Birth order rank as a moderator of the relation between behavior problems among children with an autism spectrum disorder and their siblings

Tomeny, Theodore S.; Barry, Tammy D.; Bader, Stephanie H.

doi:10.1177/1362361312458185

Cited by 30 publications

(20 citation statements)

References 22 publications

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“…18,19 There have also been findings of a positive effect (eg, sibling bonding) on siblings residing in a household with a child with disability, 20,21 whereas other studies have concluded no impact. [22][23][24] Vermaes et al 25 recently published a metaanalysis studying the psychological functioning of siblings in families with children with chronic conditions and concluded that there is an overall negative effect with no findings to support a hypothesis that some siblings are more resilient and have more positive self-attributes. They concluded that siblings of children with disability are at increased risk of developing negative self-attributes and internalizing problems.…”

Section: Resultsmentioning

confidence: 99%

Assessing Functional Impairment in Siblings Living With Children With Disability

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Previous research on potential deleterious effects of typically developing children growing up in households with children with disability has produced mixed results. Research methods have been cited as a problem in many studies. WHAT THIS STUDY ADDS:This is the largest known empirical study comparing functional impairment in siblings living with a child with disability and siblings residing with children who are typically developing. This study also follows the trajectory of functional impairment across 2 measurement periods. abstract OBJECTIVE: The purpose of this study was to empirically test if siblings of children with disability had higher levels of parent-reported behavioral and emotional functional impairment compared with a peer group of siblings residing with only typically developing children. METHODS:This was a retrospective secondary analysis of data from the Medical Expenditure Panel Survey. We included only households with at least 2 children to ensure sibling relationships. Two groups of siblings were formed: 245 siblings resided in households with a child with disability and 6564 siblings resided in households with typically developing children. Parents responded to questions from the Columbia Impairment Scale to identify functional impairment in their children. RESULTS:On the basis of parent reports and after adjusting for sibling demographic characteristics and household background, siblings of children with disability were more likely than siblings residing with typically developing children to have problems with interpersonal relationships, psychopathological functioning, functioning at school, and use of leisure time (P , .05). The percentage of siblings of children with disability classified with significant functional impairment was 16.0% at the first measurement period and 24.2% at the second (P , .001). For siblings of typically developing children there was a smaller percentage increase from 9.5% to 10.3% (P , .001).CONCLUSIONS: Functional impairment is a key indicator for the need of mental health services and, as such, early assessment and interventions to limit increasing severity and short-to long-term consequences need to be addressed. Health care professionals need to consider a family-based health care approach for families raising children with disability. Pediatrics 2013;132:e476-e483 AUTHORS:

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Section: Resultsmentioning

confidence: 99%

Assessing Functional Impairment in Siblings Living With Children With Disability

et al. 2013

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“…As such, the modest size of the sample, which matches the size of other studies of a similar nature (Quintero & McIntyre, 2010), might be expected. Third, characteristics of the child with ASD such as symptom severity (Rao & Beidel, 2009) and birth order (Tomeny, Barry & Bader, 2014) have been shown to be associated with the psychological adjustment of neuro-typical siblings. These important measures were omitted from the current study and, as such, caution should be exercised when interpreting the findings.…”

Section: Discussionmentioning

confidence: 99%

The psychophysiological impact of childhood autism spectrum disorder on siblings

Lovell

Wetherell

2016

Research in Developmental Disabilities

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Objective: The negative impact of caring for a child with autism spectrum disorder (ASD) on parents' psychophysiological functioning has been widely evidenced. However, siblings, who also face emotional, social and physical challenges associated with having a brother/sister with ASD, have been less widely studied. This study examined the psychophysiological impact of childhood ASD on Siblings of children with ASD experience greater emotional problems and overall depressive symptoms compared with a control group. Interventions that enhance social support, as well as helping siblings better understand the behaviour problems of their brother/sister with ASD, might be effective for alleviating depressive symptoms.

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“…Respect the aims, our data are scarce and a few conclusive. e results seem to contradict previous literature, which seems to indicate worse maladjustment in subjects born a er their brothers with ASD [63,10,43,44]. More investigation will be needed on the possible factors that may be aimed at parents to support them in promoting positive relationships between siblings and managing any con ict situations.…”

Section: Discussionmentioning

confidence: 64%

“…e birth order is another relevant characteristic of the family structure that has been studied. Younger siblings can be in a disadvantageous condition as a result of the dilution of family resources [41]; this is even more evident when the older child presents special needs [42,43]. TD children born a er their siblings with ASD are more at risk of maladjustment [10,44].…”

Section: Introductionmentioning

confidence: 99%

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Sibling Relationships, Personality Traits, Emotional, and Behavioral Difficulties in Autism Spectrum Disorders

Longobardi

Prino

Gastaldi

et al. 2019

Child Development Research

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This study focused on parents’ perceptions of the quality of sibling relationship and its association with some behavioral and emotional characteristics of the typically developing sibling. The participants were parents of children with autism spectrum disorder and typically developing siblings. The sample size was 43. The group comprised 14 fathers (32.6%) and 29 mothers (67.4%) aged 33–53 years (M=43.56; SD = 5.23). The parents completed measures of siblings’ emotional and behavioral difficulties, siblings’ personality, and sibling relationships and their impact on families and siblings. The results showed that behavioral difficulties such as emotional symptoms, conduct problems, hyperactivity/inattention, and peer relationship problems were significantly associated with negative sibling relationships—characterized by rivalry, aggression, avoidance, and teaching behavior toward the brother or sister with an autism spectrum disorder. The implications are that sibling-focused interventions should focus on improving negative sibling relationships to reduce the impact on the difficulties of the typical development of the sibling of both genders and shape the content and delivery framework accordingly. This can be done by providing skills and approaches for enhancing sibling relationships so both parties benefit.

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Birth order rank as a moderator of the relation between behavior problems among children with an autism spectrum disorder and their siblings

Cited by 30 publications

References 22 publications

Assessing Functional Impairment in Siblings Living With Children With Disability

Assessing Functional Impairment in Siblings Living With Children With Disability

The psychophysiological impact of childhood autism spectrum disorder on siblings

Sibling Relationships, Personality Traits, Emotional, and Behavioral Difficulties in Autism Spectrum Disorders

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