Perceived Emotional Neglect and Parental Attention Among Typically Developing Siblings of Children with Autism Spectrum Disorder: A Qualitative Study in Greek Families

Abstract

Autism Spectrum Disorder (ASD) affects not only the diagnosed child but also the emotional functioning of the entire family system. Although considerable research has focused on parents and individuals with ASD, the experiences of typically developing (TD) siblings remain comparatively underexplored, particularly within the Greek cultural context. The present study aimed to investigate parental perceptions of emotional neglect among TD siblings of children with ASD and to explore the strategies used to maintain emotional balance within the family. A qualitative research design was employed using semi-structured interviews with nine parents of children with ASD and TD siblings residing in Greece. Data were analyzed using reflexive thematic analysis. Seven overarching themes emerged: (a) continuous struggle for emotional balance, (b) affectionate yet fragile sibling relationships, (c) direct expressions of neglect and exclusion, (d) rebuilding emotional connections, (e) unequal praise and recognition, (f) communication as a protective factor, and (g) long-term parental concerns regarding emotional outcomes. The findings indicated that perceptions of emotional neglect did not result from parental indifference but rather from emotional exhaustion, competing caregiving demands, and the complexity of managing ASD-related needs. Parents described various strategies aimed at restoring emotional balance, including one-to-one rituals, emotional validation, and open discussions about autism. Furthermore, communication and family routines emerged as important protective factors promoting sibling adjustment and emotional well-being. The study highlights the importance of family-centered and sibling-focused interventions and emphasizes the need for culturally responsive support systems that address the psychosocial needs of all family members. These findings contribute to the limited qualitative literature concerning sibling experiences in Greek families affected by ASD and provide practical implications for clinicians, educators, and policymakers.