Siblings' lived realities of Autism Spectrum Disorder.

Introduction: Autism spectrum disorder (ASD) affects 1 in 54 children globally. South African estimates suggest that approximately 2% of the population has the condition. The persistent nature of ASD characteristics requires an enduring commitment of care from the entire family. Despite the positive...

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Publicado en:South African Journal of Occupational Therapy Vol. 56; no. 2; pp. 1 - 11
Autores principales: Reddya, Gwen, Gurayah, Thavanesi, Fewster, Deborah Leigh
Formato: research tables/charts Journal Article
Publicado: Occupational Therapy Association of South Africa Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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        atl: Siblings' lived realities of Autism Spectrum Disorder.
      aug:
        au:
          Reddya, Gwen
          Gurayah, Thavanesi
          Fewster, Deborah Leigh
        affil: Occupational Therapy Department, University of KwaZulu-Natal, School of Health Sciences, Westville Campus, University Road, Westville, Durban, KwaZulu-Natal, South Africa
      sug:
        subj:
          Siblings Psychosocial Factors
          Autism Spectrum Disorder Psychosocial Factors
          Family Relations
          Attitude to Illness Evaluation
          Coping
          Human
          Male
          Female
          Child
          Phenomenological Research
          Stress, Psychological
          Psychological Well-Being
          Semi-Structured Interview
          Thematic Analysis
          Child Behavior
          Parent-Child Relations
          Health Resource Allocation
          Support, Psychosocial
          Skill Acquisition
          Occupational Therapy
          Social Constructionism
          Family Centered Care
          South Africa
          Cultural Diversity
          Purposive Sample
          Qualitative Studies
          Narratives
          Autism Spectrum Disorder Diagnosis
          Religion and Religions
          Adaptation, Psychological
          Personality
          Compassion
          Emotions
          Communication
          Aggression
          Socialization
          Social Attitudes
          Child Development
          Descriptive Statistics
          Data Analysis Software
          Child: 6-12 years
          Male
          Female
      ab: Introduction: Autism spectrum disorder (ASD) affects 1 in 54 children globally. South African estimates suggest that approximately 2% of the population has the condition. The persistent nature of ASD characteristics requires an enduring commitment of care from the entire family. Despite the positive experiences equated with raising a child with ASD, families experience stress and reduced mental and emotional well-being. Both the positive and less favourable aspects of ASD influence typically developing siblings within the family unit. This study explored the perspectives of typically developing siblings who live in the same household as their sibling with ASD. Methods: The qualitative design allowed for the collection of in-depth data via semi-structured interviews. Participants aged seven years and older were recruited to participate in the study. The necessary permissions, consent and assents were obtained. Thematic analysis using an inductive approach was used to analyse the data. Findings: The findings revealed that siblings coped with challenging behaviours from the child with ASD, communication difficulties, limited time with parents, and resource limitations regarding support and skill acquisition. However, they adapted to these challenges by developing coping strategies and being self-driven to understand ASD. Conclusion: Siblings are integral to the family unit. Further research into their lived experiences and needs is prudent. Implications for practice Family-centred occupational therapy should address the unique needs of siblings in families with a child with ASD, which imposes significant challenges on family dynamics. This study provides the following insights for research and intervention: * Insights into sibling experiences and coping strategies can inform targeted interventions for siblings. * Siblings, alongside parents, may reinforce therapeutic strategies at home, enhancing intervention outcomes. * Further research is needed in culturally diverse contexts, particularly in South Africa, to optimise occupational therapy for families with autistic children.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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