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Emotional and behavioral functioning of typically-developing sisters of children with autism spectrum disorder: The roles of ASD severity,parental stress,and marital status
Institution:1. The University of Alabama, Department of Psychology, Box 870348, Tuscaloosa, AL, 35487, USA;2. Washington State University, Department of Psychology, Pullman, WA, 99164, USA;1. Institute of Neuroscience, Faculty of Medical Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK;2. Institute of Health and Society, Newcastle University, Sir James Spence Institute Level 3, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne NE1 4LP, UK;1. I.R.C.C.S. Children''s Hospital Bambino Gesù, Child Neuropsychiatry Unit, Department of Neuroscience, Piazza S. Onofrio, 4, 00165 Rome, Italy;2. L.U.M.S.A. Dipartimento di Scienze Umane della Libera Università Maria SS. Assunta (L.U.M.S.A.), Rome, Italy;3. I.R.C.C.S. Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, S.S.113, Contrada Casazza, Messina 98124, Italy;1. Moray House School of Education, The University of Edinburgh, St. John’s Land, Holyrood Rd., Edinburgh, EH8 8AQ, UK;2. The Patrick Wild Centre, Centre for Clinical Brain Sciences, The University of Edinburgh, Kennedy Tower, Edinburgh EH10 5HF, UK
Abstract:BackgroundResearch has shown varied outcomes for typically-developing (TD) siblings of children with autism spectrum disorder (ASD), suggesting that some emotional and behavioral difficulties may occur only under specific conditions. In addition to characteristics of the children with ASD, family contextual factors may also predict sibling adjustment.MethodThis study examined parent marital status and parental stress as moderators of the relation between ASD siblings’ symptom severity and emotional and behavioral adjustment in 56 TD sisters via self- and parent-report.ResultsAt moderate and high levels of parental stress, TD sisters with siblings with relatively severe ASD symptomatology and with unmarried parents reported the highest levels of emotional and behavioral difficulties. Yet, TD sisters with siblings with relatively less severe ASD symptomatology and with unmarried parents reported the lowest levels of challenging behaviors and emotional symptoms.ConclusionsThese findings indicate that clinicians treating families of children with relatively severe ASD and unmarried parents should be particularly cognizant of the functioning of TD sisters.
Keywords:Autism spectrum disorder  Sisters  Siblings  Marital status  Parental stress
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