Viswanathan Poornima, Kishore M Thomas, Seshadri Shekhar P
Dept. of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Dept. of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2022 Jan;44(1):45-52. doi: 10.1177/02537176211029111. Epub 2021 Jul 29.
Autism spectrum disorder (ASD) can impact the individual and their families. The impact on siblings is unique because they evolve from being another child in the family to a future adult who can be a potential resource to the family in supporting a member with ASD. Since the quality of care and support can be affected by the lived experiences of the carer and there are not many studies on siblings, this study examined the lived experiences of siblings of individuals with ASD.
Fourteen siblings of individuals with ASD, aged 15-36 years, were recruited from a tertiary hospital, schools, and private institutes. A semistructured interview schedule was used to explore the lived experiences. Interpretative phenomenological analysis (IPA) was used to identify the themes.
The themes based on IPA indicated that the siblings have very basic concerns like understanding the condition and complex issues such as coping, preparing for current and future roles, personal needs and expectations, need for a support system, and positive aspects of the sibling relationship. Nonetheless, the siblings minimized reporting their difficulties and focused more on the needs of the sibling with ASD.
Siblings have diverse lived experiences, with a small element of positive experiences. Appropriate supports are needed to address the complexities of the lived experiences.
自闭症谱系障碍(ASD)会对个体及其家庭产生影响。对兄弟姐妹的影响具有独特性,因为他们从家庭中的另一个孩子成长为未来的成年人,有可能成为家庭中支持患有ASD成员的潜在资源。由于照顾和支持的质量可能会受到照顾者生活经历的影响,并且关于兄弟姐妹的研究不多,因此本研究调查了患有ASD个体的兄弟姐妹的生活经历。
从一家三级医院、学校和私立机构招募了14名年龄在15至36岁之间的患有ASD个体的兄弟姐妹。使用半结构化访谈提纲来探索生活经历。采用解释现象学分析(IPA)来确定主题。
基于IPA的主题表明,兄弟姐妹有一些非常基本的担忧,如了解病情,以及一些复杂问题,如应对、为当前和未来角色做准备、个人需求和期望、对支持系统的需求以及兄弟姐妹关系的积极方面。尽管如此,兄弟姐妹尽量少提及他们的困难,更多地关注患有ASD的兄弟姐妹的需求。
兄弟姐妹有不同的生活经历,其中有一小部分是积极的经历。需要适当的支持来应对生活经历的复杂性。