Evidence map›Paper›PMID 39129337›Full record

ArticleThe International journal of social psychiatry2024

Camouflaging, internalized stigma, and mental health in the general population.

Wei Ai, William A Cunningham, Meng-Chuan Lai

Abstract read
In one paragraph

Article in The International journal of social psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 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. Article
  4. Article
  5. 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
  6. Article
  7. Article
  8. Article
  9. Self-reported mental health effects of unemployment on young people in Mdantsane, South Africa: A qualitative study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Self-reported masking in sexual minority and heterosexual autistic adults.Autism : the international journal of research and practice · 2025
    Article
  14. Camouflaging depression.Discover mental health · 2025
    Article
  15. What We Know and Do Not Know About Camouflaging, Impression Management, and Mental Health and Wellbeing in Autistic People.Autism research : official journal of the International Society for Autism Research · 2025
    Review
  16. Autoethnographic Insights from Neurodivergent GAI "Power Users".Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2025
    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

3 authors.

Wei AiDepartment of Psychology, University of Toronto, Toronto, ON, Canada.
William A CunninghamDepartment of Psychology, University of Toronto, Toronto, ON, Canada.
Meng-Chuan LaiDepartment of Psychology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9593-5508

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCamouflaging, the strategies that some autistic people use to hide their differences, has been hypothesized to trigger mental health ramifications. Camouflaging might reflect ubiquitous impression management experiences that are not unique to autistic people and similarly impact the mental health of non-autistic people.

aimsWe first examined whether individuals in the general population camouflage and manage impressions while experiencing mental health repercussions, and how gender and neurodivergent traits modified these associations. We then assessed how camouflaging and impression management arose from internalized stigma, and their inter-relationships in shaping mental health outcomes.

methodsData were collected from 972 adults from a representative U.S. general population sample, with measures pertaining to camouflaging, impression management, mental health, internalized stigma, and neurodivergent traits. Multivariate hierarchical regression and moderated mediation analyses were used to address the two research aims.

resultsBoth camouflaging and self-presentation (a key component of impression management) were associated with mental health presentations in the general population, which overlapped with those previously reported in autistic people. These associations were more pronounced in women compared with men and were of different directions for individuals with higher autistic traits versus higher ADHD traits. Internalized stigma might be a key stressor that could elicit camouflaging and impression management through social anxiety, which in turn might lead to adverse mental health outcomes.

conclusionsThese findings advance the conceptual clarity and clinical relevance of camouflaging and impression management across social and neurodiverse groups in the general population. The ramifications of camouflaging and impression management underscore the need to alleviate internalized stigma for better mental health across human groups.

Indexed as

Mental HealthSelf ConceptSocial StigmaAdolescentAdultAgedAutistic DisorderFemaleHumansMaleMental DisordersMiddle AgedMultivariate AnalysisSex FactorsSurveys and QuestionnairesUnited StatesCamouflagingimpression managementinternalized stigmamental healthneurodivergence

Identifiers

PMID39129337
PMCPMC11528950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.