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Understanding the Reasons, Contexts and Costs of Camouflaging for Autistic Adults

Journal of Autism and Developmental Disorders · 2019 · Vol. 49(5) · pp. 1899–1911
Eilidh CageZoe Troxell-Whitman

Abstract

Camouflaging entails 'masking' in or 'passing' social situations. Research suggests camouflaging behaviours are common in autistic people, and may negatively impact mental health. To enhance understanding of camouflaging, this study examined reasons, contexts and costs of camouflaging. 262 autistic people completed measures of camouflaging behaviours, camouflaging contexts (e.g. work vs. family), camouflaging reasons (e.g. to make friends) and mental health symptoms. Findings indicated a gender difference in reasons for camouflaging, with autistic women more likely to endorse "conventional" reasons (e.g. getting by in formal settings such as work). Both camouflaging highly across contexts and 'switching' between camouflaging in some contexts but not in others, related to poorer mental health. These findings have implications for understanding camouflaging in autistic adults.

Autism Spectrum Disorder ResearchObsessive-Compulsive Spectrum DisordersChild Development and Digital TechnologyAutismPsychologyMental healthDevelopmental psychologyMasking (illustration)Public healthClinical psychologyPsychiatryMedicine

MeSH terms

AdultAutistic DisorderFemaleHumansMaleMental HealthMiddle AgedSex FactorsSocial Behavior
Citations
520
FWCI
23.39
field-weighted impact
References
66
Percentile
100%
vs. same field & year
Citations per year
References
Sex/Gender Differences and Autism: Setting the Scene for Future Research
Journal of the American Academy of Child & Adolescent Psychiatry · 2014 · 1,086 citations
Premature mortality in autism spectrum disorder
The British Journal of Psychiatry · 2015 · 980 citations
What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis
Journal of the American Academy of Child & Adolescent Psychiatry · 2017 · 2,597 citations
“Putting on My Best Normal”: Social Camouflaging in Adults with Autism Spectrum Conditions
Journal of Autism and Developmental Disorders · 2017 · 1,131 citations
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