Evidence map›Paper›PMID 33593423›Full record

ArticleMolecular autism2021

Is social camouflaging associated with anxiety and depression in autistic adults?

Laura Hull, Lily Levy, Meng-Chuan Lai, K V Petrides, Simon Baron-Cohen, Carrie Allison, Paula Smith, Will Mandy

Abstract read
In one paragraph

Article in Molecular autism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 139 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

139 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Autistic Traits and Camouflaging: A Meta-Analysis.Autism : the international journal of research and practice · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. [From clinical high risk for psychosis to autism spectrum disorder: navigating the challenges of differential diagnosis-A case report].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Camouflaging and autism: Conceptualisation and methodological issues.Autism : the international journal of research and practice · 2026
    Review
  19. Article
  20. Does Camouflaging Predict Functioning, Distress, and Quality of Life for Autistic Adults?Autism research : official journal of the International Society for Autism Research · 2026
    Article

79 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Laura HullResearch Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.ORCID 0000-0002-8289-2158
Lily LevyResearch Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Meng-Chuan LaiCentre for Addiction and Mental Health and The Hospital for Sick Children, Department of Psychiatry, University of Toronto, Toronto, Canada.ORCID 0000-0002-9593-5508
K V PetridesLondon Psychometrics Laboratory, University College London, London, UK.ORCID 0000-0002-7130-8673
Simon Baron-CohenAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.ORCID 0000-0001-9217-2544
Carrie AllisonAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.ORCID 0000-0003-2272-2090
Paula SmithAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.
Will MandyResearch Department of Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. w.mandy@ucl.ac.uk.ORCID 0000-0002-3564-5808

Funding

Department of HealthMedical Research Council RG46450Wellcome TrustWellcome Trust RG58828
6 · The paper itself

Abstract

backgroundThere is inconsistent evidence for a clear pattern of association between 'camouflaging' (strategies used to mask and/or compensate for autism characteristics during social interactions) and mental health.

methodsThis study explored the relationship between self-reported camouflaging and generalised anxiety, depression, and social anxiety in a large sample of autistic adults and, for the first time, explored the moderating effect of gender, in an online survey.

resultsOverall, camouflaging was associated with greater symptoms of generalised anxiety, depression, and social anxiety, although only to a small extent beyond the contribution of autistic traits and age. Camouflaging more strongly predicted generalised and social anxiety than depression. No interaction between camouflaging and gender was found. LIMITATIONS: These results cannot be generalised to autistic people with intellectual disability, or autistic children and young people. The sample did not include sufficient numbers of non-binary people to run separate analyses; therefore, it is possible that camouflaging impacts mental health differently in this population.

conclusionsThe findings suggest that camouflaging is a risk factor for mental health problems in autistic adults without intellectual disability, regardless of gender. We also identified levels of camouflaging at which risk of mental health problems is highest, suggesting clinicians should be particularly aware of mental health problems in those who score at or above these levels.

Indexed as

Disease SusceptibilitySocial BehaviorAdolescentAdultAgedAnxietyAutistic DisorderDepressionFemaleHumansMaleMental HealthMiddle AgedPublic Health SurveillanceSelf ReportSurveys and QuestionnairesAdultsCamouflagingGenderMental health

Identifiers

PMID33593423
PMCPMC7885456

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.