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Journal article

Exploring the association between social camouflaging and self- versus caregiver-report discrepancies in anxiety and depressive symptoms in autistic and non-autistic socially-anxious adolescents

Abstract:
Social camouflaging in autism involves hiding social differences and autistic traits to fit in with neurotypical settings and is associated with poorer mental health in both autistic adolescents and adults. This study explored the association between self-reported social camouflaging behaviours and adolescents’ self-report of generalised anxiety disorder (GAD) and depressive symptoms compared to caregiver reports. A clinical sample of 43 autistic and 39 non-autistic adolescents (14-19 years) without intellectual disability and matched on social anxiety, and their primary caregiver completed questionnaires reporting the young person’s autistic traits, GAD, and depression symptoms. Using Response Surface Analysis (RSA), congruence between adolescent and caregiver rated autistic traits, GAD, and depression symptoms were not associated with greater camouflaging scores. RSA parameters showed that camouflaging was greater when both adolescent and caregivers rated high levels of autistic traits and GAD symptoms, and when adolescents exceeded caregiver ratings on autistic traits, GAD, and depression symptoms. Adolescents who experience greater anxiety and autistic traits may engage in more (though less effective) social camouflaging behaviours, which in turn may contribute towards poorer mental health outcomes. Clinicians may benefit from collaboratively creating with adolescents a person-centred formulation that considers the associations between autistic traits, mental health outcomes.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1177/13623613241238251

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Psychiatry
Role:
Author
ORCID:
0000-0001-9005-5512
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Experimental Psychology
Role:
Author
ORCID:
0000-0003-2756-3770


Publisher:
SAGE Publications
Journal:
Autism More from this journal
Volume:
28
Issue:
10
Pages:
2657-2674
Publication date:
2024-03-15
Acceptance date:
2024-02-15
DOI:
EISSN:
1461-7005
ISSN:
1362-3613


Language:
English
Keywords:
Pubs id:
1620439
Local pid:
pubs:1620439
Deposit date:
2024-02-19

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