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Psychosocial factors associated with camouflaging in autistic people and its relationship with mental health and well-being: A mixed methods systematic review
Clinical Psychology Review ( IF 12.8 ) Pub Date : 2023-09-14 , DOI: 10.1016/j.cpr.2023.102335
Sici Zhuang 1 , Diana Weiting Tan 2 , Susan Reddrop 3 , Lydia Dean 4 , Murray Maybery 1 , Iliana Magiati 1
Affiliation  

Camouflaging involves hiding one's autistic characteristics in social situations. This mixed methods systematic review synthesized research on psychosocial factors associated with camouflaging and its relationship with mental well-being. Six databases were searched. The 58 included studies (40 qualitative, 13 quantitative, five mixed methods), encompassed 4808 autistic and 1780 non-autistic participants, and predominantly featured White, female, and late-diagnosed autistic adults with likely at least average intellectual and/or verbal abilities. Following a convergent integrated approach, quantitative data were transformed and synthesized with qualitative data for thematic synthesis. We identified three themes on psychosocial correlates of camouflaging: (1) social norms and pressures of a largely non-autistic world, (2) social acceptance and rejection, and (3) self-esteem and identity; and four themes on psychosocial consequences of camouflaging for well-being: (1) a pragmatic way of exerting individual agency and control; (2) overlooked, under-supported, and burnt out; (3) impact on social relationships; and (4) low self-esteem and identity confusion. Camouflaging emerges as primarily a socially motivated response linked to adverse psychosocial outcomes. A whole society approach towards acceptance and support for autistic individuals to express their authentic selves is needed. Future studies examining psychosocial influences on camouflaging should include participants who more broadly represent the autistic population.



中文翻译:

与自闭症患者伪装相关的心理社会因素及其与心理健康和幸福的关系:混合方法系统评价

伪装是指在社交场合隐藏一个人的自闭症特征。这种混合方法系统综述综合了与伪装相关的心理社会因素及其与心理健康的关系的研究。检索了六个数据库。这 58 项纳入研究(40 项定性研究、13 项定量研究、5 种混合方法),涵盖 4808 名自闭症患者和 1780 名非自闭症参与者,主要特征是白人、女性和晚期诊断的自闭症成年人,智力和/或语言能力可能至少处于平均水平。采用聚合综合方法,将定量数据与定性数据进行转换和合成,以进行主题综合。我们确定了伪装的心理社会相关性的三个主题:(1)很大程度上非自闭症世界的社会规范和压力,(2)社会接受和拒绝,以及(3)自尊和身份;以及关于为了幸福而伪装的社会心理后果的四个主题:(1)发挥个人能动性和控制力的务实方式;(2) 被忽视、支持不足和精疲力尽;(三)对社会关系的影响;(4)自卑和身份混乱。伪装主要是一种与不良心理社会结果相关的社会动机反应。需要全社会共同接受和支持自闭症患者表达真实的自我。未来研究心理社会对伪装的影响的研究应该包括更广泛地代表自闭症人群的参与者。

更新日期:2023-09-14
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