Despite the prevalence of studies showing increased stress among mothers of individuals with autism spectrum disorders, few studies have examined general stress among typically developing siblings. This study used an online survey to compare the levels of self-reported stress between adolescent siblings of individuals with autism spectrum disorder and Down syndrome. Sibling of individuals with autism reported significantly more overall stress than did siblings of individuals with Down syndrome, as well as more stress specifically attributed to the brother/sister with autism. The two groups did not differ on perceived social support from family and friends. In linear regression models, the disability group (autism vs Down syndrome) was significantly related to sibling stress above and beyond target child behavior problems, perceived social support, and demographic factors. These results help shed light on the daily experiences of adolescent siblings of individuals with autism and call for more research into potential interventions to address increased stress levels.
AnscombeFJ (1973) Graphs in statistical analysis. The American Statistician27: 17–21.
2.
ArnettJJ (1999) Adolescent storm and stress, reconsidered. The American Psychologist54: 317–326.
3.
BaxterCCumminsRAYiolitisL (2000) Parental stress attributed to family members with and without disability: a longitudinal study. Journal of Intellectual & Developmental Disability25: 105–118.
4.
BoydBA (2002) Examining the relationship between stress and lack of social support in mothers of children with autism. Focus on Autism and Other Developmental Disabilities17: 208–215.
5.
BruwerBEmsleyRKidMet al. (2008) Psychometric properties of the Multidimensional Scale of Perceived Social Support in youth. Comprehensive Psychiatry49: 195–201.
6.
BurkeMMUrbanoRCHodappRM (2011) Subsequent births in families of children with disabilities: using demographic data to examine parents’ reproductive patterns. American Journal on Intellectual and Developmental Disabilities116(3): 233–245.
7.
Centers for Disease Control and Prevention (2016) Autism spectrum disorder (ASD): identified prevalence of autism spectrum disorder. Available at: http://www.cdc.gov/ncbddd/autism/data.html (accessed 14 January 2017).
8.
CicirelliVG (1995) Sibling Relationships across the Life Span. New York: Plenum Press.
9.
CohenSWilliamsonG (1988) Perceived stress in a probability sample of the US. In: SpacapamSOskampS (eds) The Social Psychology of Health: The Claremont Symposium on Applied Social Psychology. Newbury Park, CA: SAGE, pp.31–67.
10.
CuskellyMGunnP (2003) Sibling relationships of children with Down syndrome: perspectives of mothers, fathers, and siblings. American Journal on Mental Retardation108: 234–244.
11.
DaviesPTCummingsEM (1994) Marital conflict and child adjustment: an emotional security hypothesis. Psychological Bulletin116: 387–411.
12.
DykensEMLambertW (2013) Trajectories of diurnal cortisol in mothers of children with autism and other developmental disabilities: relations to health and mental health. Journal of Autism and Developmental Disorders43: 2426–2434.
13.
EinfeldSLTongeBJ (1995) The developmental behavior checklist: the development and validation of an instrument to assess behavioral and emotional disturbance in children and adolescents with mental retardation. Journal of Autism and Developmental Disorders25: 81–104.
14.
EstesAMunsonJDawsonGet al. (2009) Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism13: 375–387.
15.
GauSChouMLeeJet al. (2010) Behavioral problems and parenting style among Taiwanese children with autism and their siblings. Psychiatry and Clinical Neurosciences64: 70–78.
16.
GialloRGavidia-PayneS (2006) Child, parent and family factors as predictors of adjustment for siblings of children with a disability. Journal of Intellectual Disability Research50: 937–948.
17.
GoudieAHavercampSJamiesonBet al. (2013) Assessing functional impairment in siblings living with children with disability. Pediatrics132: e476–e483.
18.
GriffithGMHastingsRPNashSet al. (2010) Using matched groups to explore child behavior problems and maternal well-being in children with Down syndrome and autism. Journal of Autism and Developmental Disorders40: 610–619.
19.
GuiteJLobatoDKaoBet al. (2004) Discordance between sibling and parent reports of the impact of chronic illness and disability on siblings. Children’s Health Care33: 77–92.
20.
HarrellFE (2001) Regression Modeling Strategies. New York: Springer.
21.
HarrisPATaylorRThielkeRet al. (2009) Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics42(2): 377–381.
22.
HastingsRP (2003) Behavioral adjustment of siblings of children with autism engaged in applied behavior analysis early intervention programs: the moderating role of social support. Journal of Autism and Developmental Disorders33: 141–150.
23.
HastingsRPPetalasMA (2014) Self-reported behaviour problems and sibling relationship quality by siblings of children with autism spectrum disorder. Child: Care, Health and Development40: 833–839.
24.
HayesSAWatsonSL (2013) The impact of parenting stress: a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders43: 629–642.
25.
HodappRMUrbanoRC (2007) Adult siblings of individuals with Down syndrome versus with autism: findings from a large-scale US survey. Journal of Intellectual Disability Research51: 1018–1029.
26.
HodappRMGliddenLMKaiserAP (2005) Siblings of persons with disabilities: toward a research agenda. Mental Retardation43: 334–338.
27.
HodappRMLyTMFidlerDJet al. (2001) Less stress, more rewarding: parenting children with Down syndrome. Parenting1: 317–337.
28.
KaminskyLDeweyD (2002) Psychosocial adjustment in siblings of children with autism. Journal of Child Psychology and Psychiatry43: 225–232.
29.
KnottFLewisCWilliamsT (1995) Sibling interaction of children with learning disabilities: a comparison of autism and Down’s syndrome. Journal of Child Psychology and Psychiatry and Allied Disciplines36: 965–976.
30.
LeadbeaterBJBlattSJQuinlanDM (1995) Gender-linked vulnerabilities to depressive symptoms, stress, and problem behaviors in adolescents. Journal of Research on Adolescence5: 1–29.
31.
LovellBWetherellMA (2015) Child behaviour problems mediate the association between coping and perceived stress in caregivers of children with autism. Research in Autism Spectrum Disorders20: 17–23.
32.
LovellBWetherellMA (2016) The psychophysiological impact of childhood autism spectrum disorder on siblings. Research in Developmental Disabilities49: 226–234.
33.
MartinRAKazarianSSBreiterHJ (1995) Perceived stress, life events, dysfunctional attitudes, and depression in adolescent psychiatric inpatients. Journal of Psychopathology and Behavioral Assessment17: 81–95.
34.
MelaCFKopallePK (2002) The impact of collinearity on regression analysis: the asymmetric effect of negative and positive correlations. Applied Economics34: 667–677.
35.
NeeceCLBlacherJBakerBL (2010) Impact on siblings of children with intellectual disability: the role of child behavior problems. American Journal on Intellectual and Developmental Disabilities115: 291–306.
36.
Neely BarnesSLGraffJC (2011) Are there adverse consequences to being a sibling of a person with a disability? A propensity score analysis. Family Relations60: 331–341.
37.
Nguyen-RodriguezSTChouCPUngerJBet al. (2008) BMI as a moderator of perceived stress and emotional eating in adolescents. Eating Behaviors9(2): 238–246.
38.
OrsmondGISeltzerMM (2007) Siblings of individuals with autism or Down syndrome: effects on adult lives. Journal of Intellectual Disability Research51: 682–696.
39.
OrsmondGIKuoHSeltzerMM (2009) Siblings of individuals with an autism spectrum disorder: sibling relationships and wellbeing in adolescence and adulthood. Autism13: 59–80.
40.
Padilla-WalkerLMHarperJMJensenAC (2010) Self-regulation as a mediator between sibling relationship quality and early adolescents’ positive and negative outcomes. Journal of Family Psychology24(4): 419.
41.
PetalasMAHastingsRPNashSet al. (2009a) Emotional and behavioural adjustment in siblings of children with intellectual disability with and without autism. Autism13: 471–483.
42.
PetalasMAHastingsRPNashSet al. (2009b) “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 Education56: 381–399.
43.
PollardCABarryCMFreedmanBHet al. (2013) Relationship quality as a moderator of anxiety in siblings of children diagnosed with autism spectrum disorders or down syndrome. Journal of Child and Family Studies22: 647–657.
44.
RewLJohnsonKYoungC (2014) A systematic review of interventions to reduce stress in adolescence. Issues in Mental Health Nursing35: 851–863.
45.
RobinsonMNeeceCL (2015) Marital satisfaction, parental stress, and child behavior problems among parents of young children with developmental delays. Journal of Mental Health Research in Intellectual Disabilities8: 23–46.
46.
RodgersJDWarholAFoxJDet al. (2016) Minimal risk of internalizing problems in typically-developing siblings of children with high-functioning autism spectrum disorder. Journal of Child and Family Studies25: 2554–2561.
47.
SawilowskySSBlairRC (1992) A more realistic look at the robustness and Type II error properties of the t-test to departures from population normality. Psychological Bulletin111: 352–360.
48.
ŞenelHGAkkökF (1996) Stress levels and attitudes of normal siblings of children with disabilities. International Journal for the Advancement of Counseling18: 61–68.
49.
SennerJEFishT (2010) Comparison of child self-report and parent report on the sibling need and involvement profile. Remedial and Special Education33: 103–109.
50.
ShirtcliffEAEssexMJ (2008) Concurrent and longitudinal associations of basal and diurnal cortisol with mental health symptoms in early adolescence. Developmental Psychobiology50: 690–703.
51.
ShiversCMDykensEM (2017) Adolescent siblings of individuals with and without intellectual and developmental disabilities: self-reported empathy and feelings about their brothers and sisters. American Journal on Intellectual and Developmental Disabilities122: 62–77.
52.
ShiversCMDeisenrothLKTaylorJL (2013) Patterns and predictors of anxiety among siblings of children with autism spectrum disorders. Journal of Autism and Developmental Disorders43: 1136–1346.
53.
StockerCMMcHaleSM (1992) The nature and family correlates of preadolescents’ perceptions of their sibling relationships. Journal of Social and Personal Relationships9: 179–195.
54.
StonemanZ (2005) Siblings of children with disabilities: research themes. Mental Retardation43: 339–350.
55.
TaffeJRGrayKMEinfeldSLet al. (2007) Short form of the developmental behaviour checklist. American Journal of Mental Retardation112: 31–39.
56.
TomenyTSBarryTDBaderSH (2014) Birth order rank as a moderator of the relation between behavior problems among children with an autism spectrum disorder and their siblings. Autism18: 199–202.
57.
VertéSRoeyersHBuysseA (2003) Behavioural problems, social competence and self-concept in siblings of children with autism. Child: Care, Health and Development29: 193–205.
58.
ZhaoXLeottaAKustanovichV, et al.et al (2007) A unified genetic theory for sporadic and inherited autism. Proceedings of the National Academy of Sciences of the United States of America104: 12831–12836.
59.
ZimetGDDahlemNWZimetSGet al. (1988) The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment52: 30–41.
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