Service Delivery

Randomized controlled trial of a sibling support group: Mental health outcomes for siblings of children with autism.

Jones et al. (2020) · Autism : the international journal of research and practice 2020
★ The Verdict

A short autism-focused sibling group lifts mental-health scores for neurotypical brothers and sisters.

✓ Read this if BCBAs working with families who have both autistic and neurotypical kids.
✗ Skip if Clinicians serving only adult clients or single-child homes.

01Research in Context

01

What this study did

Researchers ran a randomized trial of a sibling support group. All participants were neurotypical brothers or sisters of kids with autism. Half joined the group. Half stayed on a wait-list.

The group met for several weeks. Sessions taught coping skills and shared feelings. After the final meeting the team checked mental-health scores.

02

What they found

Siblings who attended the group showed better mental-health scores than the wait-list kids. The gains were small but real.

Stronger effects appeared when the autistic brother or sister had more severe symptoms.

03

How this fits with other research

Amanollahi et al. (2025) ran a similar group and also saw benefits, but they tracked relationship quality instead of mental health. Together the two trials show autism-focused groups help in more than one way.

Kirchhofer et al. (2025) tested the same idea in a mixed group of chronic disorders. Their mental-health boost was weaker. The tighter autism focus in Mulder et al. (2020) may be why they saw clearer gains.

Older studies such as LeFrancois et al. (1993) and Stancliffe et al. (2007) warned that these siblings often carry extra stress. The new trial turns that warning into action: give them a group and the risk drops.

04

Why it matters

You now have an RCT backing a low-cost group you can run in-house. No PhD required. Ask parents to bring the neurotypical sibling once a week for six to eight sessions. Use ready-made autism-focused lessons. Track mood with a short checklist before and after. If the autistic child shows severe symptoms, expect the biggest payoff.

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→ Action — try this Monday

Email parents a flyer for your next sibling support group and slot the first six kids into the roster.

02At a glance

Intervention
not applicable
Design
randomized controlled trial
Population
neurotypical
Finding
positive

03Original abstract

Typically developing siblings of a child with autism spectrum disorder may show mental health difficulties. A support group is one approach to help typically developing siblings. During support groups, typically developing siblings discuss their feelings, learn coping strategies and problem-solving skills, and develop a peer network. We compared a support group to participation in a similar group without a focus on the sibling with autism spectrum disorder. Some areas of mental health improved. Improvements were also impacted by autism spectrum disorder symptom severity in the sibling with autism spectrum disorder. Findings suggest continuing to examine how support groups can help typically developing siblings and for which siblings support groups might be particularly effective.

Autism : the international journal of research and practice, 2020 · doi:10.1177/1362361320908979