Sex differences in predictors and outcomes of camouflaging: Comparing diagnosed autistic, high autistic trait and low autistic trait young adults.
Victoria Milner, Will Mandy, Francesca Happé and 1 others
PMID 35652328WHAT IT FOUND
Overall, sex did not predict camouflaging, but diagnosed females reported more than diagnosed males; high-trait and comparison groups showed no sex difference.
Camouflaging was linked to poorer quality of life, including poorer social quality of life in males without a diagnosis.
Key findings
01Overall, sex did not significantly predict camouflaging, but diagnosed females scored higher than diagnosed males; no sex difference was found in the high-trait or comparison groups.
02Loneliness was a significant predictor of camouflaging in the diagnosed group only, and sex did not modify this relationship.
03Higher camouflaging was associated with lower psychological quality of life in diagnosed participants and lower social quality of life in high-trait and comparison participants.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The study was cross-sectional, so it cannot show that camouflaging causes poorer quality of life or that loneliness causes camouflaging. Sex was recorded only as male or female, so gender identity was not considered. The groups were uneven in size, which may have reduced power to detect some differences. Most measures were self-report, and camouflaging was assessed only by reported strategy use, not how successful strategies were. Cognitive ability was not measured, and online recruitment may have favoured people with average or above average cognitive ability. Mental health data were excluded because the collection format was unreliable. Some comparison participants were recruited by convenience sampling, so representativeness is limited. An earlier longer version of the camouflaging questionnaire was used, not the later shorter version.
Declared interests
The authors declared no potential conflicts of interest. Funding came from a grant supporting the Social Relationships Study.
The easy way to misread this
Do not conclude that autistic females camouflage more than autistic males in general. The sex difference was significant only among diagnosed participants; it was not significant in the high-trait or comparison groups.