A systematic review and meta-analysis of mental health outcomes associated with camouflaging in autistic people / Valeria KHUDIAKOVA in Research in Autism Spectrum Disorders, 118 (October 2024)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 118 (October 2024) . - 102492 Titre : A systematic review and meta-analysis of mental health outcomes associated with camouflaging in autistic people Type de document : Texte imprimé et/ou numérique Auteurs : Valeria KHUDIAKOVA, Auteur ; Emmeline RUSSELL, Auteur ; Sophie SOWDEN-CARVALHO, Auteur ; Andrew D. R. SURTEES, Auteur Article en page(s) : 102492 Langues : Anglais (eng) Mots-clés : Autism  Camouflaging  Mental health  Anxiety  Depression  Wellbeing Index. décimale : PER Périodiques Résumé : Background This systematic review and meta-analysis aimed to assess the strength and quality of the evidence for the relationship between camouflaging and its potential outcomes in autistic people. With the worryingly high proportions of autistic people experiencing mental illness and suicidality, it is important to understand whether camouflaging is a risk factor in that population. Methods Searches of five databases (Web of Science, MEDLINE, PsycINFO, Embase, ProQuest Dissertations & Theses) yielded 16 studies eligible for a meta-analysis using correlations and six additional studies eligible for a narrative review, with 5897 autistic participants in total. Risk of bias was assessed for all studies using a bespoke tool. Based on the 16 studies eligible for the meta-analysis, we computed meta-correlations between camouflaging and anxiety, depression, social anxiety, and psychological wellbeing, using a random-effects model. Meta-regressions examined if study effect sizes were moderated by study quality, participants' mean age, and proportions of female and clinically diagnosed participants. Results We found significant moderate positive relationships between camouflaging and anxiety/generalised anxiety, depression, and social anxiety and a significant small negative relationship between camouflaging and mental wellbeing. There was no significant moderating effect of the aforementioned variables on study effect sizes. Discussion All of the studies were underpowered to detect small effects, and many used insufficiently validated measures. The established link between camouflaging and mental health difficulties is discussed with reference to future research and clinical practice. Longitudinal studies should also aim to establish causality. Other There was no funding associated with this review. The researchers have no conflicts of interest to disclose. The review was preregistered on PROSPERO (registration number: CRD42023473077). En ligne : https://doi.org/10.1016/j.rasd.2024.102492 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540 [article] A systematic review and meta-analysis of mental health outcomes associated with camouflaging in autistic people [Texte imprimé et/ou numérique] / Valeria KHUDIAKOVA, Auteur ; Emmeline RUSSELL, Auteur ; Sophie SOWDEN-CARVALHO, Auteur ; Andrew D. R. SURTEES, Auteur . - 102492. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 118 (October 2024) . - 102492 Mots-clés : Autism  Camouflaging  Mental health  Anxiety  Depression  Wellbeing Index. décimale : PER Périodiques Résumé : Background This systematic review and meta-analysis aimed to assess the strength and quality of the evidence for the relationship between camouflaging and its potential outcomes in autistic people. With the worryingly high proportions of autistic people experiencing mental illness and suicidality, it is important to understand whether camouflaging is a risk factor in that population. Methods Searches of five databases (Web of Science, MEDLINE, PsycINFO, Embase, ProQuest Dissertations & Theses) yielded 16 studies eligible for a meta-analysis using correlations and six additional studies eligible for a narrative review, with 5897 autistic participants in total. Risk of bias was assessed for all studies using a bespoke tool. Based on the 16 studies eligible for the meta-analysis, we computed meta-correlations between camouflaging and anxiety, depression, social anxiety, and psychological wellbeing, using a random-effects model. Meta-regressions examined if study effect sizes were moderated by study quality, participants' mean age, and proportions of female and clinically diagnosed participants. Results We found significant moderate positive relationships between camouflaging and anxiety/generalised anxiety, depression, and social anxiety and a significant small negative relationship between camouflaging and mental wellbeing. There was no significant moderating effect of the aforementioned variables on study effect sizes. Discussion All of the studies were underpowered to detect small effects, and many used insufficiently validated measures. The established link between camouflaging and mental health difficulties is discussed with reference to future research and clinical practice. Longitudinal studies should also aim to establish causality. Other There was no funding associated with this review. The researchers have no conflicts of interest to disclose. The review was preregistered on PROSPERO (registration number: CRD42023473077). En ligne : https://doi.org/10.1016/j.rasd.2024.102492 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540

What We Know and Do Not Know About Camouflaging, Impression Management, and Mental Health and Wellbeing in Autistic People / Valeria KHUDIAKOVA ; Mishel Alexandrovsky ; Wei Ai ; Meng-Chuan LAI in Autism Research, 18-2 (February 2025)  

Public ISBD [article]  inAutism Research > 18-2 (February 2025) . - p.273-280 Titre : What We Know and Do Not Know About Camouflaging, Impression Management, and Mental Health and Wellbeing in Autistic People : Autism Research Type de document : Texte imprimé et/ou numérique Auteurs : Valeria KHUDIAKOVA, Auteur ; Mishel Alexandrovsky, Auteur ; Wei Ai, Auteur ; Meng-Chuan LAI, Auteur Article en page(s) : p.273-280 Langues : Anglais (eng) Mots-clés : autism camouflaging impression management mental health stigma wellbeing Index. décimale : PER Périodiques Résumé : ABSTRACT Camouflaging is an impression management strategy employed by some autistic people, widely seen as a response to the pervasive stigma surrounding autism in society. Autistic narratives and lived experiences consistently link camouflaging to anxiety, depression, suicide risks, and autistic burnout. Quantitative research is yet to determine the nature of these relationships, with a significant portion of recent studies providing inconsistent evidence. While camouflaging can be a compelled survival strategy in social environments, it might also contribute to positive outcomes such as securing employment and forming positive social relationships, implicating a complex interrelationship with mental health and wellbeing. We advocate for using a transactional impression management framework to understand camouflaging and wellbeing and address the inconsistencies in research. Through examining the transactions among a person's individual and cognitive characteristics, behavior modification strategies, and the particular social contexts they find themselves in, this framework guides new empirical research directions to delineate the relationships between camouflaging, impression management, mental health, and wellbeing. There is a need to develop multiple measures of camouflaging that delineate the motivations, ability, effortfulness, and perceived effectiveness of camouflaging and examine how a person's social behaviors are perceived in different social environments. Research should also focus on intersectionality, sociocultural influences, and diverse autistic voices to study context-sensitive camouflaging experiences across the autistic population. En ligne : https://doi.org/10.1002/aur.3299 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547 [article] What We Know and Do Not Know About Camouflaging, Impression Management, and Mental Health and Wellbeing in Autistic People : Autism Research [Texte imprimé et/ou numérique] / Valeria KHUDIAKOVA, Auteur ; Mishel Alexandrovsky, Auteur ; Wei Ai, Auteur ; Meng-Chuan LAI, Auteur . - p.273-280. Langues : Anglais (eng) in Autism Research > 18-2 (February 2025) . - p.273-280 Mots-clés : autism camouflaging impression management mental health stigma wellbeing Index. décimale : PER Périodiques Résumé : ABSTRACT Camouflaging is an impression management strategy employed by some autistic people, widely seen as a response to the pervasive stigma surrounding autism in society. Autistic narratives and lived experiences consistently link camouflaging to anxiety, depression, suicide risks, and autistic burnout. Quantitative research is yet to determine the nature of these relationships, with a significant portion of recent studies providing inconsistent evidence. While camouflaging can be a compelled survival strategy in social environments, it might also contribute to positive outcomes such as securing employment and forming positive social relationships, implicating a complex interrelationship with mental health and wellbeing. We advocate for using a transactional impression management framework to understand camouflaging and wellbeing and address the inconsistencies in research. Through examining the transactions among a person's individual and cognitive characteristics, behavior modification strategies, and the particular social contexts they find themselves in, this framework guides new empirical research directions to delineate the relationships between camouflaging, impression management, mental health, and wellbeing. There is a need to develop multiple measures of camouflaging that delineate the motivations, ability, effortfulness, and perceived effectiveness of camouflaging and examine how a person's social behaviors are perceived in different social environments. Research should also focus on intersectionality, sociocultural influences, and diverse autistic voices to study context-sensitive camouflaging experiences across the autistic population. En ligne : https://doi.org/10.1002/aur.3299 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547

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