Evidence map›Paper›PMID 38507392›Full record

ArticlePloS one2024

Cross-cultural variation in experiences of acceptance, camouflaging and mental health difficulties in autism: A registered report.

Connor Tom Keating, Lydia Hickman, Philippine Geelhand, Toru Takahashi, Joan Leung, Ruth Monk, Bianca Schuster, Alicia Rybicki, Teresa Marie Girolamo, Elise Clin and 8 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 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. 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
  4. Camouflaging and autism: Conceptualisation and methodological issues.Autism : the international journal of research and practice · 2026
    Review
  5. Article
  6. 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
  7. Article
  8. The relationship between newspaper reading preferences and attitudes towards autism.Autism : the international journal of research and practice · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 6 countries.

Connor Tom KeatingCentre for Developmental Science, School of Psychology, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-5906-1789
Lydia HickmanCentre for Developmental Science, School of Psychology, University of Birmingham, Birmingham, United Kingdom.
Philippine GeelhandACTE (Autism in Context: Theory and Experiment) at LaDisco (Center for Linguistics Research) and ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium.
Toru TakahashiFaculty of Human Sciences, Waseda University, Tokorozawa, Japan.ORCID 0000-0003-3245-1669
Joan LeungSchool of Psychology, University of Auckland, Auckland, New Zealand.
Ruth MonkAutistic Member of the Autism New Zealand Community Advisory Group, New Zealand/School of Medical Sciences, University of Auckland, Auckland, New Zealand.
Bianca SchusterCentre for Developmental Science, School of Psychology, University of Birmingham, Birmingham, United Kingdom.
Alicia RybickiCentre for Developmental Science, School of Psychology, University of Birmingham, Birmingham, United Kingdom.
Teresa Marie GirolamoSchool of Speech, Language, and Hearing Sciences, San Diego State University, San Diego, CA, United States of America.ORCID 0000-0003-1714-3545
Elise ClinACTE (Autism in Context: Theory and Experiment) at LaDisco (Center for Linguistics Research) and ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium.ORCID 0000-0003-4064-0697
Fanny PapastamouACTE (Autism in Context: Theory and Experiment) at LaDisco (Center for Linguistics Research) and ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium.
Marie BelengerACTE (Autism in Context: Theory and Experiment) at LaDisco (Center for Linguistics Research) and ULB Neuroscience Institute, Université libre de Bruxelles, Brussels, Belgium.
Inge-Marie EigstiDepartment of Psychological Sciences, University of Connecticut, Storrs, CT, United States of America.
Jennifer Louise CookCentre for Developmental Science, School of Psychology, University of Birmingham, Birmingham, United Kingdom.
Hirotaka KosakaDepartment of Neuropsychiatry, University of Fukui, Fukui, Japan.
Rieko OsuFaculty of Human Sciences, Waseda University, Tokorozawa, Japan.
Yuko OkamotoWaseda Institute for Advanced Study, Waseda University, Tokyo, Japan.
Sophie Sowden-CarvalhoCentre for Developmental Science, School of Psychology, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-9913-0515
University of Birmingham · GBUniversité Libre de Bruxelles · BEWaseda University · JPUniversity of Auckland · NZSan Diego State University · USUniversity of Connecticut · USUniversity of Fukui · JPUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent findings suggest that stigma and camouflaging contribute to mental health difficulties for autistic individuals, however, this evidence is largely based on UK samples. While studies have shown cross-cultural differences in levels of autism-related stigma, it is unclear whether camouflaging and mental health difficulties vary across cultures. Hence, the current study had two aims: (1) to determine whether significant relationships between autism acceptance, camouflaging, and mental health difficulties replicate in a cross-cultural sample of autistic adults, and (2) to compare these variables across cultures. To fulfil these aims, 306 autistic adults from eight countries (Australia, Belgium, Canada, Japan, New Zealand, South Africa, the United Kingdom, and the United States) completed a series of online questionnaires. We found that external acceptance and personal acceptance were associated with lower levels of depression but not camouflaging or stress. Higher camouflaging was associated with elevated levels of depression, anxiety, and stress. Significant differences were found across countries in external acceptance, personal acceptance, depression, anxiety, and stress, even after controlling for relevant covariates. Levels of camouflaging also differed across countries however this effect became non-significant after controlling for the covariates. These findings have significant implications, identifying priority regions for anti-stigma interventions, and highlighting countries where greater support for mental health difficulties is needed.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdultCross-Cultural ComparisonHumansMental HealthPre-Registration PublicationSurveys and Questionnaires

Identifiers

PMID38507392
PMCPMC10954134
OpenAlexW4393024881

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.