{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:31:55Z","timestamp":1788478315695,"version":"build-2803163510"},"reference-count":113,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T00:00:00Z","timestamp":1603238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Autism"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Previous research has shown elevated levels of depressive symptoms in typically developing siblings of children with autism spectrum disorders. The current study investigates for associations between the depressive symptoms of school-aged typically developing siblings of children with autism and parental mental health, perceived social support as well as demographic factors. Eighty-five Greek typically developing siblings of autistic children and their parents provided information concerning children\u2019s depressive symptoms (assessed with the Children\u2019s Depression Inventory), demographics, parent mental health status (assessed with the General Health Questionnaire-28), and perceived social support (assessed with the Multidimensional Scale of Perceived Social Support). Typically developing siblings showed higher levels of depressive symptoms compared to normative data. The hierarchical multiple regressions performed showed that typically developing siblings\u2019 depressive symptoms were significantly associated with parental anxiety and perceived social support from the family. Of note, parental anxiety remained associated with typically developing siblings\u2019 depressive symptoms independent of perceived social support. These findings demonstrate a direct link between typically developing siblings\u2019 psychopathological symptoms and those of their parents and highlight the need for family-centered interventions, not limited to providing social support.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Lay abstract<\/jats:title>\n                    <jats:p>Typically developing siblings of children with autism spectrum disorders are often found to exhibit elevated levels of stress and depressive symptoms compared to siblings of typically developing children or siblings of children with other disabilities. Besides the behavioral problems of the child with autism and certain demographic characteristics that have been recognized as factors associated with typically developing siblings\u2019 psychological distress, the role of parental mental health and the social support from the family has not been studied sufficiently. The goal of this study is to assess depressive symptoms in 85 Greek school-aged typically developing siblings of children with autism and to investigate for any associations between siblings\u2019 depressive symptoms on one hand and demographics, parental mental health, and perceived social support on the other hand. It was found that typically developing siblings had higher levels of depressive symptoms compared to children from a general population sample. In addition, parental anxiety and social support from the family as perceived by the parents themselves were identified as independently associated with typically developing siblings\u2019 depressive symptoms. Of note, perceived social support failed to attenuate the association between parental anxiety and siblings\u2019 depressive symptoms. These results highlight the importance of assessing both parental and typically developing siblings\u2019 psychological state to implement interventions addressed to the needs of all family members.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1362361320966847","type":"journal-article","created":{"date-parts":[[2020,10,22]],"date-time":"2020-10-22T01:35:18Z","timestamp":1603330518000},"page":"529-544","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Depressive symptoms of autism spectrum disorder children\u2019s siblings in Greece: Associations with parental anxiety and social support"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0777-9120","authenticated-orcid":false,"given":"Evangelia","family":"Koukouriki","sequence":"first","affiliation":[{"name":"University of Ioannina, Greece"},{"name":"Hellenic Ministry of Education and Religious Affairs, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sryridon-Georgios","family":"Soulis","sequence":"additional","affiliation":[{"name":"University of Ioannina, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Andreoulakis","sequence":"additional","affiliation":[{"name":"Hellenic Center for Mental Health and Research, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"bibr1-1362361320966847","doi-asserted-by":"crossref","unstructured":"Angell M. 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