Autism: Adjustment and Sibling Relationship

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Abstract

Objectives

The presence of autism spectrum disorder (ASD) in one sibling can impact typically developing (TD) siblings’ adjustment and quality of the sibling relationship. The present study examined the impact of sibling characteristics on both the sibling relationship and adjustment in TD siblings using self, parent, and clinician reports.

Methods

Fifty-two TD siblings and parents completed questionnaires about TD sibling adjustment and sibling relationship quality.

Results

Greater behavior difficulties in siblings with ASD related to poorer TD sibling adjustment and quality of the sibling relationship. A more positive TD sibling perception of the sibling relationship was associated with greater TD sibling coping and support.

Conclusions

Findings are discussed in terms of how these risk factors can inform interventions.

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References

  • Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms and profiles. Burlington: University of Vermont.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington: University of Vermont.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th edn. Washington, DC.

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edn. Washington, DC.

  • Ayers, T. S., Sandler, I. N., West, S. G., & Roosa, M. W. (1996). A dispositional and situational assessment of children’s coping: testing alternative models of coping. Journal of Personality, 64, 923–958.

    Article  Google Scholar 

  • Baio, J., Wiggins, L., & Christensen, D. L., et al. (2018). Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveillance Summary, 67(No. SS-6), 1–23. https://doi.org/10.15585/mmwr.ss6706a1.

    Article  Google Scholar 

  • Benson, P. R., & Karlof, K. L. (2008). Child, parent, and family predictors of latter adjustment in siblings of children with autism. Research in Autism Spectrum Disorders, 2(4), 583–600.

    Article  Google Scholar 

  • Buhrmester, D., & Furman, W. (1990). Perceptions of sibling relationships during middle childhood and adolescence. Child Development, 61, 1387–1398.

    Article  Google Scholar 

  • Camisasca, E., Caravita, S. C. S., Milani, L., & Di Blasio, P. (2012). The Children's Coping Strategies Checklist-Revision1: A validation study in the Italian population. TPM-Testing, Psychometrics, Methodology in Applied Psychology, 19(3), 197–218.

    Google Scholar 

  • Celiberti, D. A., & Harris, S. L. (1993). Behavioral intervention for siblings of children with autism: a focus on skills to enhance play. Behavior Therapy, 24, 573–599.

    Article  Google Scholar 

  • Christensen, D. L., Eds, J. B., Van Naarden Braun, K., Bilder, D., Charles, J., Constantino, J. N., & Yeargin-Allsopp, M. (2016). Prevalence and characteristics of Autism Spectrum Disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2012. Morbidity and Mortality Weekly Report, Surveillance Summaries, 65(SS-3), 1–23. https://doi.org/10.15585/mmwr.ss6503a1. Retrieved from, https://www.cdc.gov/mmwr/volumes/65/ss/ss6503a1.htm#suggestedcitation.

  • Constantino, J., Lajonchere, C., Lutz, M., Gray, T., Abbacchi, C., McKenna, K., Singh, D., & Todd, R. D. (2006). Autistic social impairment in the siblings of children with pervasive developmental disorders. American Journal of Psychiatry, 163, 294–296.

    Article  Google Scholar 

  • Fuchs, D., & Fuchs, L. S. (2006). Introduction to response to intervention: what, why, and how valid is it? Reading Research Quarterly, 41(1), 93–99.

    Article  Google Scholar 

  • Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(5), 693–705.

    Article  Google Scholar 

  • Griffith, G. M., Hastings, R. P., & Petalas, M. A. (2014). Brief report: Fathers’ and mothers’ ratings of behavioral and emotional problems in siblings of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(5), 1230–1235.

    Article  Google Scholar 

  • Hastings, R. P. (2003). Brief report: Behavioral adjustment of siblings of children with autism. Journal of Autism and Developmental Disorders, 33(1), 99–104.

    Article  Google Scholar 

  • Hastings, R. P. (2007). Longitudinal relationships between sibling behavioral adjustment and behavior problems of children with developmental disabilities. Journal of Autism and Developmental Disorders, 37(8), 1485–1492.

    Article  Google Scholar 

  • Hastings, R. P., & Petalas, M. A. (2014). Self‐reported behaviour problems and sibling relationship quality by siblings of children with autism spectrum disorder. Child: Care, Health and Development, 40(6), 833–839.

    Google Scholar 

  • Kaminsky, L., & Dewey, D. (2001). Siblings relationships of children with autism. Journal of Autism and Developmental Disorders, 31(4), 399–410.

    Article  Google Scholar 

  • Kaminsky, L., & Dewey, D. (2002). Psychosocial adjustment in siblings of children with autism. Journal of Child Psychology and Psychiatry, 43, 225–232.

    Article  Google Scholar 

  • Knofczynski, G. T., & Mundfrom, D. (2008). Sample sizes when using multiple linear regression for prediction. Educational and Psychological Measurement, 68, 431–442. https://doi.org/10.1177/0013164407310131.

    Article  Google Scholar 

  • Knott, F., Lewis, C., & Williams, T. (1995). Sibling interaction of children with learning disabilities: a comparison of autism and Down’s syndrome. Child Psychology and Psychiatry and Allied Disciplines, 36(6), 965–976.

    Article  Google Scholar 

  • Kovacs, M. (2011). The Children’s Depression Inventory. Second edition Torrance: Western Psychological Services.

    Google Scholar 

  • Kryzak, L. A., Cengher, M., Feeley, K. M., Fienup, D. M., & Jones, E. A. (2015). A community support program for children with autism and their typically developing siblings: initial investigation. Journal of Intellectual Disabilities, 19(2), 159–177.

    Article  Google Scholar 

  • Lovell, B., & Wetherell, M. A. (2016). The psychophysiological impact of childhood autism spectrum disorder on siblings. Research in Developmental Disabilities, 49-50, 226–234.

    Article  Google Scholar 

  • Macks, R. J., & Reeve, R. E. (2007). The adjustment of non-disabled siblings of children with autism. Journal of Autism and Developmental Disorders, 37(6), 1060–1067.

    Article  Google Scholar 

  • Meadan, H., Stoner, J. B., & Angell, M. E. (2010). Review of literature related to the social, emotional, and behavioral adjustment of siblings of individuals with autism spectrum disorder. Journal of Developmental and Physical Disabilities, 22(1), 83–100.

    Article  Google Scholar 

  • Meyer, K. A., Ingersoll, B., & Hambrick, D. Z. (2011). Factors influencing adjustment in siblings of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5(4), 1413–1420.

    Article  Google Scholar 

  • Orsmond, G. I., Kuo, H., & Seltzer, M. M. (2009). Siblings of individuals with an autism spectrum disorder: sibling relationships and wellbeing in adolescence and adulthood. Autism, 13(1), 59–80.

    Article  Google Scholar 

  • Orsmond, G. I., & Seltzer, M. M. (2007). Siblings of individuals with autism spectrum disorders across the life course. Mental Retardation and Developmental Disabilities Research Reviews, 13(4), 313–320.

    Article  Google Scholar 

  • Orsmond, G. I., & Seltzer, M. M. (2009). Adolescent siblings of individuals with an autism spectrum disorder: testing a diathesis-stress model of sibling well-being. Journal of Autism and Developmental Disorders, 39(7), 1053–1065.

    Article  Google Scholar 

  • Petalas, M., Hastings, R. P., Nash, S., Dowey, A., & Reilly, D. (2009). ‘I like that he always shows who he is’: the perceptions and experiences of siblings with a brother with Autism Spectrum Disorder. International Journal of Disability Development and Education, 56, 381–399.

    Article  Google Scholar 

  • Petalas, M., Hastings, R. P., Nash, S., Hall, L. M., Joannidi, H., & Dowey, A. (2012). Psychological adjustment and sibling relationships in siblings of children with autism spectrum disorders: environmental stressors and the broad autism phenotype. Research in Autism Spectrum Disorders, 6(1), 546–555.

    Article  Google Scholar 

  • Pilowsky, T., Yirmiya, N., Doppelt, O., Gross-Tsur, V., & Shalev, R. S. (2004). Social and emotional adjustment of siblings of children with autism. Journal of Child Psychology and Psychiatry, 45(4), 855–865.

    Article  Google Scholar 

  • Rivers, J. W., & Stoneman, Z. (2003). Sibling relationships when a child has autism: marital stress and support coping. Journal of Autism and Developmental Disorders, 33(4), 383–394.

    Article  Google Scholar 

  • Roeyers, H., & Mycke, K. (1995). Siblings of a child with autism, with mental retardation and with a normal development. Child: Care, Health and Development, 21(5), 305–319.

    Google Scholar 

  • Ross, P., & Cuskelly, M. (2006). Adjustment, sibling problems and coping strategies of brothers and sisters of children with autistic spectrum disorder. Journal of Intellectual and Developmental Disability, 31(2), 77–86.

    Article  Google Scholar 

  • Schopler, E., & Van Bourgondien, M. E. (2010). Childhood Autism Rating ScaleTM. 2nd edn. Torrance: Western Psychological Services.

    Google Scholar 

  • Schopler, E., Van Bourgondien, M. E., Wellman, G. J., & Love, S. R. (2010). Childhood Autism Rating ScaleTM. 2nd edn. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Schreibman, L., O’Neill, R. E., & Koegel, R. L. (1983). Behavioral training for siblings of autistic children. Journal of Applied Behavior Analysis, 16, 129–138.

    Article  Google Scholar 

  • Shivers, C. M., Deisenroth, L. K., & Taylor, J. L. (2013). Patterns and predictors of anxiety among siblings of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(6), 1336–1346.

    Article  Google Scholar 

  • Shivers, C. M., & Plavnick, J. B. (2015). Sibling involvement in interventions for individuals with autism spectrum disorders: a systematic review. Journal of Autism and Developmental Disorders, 45, 685–696.

    Article  Google Scholar 

  • Smith, T., & Perry, A. (2005). A sibling support group for brothers and sisters of children with autism. Journal on Developmental Disabilities, 11(1), 77–88.

    Google Scholar 

  • Sugai, G., & Horner, R. (2002). The evolution of discipline practices: school-wide positive behavior supports. Child and Family Behavior Therapy, 24(1-2), 23–50.

    Article  Google Scholar 

  • Tomeny, T. S., Baker, L. K., Barry, T. D., Eldred, S. W., & Rankin, J. A. (2016). Emotional and behavioral functioning of typically-developing sisters of children with autism spectrum disorder: the roles of ASD severity, parental stress, and marital status. Research in Autism Spectrum Disorders, 32, 130–142.

    Article  Google Scholar 

  • Tomeny, T. S., Barry, T. D., & Bader, S. H. (2012). Are typically-developing siblings of children with an autism spectrum disorder at risk for behavioral, emotional, and social maladjustment? Research in Autism Spectrum Disorders, 6, 508–518.

    Article  Google Scholar 

  • Tudor, M. E., & Lerner, M. D. (2015). Intervention and support for siblings of youth with developmental disabilities: a systematic review. Clinical Child and Family Psychological Reviews, 18, 1–23.

    Article  Google Scholar 

  • Verté, S., Roeyers, H., & Buysse, A. (2003). Behavioural problems, social competence and self-concept in siblings of children with autism. Child: Care, Health and Development, 29(3), 193–205.

    Google Scholar 

  • Walton, K. M. (2016). Risk factors for behavioral and emotional difficulties in siblings of children with autism spectrum disorder. American Journal on Intellectual and Developmental Disabilities, 121(6), 533–549.

    Article  Google Scholar 

  • Walton, K. M., & Ingersoll, B. R. (2015). Psychosocial adjustment and sibling relationships in siblings of children with autism spectrum disorder: Risk and protective factors. Journal of Autism and Developmental Disorders, 45(9), 2764–2778.

    Article  Google Scholar 

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Acknowledgements

We thank the families who participated. We also thank the sibling program and personnel at Queens College, City University of New York that enabled us to conduct this research. We thank Service Corps students from 2014–2017.

Funding

This work was supported in part by awards from the Organization for Autism Research and City University of New York (PSC-CUNY, jointly funded by The Professional Staff Congress and The City University of New York [grant number 69089-00 47], Undergraduate Research and Mentoring Education, Service Corps, and Workforce Development Initiative).

Author Contributions

E.A.J. designed and executed the study and wrote the paper. T.F. assisted with data collection and analyses and collaborated in writing the paper. J.L.S. assisted with data analyses. R.S. assisted with study execution and collaborated in writing the paper. N.N. assisted with data collection and analyses. D.M.F. assisted with study design and execution.

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Correspondence to Emily A. Jones.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards and approved by the Institutional Review Board at the City University of New York.

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All procedures involving human participants were in accordance with the ethical standards of the authors’ institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Jones, E.A., Fiani, T., Stewart, J.L. et al. When One Sibling has Autism: Adjustment and Sibling Relationship. J Child Fam Stud 28, 1272–1282 (2019). https://doi.org/10.1007/s10826-019-01374-z

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