{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:19:01Z","timestamp":1787768341533,"version":"build-2784847793"},"reference-count":79,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Autism spectrum disorder impacts not only the diagnosed individual but also their family members, particularly neurotypical siblings. While international research on siblings of autistic individuals has expanded, studies in T\u00fcrkiye remain scarce and predominantly quantitative. This study aimed to explore in depth the lived experiences of neurotypical siblings, focusing on family dynamics, sibling relationships, coping mechanisms, and social life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative approach grounded in interpretative phenomenological analysis was adopted. 9 neurotypical siblings of individuals with autism participated. Data were gathered through semi-structured interviews, recorded, transcribed verbatim, and repeatedly reviewed for familiarity. Meaningful segments were coded, grouped into categories, and synthesized into overarching themes. Direct quotations were used to capture participants\u2019 emotional expressions, with all identifiers anonymized. As a qualitative study, no statistical analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis revealed 4 major themes and 10 sub-themes. Sibling relationships were described as complex and fluid, marked by both closeness and distance. Communication barriers, behavioral difficulties, and disruptive or aggressive actions were highlighted as challenges that strained interactions and daily routines. Participants reported heightened family responsibilities, including caregiving and protective roles, alongside parental expectations that exceeded typical sibling duties. Despite these burdens, many siblings developed coping strategies and reported personal growth, such as enhanced empathy, patience, resilience, and responsibility. In social contexts, they encountered stigma, exclusion, and misunderstanding, yet continued to seek acceptance and support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The experiences of neurotypical siblings of individuals with autism embody a dual reality of strain and growth. These findings underscore the need to acknowledge siblings\u2019 support requirements and to integrate their perspectives into holistic, family-centered autism services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0356696","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:31:27Z","timestamp":1787765487000},"page":"e0356696","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Echoes of autism in family life: Neurotypical siblings\u2019 perspectives"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8030-6071","authenticated-orcid":true,"given":"Aysenur","family":"Nazik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"pone.0356696.ref001","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013","edition":"5"},{"key":"pone.0356696.ref002","unstructured":"Centers for Disease Control and Prevention. Autism spectrum disorder. https:\/\/www.cdc.gov\/ncbddd\/autism\/index.html. 2022. Accessed 2026 March 4."},{"issue":"1","key":"pone.0356696.ref003","article-title":"Identification, evaluation, and management of children with autism spectrum disorder","volume":"145","author":"SL Hyman","year":"2020","journal-title":"Pediatrics"},{"key":"pone.0356696.ref004","unstructured":"World Health Organization. Autism. https:\/\/www.who.int\/news-room\/factsheets\/detail\/autism-spectrum-disorders. Accessed 2026 March 3."},{"issue":"2","key":"pone.0356696.ref005","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss7402a1","article-title":"Prevalence and early identification of autism spectrum disorder among children aged 4 and 8 years\u2014Autism and developmental disabilities monitoring network, 16 sites, United States, 2022","volume":"74","author":"KA Shaw","year":"2025","journal-title":"MMWR Surveill Summ"},{"issue":"1","key":"pone.0356696.ref006","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1177\/0020764012463298","article-title":"Tendency towards stigmatization of families of a person with autistic spectrum disorders","volume":"60","author":"I Mila\u010di\u0107-Vidojevi\u0107","year":"2014","journal-title":"Int J Soc Psychiatry"},{"issue":"6","key":"pone.0356696.ref007","doi-asserted-by":"crossref","first-page":"2064","DOI":"10.1007\/s10803-018-3467-3","article-title":"Profiles of social and coping resources in families of children with autism 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Guidotti","year":"2021","journal-title":"Child Care Health Dev"},{"issue":"1","key":"pone.0356696.ref028","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1177\/02537176211029111","article-title":"Lived experiences of siblings of individuals with autism spectrum disorder in india: an interpretative phenomenological analysis","volume":"44","author":"P Viswanathan","year":"2022","journal-title":"Indian J Psychol Med"},{"key":"pone.0356696.ref029","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.ridd.2017.01.008","article-title":"Sibling relationship quality and psychosocial outcomes among adult siblings of individuals with autism spectrum disorder and individuals with intellectual disability without autism","volume":"62","author":"TS Tomeny","year":"2017","journal-title":"Res Dev Disabil"},{"issue":"2","key":"pone.0356696.ref030","doi-asserted-by":"crossref","first-page":"155","DOI":"10.5172\/jfs.16.2.155","article-title":"Adjustment characteristics of healthy 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Schmeer","year":"2021","journal-title":"Res Dev Disabil"},{"issue":"4","key":"pone.0356696.ref034","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1080\/09638288.2019.1615563","article-title":"Impact of growing up with a sibling with a neurodevelopmental disorder on the quality of life of an unaffected sibling: a scoping review","volume":"43","author":"R Lamsal","year":"2021","journal-title":"Disabil Rehabil"},{"issue":"2","key":"pone.0356696.ref035","first-page":"88","article-title":"Sibling relationships and autism spectrum disorder: a different relationship","volume":"20","author":"A Day","year":"2019","journal-title":"Can Soc Work"},{"issue":"3","key":"pone.0356696.ref036","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1177\/13591045211007921","article-title":"A systematic review of the experience of being a sibling of a child with an autism spectrum disorder","volume":"26","author":"L Watson","year":"2021","journal-title":"Clin Child Psychol 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