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ORIGINAL RESEARCH article
Front. Psychol.
Sec. Developmental Psychology
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1568110
This article is part of the Research TopicSiblinghood Through Any Disability: The State of the Art and Future DirectionsView all 4 articles
The Older Sibling Effect: Comparing Social Functioning Outcomes for Autistic Children with Typically Developing Siblings, No Siblings, and Autistic Siblings
Provisionally accepted- 1Hebrew University of Jerusalem, Jerusalem, Israel
- 2Shamir Medical Center (Assaf Harofeh), Zerifin, Israel
- 3Tel Aviv University, Tel Aviv, Tel Aviv, Israel
- 4Azrieli National Center for Autism and Neurodevelopment Research, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Background: Previous research showed that having older, typically developing (TD) siblings is associated with better social functioning in autistic children. Modeling by older siblings and the fact that siblings provide a social companion to practice social skills were suggested as explanations. Objectives: To investigate whether having older autistic siblings is associated with a similar or an opposite pattern. Methods: The Azrieli National Centre for Autism and Neurodevelopment Research in Israel database was used to retrieve data of autistic children who completed the Autism Diagnostic Observation Scale [ADOS-2] for secondary analyses. A cohort of 1,100 children was scanned to identify autistic children with no siblings (No-Sib; n=146), older TD siblings (Older-TD-Sib; n=300), and older autistic siblings (Older-Autistic-Sib; n=40). Each Older-Autistic-Sib child was matched to 1. Older-TD-Sib, and 2. No-Sib, by sex, age, and cognitive scores, resulting in 29 triads of matched participants (N=87). The three groups were compared on the ADOS-2 Social Affect sub-domain (a lower score (0-10) indicates less severe social-communication symptoms [better social functioning]). Results: Group comparisons revealed that autistic children with older TD siblings showed better social functioning than those with no siblings (p=.002, adjusted p=.007, d=.62). Autistic children with older autistic siblings showed a similar but weaker trend compared to those with no siblings (p=.082, adjusted p=.247, d=.40), and no difference was found between children with older TD versus autistic siblings (p=.647, BF₀₁=4.55). Conclusions: Autistic children with autistic siblings demonstrated an "intermediate pattern," implying a possible positive effect of having an older autistic sibling on social functioning, similar to that of having an older TD sibling, albeit smaller. This could be explained by complex relationships between sibling modeling and companionship or the impact of parenting measures, such as experience. These speculative explanations should be directly examined in future research.
Keywords: sibling, autism, autistic sibling, Typically developing sibling, social functioning
Received: 28 Jan 2025; Accepted: 14 Mar 2025.
Copyright: © 2025 Rum, Dolev, Reihman, Zachor, Avni, Ilan, Meiri and Koller. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yonat Rum, Hebrew University of Jerusalem, Jerusalem, Israel
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