Autism & Developmental

Discrepancy in perceived social support among typically developing siblings of youth with autism spectrum disorder.

Tomeny et al. (2019) · Autism : the international journal of research and practice 2019
★ The Verdict

Siblings who say support is crucial yet scarce face the sharpest emotional risk—screen for the gap, not just low support.

✓ Read this if BCBAs doing family-centered work in clinic, school, or home programs.
✗ Skip if Practitioners serving only adult clients or single-child families.

01Research in Context

01

What this study did

Bergmann et al. (2019) asked typically developing brothers and sisters about social support. They wanted to know if feeling support is vital yet hard to get predicts emotional problems.

The team compared how important kids said support was with how often they said it happened. They then looked at emotional and behavioral scores.

02

What they found

The biggest behavior issues showed up in siblings who rated support as very important but also very rare. The gap, not just low support, drove the risk.

Kids who said support was unimportant had fewer problems even when support was low. Wanting it and not getting it hurt the most.

03

How this fits with other research

Sutton et al. (2022) reviewed dozens of studies and found low support links to depression and loneliness. S et al. sharpen that picture: the mismatch between wanting and receiving may be the active ingredient.

Hastings (2003) saw no extra behavior problems in siblings of kids receiving home ABA. The older study looked at raw support level; S et al. show the pain lives in the discrepancy, explaining why some "well-supported" kids still struggle.

Glugatch et al. (2021) taught siblings play skills and boosted shared time. Their success makes sense: more positive interaction can shrink the gap S et al. flagged by turning rare support into common support.

04

Why it matters

When you assess an autism family, ask the typical sibling two quick questions: "How important is it that people support you?" and "How often do you get it?" If importance tops frequency, move that child to the front of the line for sibling groups, peer mentoring, or coached play sessions. Closing the gap early may prevent bigger emotional problems later.

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Add two Likert-scale questions to your caregiver intake: "Support is important to my typical child" and "My typical child gets enough support"—flag when the first score is ≥2 points higher than the second.

02At a glance

Intervention
not applicable
Design
other
Sample size
112
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

Social support can buffer against stressors often associated with having family members with autism spectrum disorder. This study included 112 parents and typically developing siblings of children with autism spectrum disorder. Relations between self-reported typically developing sibling emotional and behavioral problems and discrepancy between social support frequency and importance were examined via polynomial regression with response surface analysis. Typically developing siblings who described social support as frequent and important reported relatively few problems. Typically developing siblings who reported social support as highly important but infrequent exhibited the highest emotional and behavioral difficulties. Thus, typically developing siblings with little support who view support as highly important may be particularly responsive to social support improvement efforts.

Autism : the international journal of research and practice, 2019 · doi:10.1177/1362361318763973