Autistic and clinician perspectives on the influence of camouflaging in adult autism assessments / Alison U. TASSONE in Research in Autism, 131 (March 2026)  

Public ISBD [article]  inResearch in Autism > 131 (March 2026) . - 202788 Titre : Autistic and clinician perspectives on the influence of camouflaging in adult autism assessments Type de document : texte imprimé Auteurs : Alison U. TASSONE, Auteur ; Theresa ANDRZEJEWSKI, Auteur ; Kaitlyn E. BREITENFELDT, Auteur ; Mackenzie MILLER, Auteur ; Christina G. MCDONNELL, Auteur Article en page(s) : 202788 Langues : Anglais (eng) Mots-clés : Autistic adults  Camouflaging  Masking  Assessments  Diagnosis Index. décimale : PER Périodiques Résumé : Purpose Camouflaging is a potential barrier to receiving an autism diagnosis. However, little is known about how camouflaging influences the assessment process. Methods Participants included 141 autistic adults (Mage = 35.2 years, 43.3 % cisgender men, 78.7 % White) and 41 clinicians with experience diagnosing autism in adults (Mage = 34.9 years, 81.1 % cisgender women, 73.0 % White). Participants completed a mixed-methods online survey focused on (1) definitions of camouflaging, (2) how it influences the adult assessment process, and (3) recommendations for assessing camouflaging. Results Most clinicians and autistic adults agreed that camouflaging influences adult autism assessments. The majority of clinicians reported that they routinely assess for camouflaging in adult assessments. Qualitative content analysis of clinician responses highlighted that camouflaging influences their assessment battery, interpretation of diagnostic tools, and specific interview questions. A smaller percentage of autistic adults recalled being asked about camouflaging during their assessment. Themes in autistic responses involved camouflaging being a barrier to self-understanding, and concerns about camouflaging causing family, friends, and diagnosticians to not recognize their autistic traits. Qualitative content analysis of clinician and autistic responses highlighted recommendations for adult assessments, including suggestions to ask directly about camouflaging and to consider its consequences. Conclusions Autistic adults and clinicians both indicated they see camouflaging as an important factor in adult autism assessments. Results highlight the multidimensional definitions of camouflaging and the various ways it influences the assessment process. Suggestions from the autistic sample may be useful for improving assessments. En ligne : https://doi.org/10.1016/j.reia.2026.202788 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=581 [article] Autistic and clinician perspectives on the influence of camouflaging in adult autism assessments [texte imprimé] / Alison U. TASSONE, Auteur ; Theresa ANDRZEJEWSKI, Auteur ; Kaitlyn E. BREITENFELDT, Auteur ; Mackenzie MILLER, Auteur ; Christina G. MCDONNELL, Auteur . - 202788. Langues : Anglais (eng) in Research in Autism > 131 (March 2026) . - 202788 Mots-clés : Autistic adults  Camouflaging  Masking  Assessments  Diagnosis Index. décimale : PER Périodiques Résumé : Purpose Camouflaging is a potential barrier to receiving an autism diagnosis. However, little is known about how camouflaging influences the assessment process. Methods Participants included 141 autistic adults (Mage = 35.2 years, 43.3 % cisgender men, 78.7 % White) and 41 clinicians with experience diagnosing autism in adults (Mage = 34.9 years, 81.1 % cisgender women, 73.0 % White). Participants completed a mixed-methods online survey focused on (1) definitions of camouflaging, (2) how it influences the adult assessment process, and (3) recommendations for assessing camouflaging. Results Most clinicians and autistic adults agreed that camouflaging influences adult autism assessments. The majority of clinicians reported that they routinely assess for camouflaging in adult assessments. Qualitative content analysis of clinician responses highlighted that camouflaging influences their assessment battery, interpretation of diagnostic tools, and specific interview questions. A smaller percentage of autistic adults recalled being asked about camouflaging during their assessment. Themes in autistic responses involved camouflaging being a barrier to self-understanding, and concerns about camouflaging causing family, friends, and diagnosticians to not recognize their autistic traits. Qualitative content analysis of clinician and autistic responses highlighted recommendations for adult assessments, including suggestions to ask directly about camouflaging and to consider its consequences. Conclusions Autistic adults and clinicians both indicated they see camouflaging as an important factor in adult autism assessments. Results highlight the multidimensional definitions of camouflaging and the various ways it influences the assessment process. Suggestions from the autistic sample may be useful for improving assessments. En ligne : https://doi.org/10.1016/j.reia.2026.202788 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=581

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