OTQualitativeJournal of autism and developmental disorders2025

Close Relationships Despite the Challenges: Sibling Relationships and Autism.

Sebastian Trew

PMID 38858310

WHAT IT FOUND

Ten siblings of autistic adolescents described close, loving relationships despite aggression, conflict, and caregiving worries.

Some sisters felt they were both siblings and carers and wanted help with arguments, isolation, and future caring roles.

Key findings

01Siblings reported close, loving relationships despite challenges, and many said they enjoyed spending time together.

02Siblings described physical and verbal conflict, including being kicked, punched, or hit and being sworn at, but no one reported safety concerns and parents were seen as responsive.

03Some siblings, especially sisters, described taking on caregiving duties and worrying about future care responsibilities.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Only 10 siblings from 10 families were interviewed, so the themes cannot be generalised to all siblings of autistic adolescents. Participants were mostly white, from middle to high socioeconomic status, and from one area around Canberra, so families with different backgrounds or greater difficulties may not be represented. The study used self-reported interviews with one sibling per family and did not include the autistic siblings or parents, so it gives one perspective rather than a full family account. Families with the most difficult sibling relationships may have been less likely to take part, so the close relationship theme may not reflect the hardest cases.

Declared interests

The paper names Australian Catholic University Limited as the funder. No other author conflicts or sponsor roles are reported.

The easy way to misread this

Do not read the close relationship theme as proof that siblings of autistic adolescents usually cope well, or as evidence that a family intervention works. The findings come from 10 self-reported interviews in one region, and families with more severe conflict may be underrepresented.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →