Evidence map›Paper›PMID 36605565›Full record

ArticleAutism in adulthood2022

What Is Autistic Burnout? A Thematic Analysis of Posts on Two Online Platforms.

Jane Mantzalas, Amanda L Richdale, Achini Adikari, Jennifer Lowe, Cheryl Dissanayake

Open access · greenAbstract read
In one paragraph

Article in Autism in adulthood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Low Battery Alarm; A Scoping Review of Autistic Burnout.Journal of autism and developmental disorders · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Autistic Burnout on Reddit: A Sisyphean Struggle with Daily Tasks.Journal of autism and developmental disorders · 2026
    Article
  9. Review
  10. Beyond Exhaustion: Shame, Identity Disruption, and Functional Collapse in Autistic Burnout.Autism : the international journal of research and practice · 2026
    Article
  11. Camouflaging and autism: Conceptualisation and methodological issues.Autism : the international journal of research and practice · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
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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

5 authors at 1 institution in 1 country.

Jane MantzalasOlga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9202-8961
Amanda L RichdaleOlga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9202-8961
Achini AdikariCentre for Data Analytics and Cognition, La Trobe University, Melbourne, Australia.
Jennifer LoweOlga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Cheryl DissanayakeOlga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
La Trobe University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Compared with adults in the general population, autistic adults are more likely to experience poor mental health, which can contribute to increased suicidality. While the autistic community has long identified autistic burnout as a significant mental health risk, to date, only one study has been published. Early research has highlighted the harmful impact of autistic burnout among autistic adults and the urgent need to better understand this phenomenon. Methods: To understand the lived experiences of autistic adults, we used data scraping to extract public posts about autistic burnout from 2 online platforms shared between 2005 and 2019, which yielded 1127 posts. Using reflexive thematic analysis and an inductive "bottom-up" approach, we sought to understand the etiology, symptoms, and impact of autistic burnout, as well as prevention and recovery strategies. Two autistic researchers with self-reported experience of autistic burnout reviewed the themes and provided insight and feedback. Results: We identified eight primary themes and three subthemes across the data. (1) Systemic, pervasive lack of autism awareness. (1.1) Discrimination and stigma. (2) A chronic or recurrent condition. (3) Direct impact on health and well-being. (4) A life unlived. (5) A blessing in disguise? (6) Self-awareness and personal control influence risk. (6.1) "You need enough balloons to manage the weight of the rocks." (7) Masking: Damned if you do, damned if you don't. (8) Ask the experts. (8.1) Stronger together. The overarching theme was that a pervasive lack of awareness and stigma about autism underlie autistic burnout. Conclusions: We identified a set of distinct yet interrelated factors that characterize autistic burnout as a recurring condition that can, directly and indirectly, impact autistic people's functioning, mental health, quality of life, and well-being. The findings suggest that increased awareness and acceptance of autism could be key to burnout prevention and recovery.

Indexed as

autismautistic adultsautistic burnoutburnoutexhaustionthematic analysis

Identifiers

PMID36605565
PMCPMC8992925
OpenAlexW3198962696

What OpenQuestion holds

Textmetadata
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.