Siblings of Children with Autism Spectrum Disorder: Behavioural and Emotional adjustment and the Influence of Family Factors on Adjustment

M. Fernando
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Abstract

Children with Autism Spectrum Disorder (ASD) have unique characteristics, which are expected to have an impact on members of the family. However, research concerning the effects of ASD on family members has focused predominantly on ASD’s impact on parents and less on its impact on siblings, especially in the context of Sri Lanka. This research attempts to address this gap and advance the understanding of the Behavioral and Emotional (B&E) adjustment of siblings of children with ASD. The study utilized a quantitative research design using a sample of 80 mothers of children with ASD, selected using convenient sampling from hospitals and institutions located in the Colombo and Gampaha districts. Mothers completed a Demographic Questionnaire, Socio-Economic Status Questionnaire, Parental Stress Scale, and Strength and Difficulties Questionnaire. The study found that B&E adjustment of the majority of the siblings was within the ‘Normal’ range (54%), which shows that siblings were well adjusted behaviorally and emotionally. However, closer to half of the siblings (46%) either had a risk (i.e., scored within the ‘Borderline’ range) or were experiencing adjustment difficulties (i.e., scored within the ‘Abnormal’ range). When siblings were analyzed according to the domains of the SDQ, the majority scored within the ‘Borderline’ range for peer problems, which indicates that siblings are at risk for peer problems. Additionally, the study found that out of all the selected family factors, Maternal Stress due to rearing a child with ASD and ASD severity was positively associated with sibling B&E adjustment difficulties. Keywords: Autism Spectrum Disorder; Siblings; Behavioral and Emotional Adjustment; Family Factors
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自闭症谱系障碍儿童的兄弟姐妹:行为和情绪适应及家庭因素对适应的影响
患有自闭症谱系障碍(ASD)的儿童具有独特的特征,预计会对家庭成员产生影响。然而,关于ASD对家庭成员影响的研究主要集中在ASD对父母的影响上,而较少关注其对兄弟姐妹的影响,特别是在斯里兰卡的情况下。本研究试图解决这一差距,并促进对自闭症儿童兄弟姐妹行为和情感(B&E)适应的理解。该研究采用了定量研究设计,对80名患有自闭症儿童的母亲进行了抽样,这些母亲是从科伦坡和甘帕哈地区的医院和机构中选择的方便抽样。母亲们完成了人口统计问卷、社会经济地位问卷、父母压力量表和力量与困难问卷。研究发现,大多数兄弟姐妹的B&E调整在“正常”范围内(54%),这表明兄弟姐妹在行为和情感上都适应得很好。然而,接近一半的兄弟姐妹(46%)要么有风险(即得分在“边缘”范围内),要么正在经历适应困难(即得分在“异常”范围内)。当兄弟姐妹根据SDQ的领域进行分析时,大多数人在同伴问题上的得分在“边界”范围内,这表明兄弟姐妹有同伴问题的风险。此外,研究发现,在所有选定的家庭因素中,由于养育患有ASD的孩子而产生的母亲压力和ASD严重程度与兄弟姐妹B&E适应困难呈正相关。关键词:自闭症谱系障碍;兄弟姐妹;行为与情绪调适;家庭因素
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