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[n° ou bulletin] 121-122 - March-April 2025 [Texte imprimé et/ou numérique] . - 2025. Langues : Anglais (eng)
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PER0002250 | PER RAS | Périodique | Centre d'Information et de Documentation du CRA Rhône-Alpes | PER - Périodiques | Exclu du prêt |
Dépouillements


EEG spectral characteristics and asymmetry in pre-school children with autism in awake and sleep stages / Sowmyashree Mayur KAKU ; Anoop JOSEPH ; Manjula William JAMES ; Gosala R. K. SARMA ; Ashok MYSORE ; Shyam Sundar RAJAGOPALAN in Research in Autism, 121-122 (March-April 2025)
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[article]
Titre : EEG spectral characteristics and asymmetry in pre-school children with autism in awake and sleep stages Type de document : Texte imprimé et/ou numérique Auteurs : Sowmyashree Mayur KAKU, Auteur ; Anoop JOSEPH, Auteur ; Manjula William JAMES, Auteur ; Gosala R. K. SARMA, Auteur ; Ashok MYSORE, Auteur ; Shyam Sundar RAJAGOPALAN, Auteur Article en page(s) : 202538 Langues : Anglais (eng) Mots-clés : Autism Preschool Electroencephalogram EEG NREM Sleep stage Asymmetry Power spectral density Band power Index. décimale : PER Périodiques Résumé : Background Autism spectrum disorder (ASD) is a complex-heterogeneous neurodevelopmental disorder manifesting as abnormalities in social communication and repetitive behaviors, generally observed from early childhood. These syndromic behaviors have neurophysiological basis which stems from altered activations of cortical structures in the pathways of functional neural networks and regulatory mechanisms. Frequency bands of Electroencephalography (EEG) have functional and topographical significance expressed through computed parameters like band power and asymmetry index. Previous studies have mapped these parameters to ASD symptoms, limited to select cortical locations, bands and restricted study conditions in either passive awake or selected sleep stage. Methods Spontaneous EEG recorded from two clinically diagnosed groups of preschoolers, ASD and non-ASD in awake and 3 stages of Non-Rapid Eye Movement (NREM) sleep (N1-N3) was decomposed into 8 frequency bands spanning 0.5-24 Hz. Band powers were computed for 60 channels and hemispheric asymmetry index (AI) for 12 regions covering the entire scalp. Results We found awake alpha with N1 slow and fast theta powers significantly lower for ASD. N1 fast beta power was higher in ASD. Sleep AI exhibited significant dominance with both groups displaying congruent orientation in N1 and contralateral in N2 and N3. ASD showed lower AI in N1 and N3 with higher AI in N2. Conclusion Cyclical states of awake and sleep often tend to project their mental processes from one onto another making a use case for our pervasive approach. This pilot study highlights the need to include EEG spectral parameters into the heterogeneous relationship of awake/sleep states mentation, neuropsychology and ASD symptoms. En ligne : https://doi.org/10.1016/j.reia.2025.202538 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555
in Research in Autism > 121-122 (March-April 2025) . - 202538[article] EEG spectral characteristics and asymmetry in pre-school children with autism in awake and sleep stages [Texte imprimé et/ou numérique] / Sowmyashree Mayur KAKU, Auteur ; Anoop JOSEPH, Auteur ; Manjula William JAMES, Auteur ; Gosala R. K. SARMA, Auteur ; Ashok MYSORE, Auteur ; Shyam Sundar RAJAGOPALAN, Auteur . - 202538.
Langues : Anglais (eng)
in Research in Autism > 121-122 (March-April 2025) . - 202538
Mots-clés : Autism Preschool Electroencephalogram EEG NREM Sleep stage Asymmetry Power spectral density Band power Index. décimale : PER Périodiques Résumé : Background Autism spectrum disorder (ASD) is a complex-heterogeneous neurodevelopmental disorder manifesting as abnormalities in social communication and repetitive behaviors, generally observed from early childhood. These syndromic behaviors have neurophysiological basis which stems from altered activations of cortical structures in the pathways of functional neural networks and regulatory mechanisms. Frequency bands of Electroencephalography (EEG) have functional and topographical significance expressed through computed parameters like band power and asymmetry index. Previous studies have mapped these parameters to ASD symptoms, limited to select cortical locations, bands and restricted study conditions in either passive awake or selected sleep stage. Methods Spontaneous EEG recorded from two clinically diagnosed groups of preschoolers, ASD and non-ASD in awake and 3 stages of Non-Rapid Eye Movement (NREM) sleep (N1-N3) was decomposed into 8 frequency bands spanning 0.5-24 Hz. Band powers were computed for 60 channels and hemispheric asymmetry index (AI) for 12 regions covering the entire scalp. Results We found awake alpha with N1 slow and fast theta powers significantly lower for ASD. N1 fast beta power was higher in ASD. Sleep AI exhibited significant dominance with both groups displaying congruent orientation in N1 and contralateral in N2 and N3. ASD showed lower AI in N1 and N3 with higher AI in N2. Conclusion Cyclical states of awake and sleep often tend to project their mental processes from one onto another making a use case for our pervasive approach. This pilot study highlights the need to include EEG spectral parameters into the heterogeneous relationship of awake/sleep states mentation, neuropsychology and ASD symptoms. En ligne : https://doi.org/10.1016/j.reia.2025.202538 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 Early behavioral specific characteristics of infants under 12 months with a high likelihood of autism spectrum disorder in Japan / Masakazu MIYAMOTO ; Etsuko BEPPU in Research in Autism, 121-122 (March-April 2025)
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Titre : Early behavioral specific characteristics of infants under 12 months with a high likelihood of autism spectrum disorder in Japan Type de document : Texte imprimé et/ou numérique Auteurs : Masakazu MIYAMOTO, Auteur ; Etsuko BEPPU, Auteur Article en page(s) : 202539 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Early behavioral specific characteristics Gross motor Posture Social communication Developmental trajectory Index. décimale : PER Périodiques Résumé : Background The early behavioral specific characteristics of children between the ages of 18 and 24 months with a high likelihood of autism spectrum disorder (ASD) have been attributed to a lack of or delay in social behavior; however, children under 12 months are rarely examined. This study aims to clarify the early specific characteristics of the ASD likelihood group by examining the differences between children with ASD high likelihood (ASD-HL), children with ASD moderate likelihood (ASD-ML), and those with ASD no likelihood (ASD-NL), specifically children under the age of 12 months. Method We assessed children with ASD likelihood using a short version of the Japanese M-CHAT through a two-step screening process at 18 months and 24 months in a Japanese cohort (n = 364). Results The results showed that the children with ASD likelihood had more specific developmental disabilities in gross motor, fine motor and adaptive, and language at 4 months, except in social communication. The percentage of pass items in gross motor and fine motor skills at 7 months significantly predicted ASD likelihood in children. Conclusions The study?s findings suggest unique developmental trajectories for children with ASD likelihood. Children with ASD likelihood showed early deficits not in social communication, but in gross motor functions around the age of 6 months. Specific disabilities in social communication increased rapidly by 12 months of age. En ligne : https://doi.org/10.1016/j.reia.2025.202539 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555
in Research in Autism > 121-122 (March-April 2025) . - 202539[article] Early behavioral specific characteristics of infants under 12 months with a high likelihood of autism spectrum disorder in Japan [Texte imprimé et/ou numérique] / Masakazu MIYAMOTO, Auteur ; Etsuko BEPPU, Auteur . - 202539.
Langues : Anglais (eng)
in Research in Autism > 121-122 (March-April 2025) . - 202539
Mots-clés : Autism spectrum disorder Early behavioral specific characteristics Gross motor Posture Social communication Developmental trajectory Index. décimale : PER Périodiques Résumé : Background The early behavioral specific characteristics of children between the ages of 18 and 24 months with a high likelihood of autism spectrum disorder (ASD) have been attributed to a lack of or delay in social behavior; however, children under 12 months are rarely examined. This study aims to clarify the early specific characteristics of the ASD likelihood group by examining the differences between children with ASD high likelihood (ASD-HL), children with ASD moderate likelihood (ASD-ML), and those with ASD no likelihood (ASD-NL), specifically children under the age of 12 months. Method We assessed children with ASD likelihood using a short version of the Japanese M-CHAT through a two-step screening process at 18 months and 24 months in a Japanese cohort (n = 364). Results The results showed that the children with ASD likelihood had more specific developmental disabilities in gross motor, fine motor and adaptive, and language at 4 months, except in social communication. The percentage of pass items in gross motor and fine motor skills at 7 months significantly predicted ASD likelihood in children. Conclusions The study?s findings suggest unique developmental trajectories for children with ASD likelihood. Children with ASD likelihood showed early deficits not in social communication, but in gross motor functions around the age of 6 months. Specific disabilities in social communication increased rapidly by 12 months of age. En ligne : https://doi.org/10.1016/j.reia.2025.202539 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 Camouflaging and suicide behavior in adults with autism spectrum condition: A mixed methods systematic review / Victoria JAMETT-CUEVAS ; Valeska PULGAR-VERA ; Roberto SANTANDER-GONZALEZ ; Andrés PEMAU ; Percy ÁLVAREZ-CABRERA in Research in Autism, 121-122 (March-April 2025)
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[article]
Titre : Camouflaging and suicide behavior in adults with autism spectrum condition: A mixed methods systematic review Type de document : Texte imprimé et/ou numérique Auteurs : Victoria JAMETT-CUEVAS, Auteur ; Valeska PULGAR-VERA, Auteur ; Roberto SANTANDER-GONZALEZ, Auteur ; Andrés PEMAU, Auteur ; Percy ÁLVAREZ-CABRERA, Auteur Article en page(s) : 202540 Langues : Anglais (eng) Mots-clés : Suicide behavior Suicidal thoughts Camouflaging Masking Autism spectrum disorder Systematic review Index. décimale : PER Périodiques Résumé : Different studies have identified that adults with Autism Spectrum Disorders (ASD) are at risk of suicidal thoughts and behaviors. However, the relationship between both variables is still understudied. This systematic review aims to examine the relationship between camouflaging-an adaptive strategy used by adults with Autism Spectrum Disorder to mask or modify their social behaviors-and suicidal thoughts and behaviors. Following PRISMA guidelines, a comprehensive search was conducted across multiple databases, including PubMed, ScienceDirect, Scopus, APA PsycArticles, Google Scholar, and APA PsycInfo, without restrictions on sample size, gender, or functionality level. Only studies in English were considered. A total of 6,901articles were identified, and after screening and applying the inclusion criteria, 11 articles were included in the final analysis. Camouflaging in adults with ASD is consistently associated with a higher risk of suicidal behavior. However, the causal mechanisms linking camouflaging to suicide remain unclear. Most studies highlight that the psychological burden of camouflaging may exacerbate mental health issues, contributing to elevated suicide risk. Given the limited evidence, future research should focus on elucidating the pathways through which camouflaging impacts suicidal behaviors. En ligne : https://doi.org/10.1016/j.reia.2025.202540 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555
in Research in Autism > 121-122 (March-April 2025) . - 202540[article] Camouflaging and suicide behavior in adults with autism spectrum condition: A mixed methods systematic review [Texte imprimé et/ou numérique] / Victoria JAMETT-CUEVAS, Auteur ; Valeska PULGAR-VERA, Auteur ; Roberto SANTANDER-GONZALEZ, Auteur ; Andrés PEMAU, Auteur ; Percy ÁLVAREZ-CABRERA, Auteur . - 202540.
Langues : Anglais (eng)
in Research in Autism > 121-122 (March-April 2025) . - 202540
Mots-clés : Suicide behavior Suicidal thoughts Camouflaging Masking Autism spectrum disorder Systematic review Index. décimale : PER Périodiques Résumé : Different studies have identified that adults with Autism Spectrum Disorders (ASD) are at risk of suicidal thoughts and behaviors. However, the relationship between both variables is still understudied. This systematic review aims to examine the relationship between camouflaging-an adaptive strategy used by adults with Autism Spectrum Disorder to mask or modify their social behaviors-and suicidal thoughts and behaviors. Following PRISMA guidelines, a comprehensive search was conducted across multiple databases, including PubMed, ScienceDirect, Scopus, APA PsycArticles, Google Scholar, and APA PsycInfo, without restrictions on sample size, gender, or functionality level. Only studies in English were considered. A total of 6,901articles were identified, and after screening and applying the inclusion criteria, 11 articles were included in the final analysis. Camouflaging in adults with ASD is consistently associated with a higher risk of suicidal behavior. However, the causal mechanisms linking camouflaging to suicide remain unclear. Most studies highlight that the psychological burden of camouflaging may exacerbate mental health issues, contributing to elevated suicide risk. Given the limited evidence, future research should focus on elucidating the pathways through which camouflaging impacts suicidal behaviors. En ligne : https://doi.org/10.1016/j.reia.2025.202540 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 Barriers and facilitators towards an autism diagnosis for females within healthcare: A thematic analysis of interviews with UK healthcare professionals / Chris ASHWIN in Research in Autism, 121-122 (March-April 2025)
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Titre : Barriers and facilitators towards an autism diagnosis for females within healthcare: A thematic analysis of interviews with UK healthcare professionals Type de document : Texte imprimé et/ou numérique Auteurs : Chris ASHWIN, Auteur Article en page(s) : 202547 Langues : Anglais (eng) Mots-clés : Autism Females Healthcare Barriers Facilitators Diagnosis Index. décimale : PER Périodiques Résumé : There has been growing recognition that autism spectrum disorder (ASD) presents differently in females than in males, and our current understanding of autism is male-centric. This may produce barriers towards appropriate recognition of autistic characteristics in key social areas, such as healthcare, which could affect referral for assessments and accurate autism diagnosis for females. While there are many studies reporting about patient perspectives on the autism diagnostic process, there is a dearth of research investigating the perspectives of healthcare professionals about the female presentation of autism. The present study aimed to explore the perspectives of NHS healthcare professionals (HCPs) on the recognition, referral, and diagnosis of autism in female patients across the lifespan. Semi-structured interviews were conducted with eleven NHS HCPs and a reflexive thematic analysis was carried out to identify the key themes. The results revealed themes about gender biases and diagnostic overshadowing as important general barriers towards autism recognition and diagnosis for females within the NHS healthcare system. Themes involving systemic barriers were also identified as limiting the recognition of female autistic presentation, which included issues about time constraints and a lack of training. Several facilitators towards better diagnosis of autism in females were identified, which emphasised changes to current practice and diagnostic criteria to better account for the heterogeneity of female autism, and a more integrated approach to referrals with the education sector. Together, these findings have implications for healthcare service development and implementation for the classification of autism, suggesting targeted training and diagnostic adaptions to improve the experience and accuracy of the pathway of females for a diagnosis of autism. En ligne : https://doi.org/10.1016/j.reia.2025.202547 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555
in Research in Autism > 121-122 (March-April 2025) . - 202547[article] Barriers and facilitators towards an autism diagnosis for females within healthcare: A thematic analysis of interviews with UK healthcare professionals [Texte imprimé et/ou numérique] / Chris ASHWIN, Auteur . - 202547.
Langues : Anglais (eng)
in Research in Autism > 121-122 (March-April 2025) . - 202547
Mots-clés : Autism Females Healthcare Barriers Facilitators Diagnosis Index. décimale : PER Périodiques Résumé : There has been growing recognition that autism spectrum disorder (ASD) presents differently in females than in males, and our current understanding of autism is male-centric. This may produce barriers towards appropriate recognition of autistic characteristics in key social areas, such as healthcare, which could affect referral for assessments and accurate autism diagnosis for females. While there are many studies reporting about patient perspectives on the autism diagnostic process, there is a dearth of research investigating the perspectives of healthcare professionals about the female presentation of autism. The present study aimed to explore the perspectives of NHS healthcare professionals (HCPs) on the recognition, referral, and diagnosis of autism in female patients across the lifespan. Semi-structured interviews were conducted with eleven NHS HCPs and a reflexive thematic analysis was carried out to identify the key themes. The results revealed themes about gender biases and diagnostic overshadowing as important general barriers towards autism recognition and diagnosis for females within the NHS healthcare system. Themes involving systemic barriers were also identified as limiting the recognition of female autistic presentation, which included issues about time constraints and a lack of training. Several facilitators towards better diagnosis of autism in females were identified, which emphasised changes to current practice and diagnostic criteria to better account for the heterogeneity of female autism, and a more integrated approach to referrals with the education sector. Together, these findings have implications for healthcare service development and implementation for the classification of autism, suggesting targeted training and diagnostic adaptions to improve the experience and accuracy of the pathway of females for a diagnosis of autism. En ligne : https://doi.org/10.1016/j.reia.2025.202547 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 Assessment of anxiety and behavior disorders among autistic children and youths with intellectual and developmental disabilities / Einar Røshol HEIERVANG ; Børge MATHIASSEN ; Michael G. AMAN ; Sabine KAISER ; Sissel Berge HELVERSCHOU in Research in Autism, 121-122 (March-April 2025)
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[article]
Titre : Assessment of anxiety and behavior disorders among autistic children and youths with intellectual and developmental disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Einar Røshol HEIERVANG, Auteur ; Børge MATHIASSEN, Auteur ; Michael G. AMAN, Auteur ; Sabine KAISER, Auteur ; Sissel Berge HELVERSCHOU, Auteur Article en page(s) : 202550 Langues : Anglais (eng) Mots-clés : Adolescence Assessment Autism Childhood Measure Mental health disorder Index. décimale : PER Périodiques Résumé : Background There is a debate regarding the use of instruments that were originally developed for neurotypical populations and subsequently applied to neurodiverse populations. One concern is the risk of downplaying the complex presentation of mental health (MH) symptoms in individuals who are neurodiverse. In this study, we sought to explore MH disorder construct convergence across broad-band instruments developed for people with autism (ASD) or developmental disabilities (IDDs) (i.e., ASD/IDD instruments) and a non-ASD/IDD instrument based on established diagnostic taxonomy. Methods In total, 121 children with IDDs (full scale IQ M =80.8, SD=20.6), including those with ASD, participated. The conceptual overlap between emotional and behavioral subscales from the Developmental Behavior Checklist (DBC), Aberrant Behavior Checklist (ABC), and Psychopathology in Autism Checklist (PAC), on the one hand and emotional and behavioral diagnoses derived from the Developmental and Well-Being Assessment interview (DAWBA), on the other hand, was examined. Results Subscales from the DBC, ABC, and PAC showed adequate and good correspondence with anxiety disorders and oppositional conduct disorder diagnoses, respectively, derived from the DAWBA. There were meaningful correlations between lower adaptive communication skills/IQ and ASD/IDD instrument subscales reflecting stereotyped and repetitive motor movements, pica, and self-injurious behavior. Conclusion The ASD/IDD tools showed acceptable MH disorder construct convergence with a non-ASD/IDD diagnostic interview. As they perform well, instruments developed for people with ASD/IDD should be given priority in initial MH assessments. En ligne : https://doi.org/10.1016/j.reia.2025.202550 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555
in Research in Autism > 121-122 (March-April 2025) . - 202550[article] Assessment of anxiety and behavior disorders among autistic children and youths with intellectual and developmental disabilities [Texte imprimé et/ou numérique] / Einar Røshol HEIERVANG, Auteur ; Børge MATHIASSEN, Auteur ; Michael G. AMAN, Auteur ; Sabine KAISER, Auteur ; Sissel Berge HELVERSCHOU, Auteur . - 202550.
Langues : Anglais (eng)
in Research in Autism > 121-122 (March-April 2025) . - 202550
Mots-clés : Adolescence Assessment Autism Childhood Measure Mental health disorder Index. décimale : PER Périodiques Résumé : Background There is a debate regarding the use of instruments that were originally developed for neurotypical populations and subsequently applied to neurodiverse populations. One concern is the risk of downplaying the complex presentation of mental health (MH) symptoms in individuals who are neurodiverse. In this study, we sought to explore MH disorder construct convergence across broad-band instruments developed for people with autism (ASD) or developmental disabilities (IDDs) (i.e., ASD/IDD instruments) and a non-ASD/IDD instrument based on established diagnostic taxonomy. Methods In total, 121 children with IDDs (full scale IQ M =80.8, SD=20.6), including those with ASD, participated. The conceptual overlap between emotional and behavioral subscales from the Developmental Behavior Checklist (DBC), Aberrant Behavior Checklist (ABC), and Psychopathology in Autism Checklist (PAC), on the one hand and emotional and behavioral diagnoses derived from the Developmental and Well-Being Assessment interview (DAWBA), on the other hand, was examined. Results Subscales from the DBC, ABC, and PAC showed adequate and good correspondence with anxiety disorders and oppositional conduct disorder diagnoses, respectively, derived from the DAWBA. There were meaningful correlations between lower adaptive communication skills/IQ and ASD/IDD instrument subscales reflecting stereotyped and repetitive motor movements, pica, and self-injurious behavior. Conclusion The ASD/IDD tools showed acceptable MH disorder construct convergence with a non-ASD/IDD diagnostic interview. As they perform well, instruments developed for people with ASD/IDD should be given priority in initial MH assessments. En ligne : https://doi.org/10.1016/j.reia.2025.202550 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 The consequences of social camouflaging in autistic adults: A systematic review / S. J. SUMMERS in Research in Autism, 121-122 (March-April 2025)
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Titre : The consequences of social camouflaging in autistic adults: A systematic review Type de document : Texte imprimé et/ou numérique Auteurs : S. J. SUMMERS, Auteur Article en page(s) : 202556 Langues : Anglais (eng) Mots-clés : Social camouflaging Autistic Consequences Adults Index. décimale : PER Périodiques Résumé : A systematic review of the current literature was carried out with the aim of examining the positive and negative consequences of social camouflaging in autistic adults. Five databases (CINAHL, Web of Science, Medline, Psycinfo, and Psychology and Behavioural Sciences Collection) were searched in June 2023 and again in December 2023 and a total of 1868 papers were retrieved. Once screened, 24 papers met the inclusion criteria and were included in the final review. The review found that social camouflaging came with several short-term benefits, including (1) the avoidance of stigma, (2) connectedness, and (3) the use of alternative ways of communicating with others. The review further found that social camouflaging came with several long-term consequences, including (1) the impact on identity, (2) a delayed or missed diagnosis, and (3) implications on mental health. These findings will be discussed in relation to previous literature reviews that have been carried out in this area, as well as the implications for clinical practice. En ligne : https://doi.org/10.1016/j.reia.2025.202556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555
in Research in Autism > 121-122 (March-April 2025) . - 202556[article] The consequences of social camouflaging in autistic adults: A systematic review [Texte imprimé et/ou numérique] / S. J. SUMMERS, Auteur . - 202556.
Langues : Anglais (eng)
in Research in Autism > 121-122 (March-April 2025) . - 202556
Mots-clés : Social camouflaging Autistic Consequences Adults Index. décimale : PER Périodiques Résumé : A systematic review of the current literature was carried out with the aim of examining the positive and negative consequences of social camouflaging in autistic adults. Five databases (CINAHL, Web of Science, Medline, Psycinfo, and Psychology and Behavioural Sciences Collection) were searched in June 2023 and again in December 2023 and a total of 1868 papers were retrieved. Once screened, 24 papers met the inclusion criteria and were included in the final review. The review found that social camouflaging came with several short-term benefits, including (1) the avoidance of stigma, (2) connectedness, and (3) the use of alternative ways of communicating with others. The review further found that social camouflaging came with several long-term consequences, including (1) the impact on identity, (2) a delayed or missed diagnosis, and (3) implications on mental health. These findings will be discussed in relation to previous literature reviews that have been carried out in this area, as well as the implications for clinical practice. En ligne : https://doi.org/10.1016/j.reia.2025.202556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555