Walton Katherine M, Ingersoll Brooke R
The Ohio State University, 371F McCampbell Hall, 1581 Dodd Drive, Columbus, OH, 43210, USA,
J Autism Dev Disord. 2015 Sep;45(9):2764-78. doi: 10.1007/s10803-015-2440-7.
This study compared sibling adjustment and relationships in siblings of children with Autism Spectrum Disorder (ASD-Sibs; n = 69) and siblings of children with typical development (TD-Sibs; n = 93). ASD-Sibs and TD-Sibs demonstrated similar emotional/behavioral adjustment. Older male ASD-Sibs were at increased risk for difficulties. Sibling relationships of ASD-Sibs involved less aggression, less involvement, and more avoidance than those of TD-Sibs. Partial support for a diathesis-stress conceptualization of sibling difficulties was found for ASD-Sibs. For TD-Sibs, broader autism phenotype (BAP) was related to psychosocial difficulties regardless of family stressors. For ASD-Sibs, BAP was related to difficulties only when family stressors were present. This suggests that having a sibling with ASD may be a protective factor that attenuates the negative impact of sibling BAP.
本研究比较了自闭症谱系障碍儿童的兄弟姐妹（ASD-Sibs；n = 69）和发育正常儿童的兄弟姐妹（TD-Sibs；n = 93）的适应情况及相互关系。ASD-Sibs和TD-Sibs表现出相似的情绪/行为适应能力。年龄较大的男性ASD-Sibs出现困难的风险增加。与TD-Sibs相比，ASD-Sibs的兄弟姐妹关系中攻击行为更少、参与度更低、回避行为更多。研究发现，对于ASD-Sibs，部分支持对兄弟姐妹困难的素质-压力概念化。对于TD-Sibs，无论家庭压力源如何，广泛自闭症表型（BAP）都与心理社会困难有关。对于ASD-Sibs，只有在存在家庭压力源时，BAP才与困难有关。这表明有一个患有自闭症的兄弟姐妹可能是一个保护因素，可以减轻兄弟姐妹BAP的负面影响。
