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

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