Evidence map›Paper›PMID 34505231›Full record

SynthesisClinical child and family psychology review2021

A Systematic Review of Passing as Non-autistic in Autism Spectrum Disorder.

Erin J Libsack, Elliot Gavin Keenan, Caroline E Freden, Julianne Mirmina, Nathaniel Iskhakov, Darsiya Krishnathasan, Matthew D Lerner

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Clinical child and family psychology review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Autistic Traits and Camouflaging: A Meta-Analysis.Autism : the international journal of research and practice · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Untangling Sex and Gender Differences in Impression Management and Associated Autism Features in French Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Article
  5. Camouflaging and autism: Conceptualisation and methodological issues.Autism : the international journal of research and practice · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Self-reported masking in sexual minority and heterosexual autistic adults.Autism : the international journal of research and practice · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Camouflaging, internalized stigma, and mental health in the general population.The International journal of social psychiatry · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Diagnosing Autism in Adults: Clinically Focused Recommendations.Journal of health service psychology · 2024
    Article
  20. Article
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

7 authors at 2 institutions in 1 country.

Erin J LibsackDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA. erin.libsack@stonybrook.edu.ORCID 0000-0002-3236-4840
Elliot Gavin KeenanDepartment of Human Development and Psychology, University of California, Los Angeles, Los Angeles, CA, USA.
Caroline E FredenDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA.
Julianne MirminaDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA.
Nathaniel IskhakovDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA.
Darsiya KrishnathasanDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA.
Matthew D LernerDepartment of Psychology, Stony Brook University, Stony Brook, NY, USA. matthew.lerner@stonybrook.edu.ORCID 0000-0002-7373-6663
Stony Brook University · USUniversity of California, Los Angeles · US

Funding

Optimizing Prediction of Social Deficits in Autism Spectrum DisordersR01MH110585 · NIMH · STATE UNIVERSITY NEW YORK STONY BROOK · PI LERNER, MATTHEW DANIEL · 2016 to 2020
$2.2M
NIMH NIH HHS 1R01MH110585NIMH NIH HHS R01 MH110585
6 · The paper itself

Abstract

While long described in anecdotal accounts of the lived experiences of autistic individuals, the phenomenon of behaving in ways that appear inconsistent with the presence of autism (or passing as non-autistic; PAN) has recently seen a dramatic increase in scrutiny in the published scientific literature. Increased research attention has coincided with a proliferation of methods, definitions, measures, and population assumptions associated with PAN. To date, however, no review has sought to systematically identify and synthesize the literature on PAN. This systematic review reflects the state of the PAN literature as of May 2020. Ninety articles were screened, 66 were identified for evaluation, and 46 met inclusion criteria and were reliably coded for study characteristics and participant characteristics. Results reveal that the PAN literature includes a relatively even mix of qualitative, quantitative, and mixed-method studies, and that a variety of terms are used for PAN (with masking and camouflage being the most frequent). Sample sizes varied widely (from one to 832 participants), with 63.06% of participants being categorized as autistic. Nearly all studies reported methods for confirming autism diagnoses, with community and clinical diagnoses being most common. The majority of studies reported participant gender, with slightly more females included than males on average, but fewer than half of all studies compared PAN across genders. Nearly all studies reported participant age, demonstrating a wide range of 2 to 79 years, with a mean age of 23.85. Conversely, only 23.91% of studies provided participant race or ethnicity data. Nearly all studies formally or informally excluded participants with intellectual disability. Finally, measures of internalizing symptoms, which are often thought to be linked to PAN, were reported in only 17.4% of studies. Implications for gaps in understanding of PAN and future directions for the field are discussed.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdolescentAdultAgedChildChild, PreschoolFemaleHumansMaleMiddle AgedYoung AdultAutism spectrum disorderCamouflageCompensationMaskingPANPassing

Identifiers

PMID34505231
PMCPMC10613328
OpenAlexW3198707363

What OpenQuestion holds

Textmetadata
LicenceTDM
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.