Evidence map›Paper›PMID 40151661›Full record

ArticleAutism in adulthood2025

Understanding Camouflaging, Stigma, and Mental Health for Autistic People in Japan.

Masaki Tamura, Eilidh Cage, Ella Perry, Minako Hongo, Toru Takahashi, Mikuko Seto, Eiji Shimizu, Fumiyo Oshima

Abstract read
In one paragraph

Article in Autism in adulthood, 2025. 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. Camouflaging and autism: Conceptualisation and methodological issues.Autism : the international journal of research and practice · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  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. 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. 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

8 authors.

Masaki TamuraDepartment of Cognitive Behavioral Psychology, Chiba University Graduate School of Medicine, Chiba, Japan.ORCID https://orcid.org/0000-0003-4996-9667
Eilidh CageDivision of Psychology, Faculty of Natural Sciences, University of Stirling, Stirling, United Kingdom.ORCID https://orcid.org/0000-0001-6281-1632
Ella PerryDepartment of Psychology, Royal Holloway, University of London, Egham, United Kingdom.
Minako HongoResearch Center for Child Mental Development, Chiba University, Chiba, Japan.
Toru TakahashiFaculty of Human Sciences, Waseda University, Tokorozawa, Japan.
Mikuko SetoResearch Center for Child Mental Development, Chiba University, Chiba, Japan.
Eiji ShimizuDepartment of Cognitive Behavioral Psychology, Chiba University Graduate School of Medicine, Chiba, Japan.
Fumiyo OshimaResearch Center for Child Mental Development, Chiba University, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Camouflaging refers to behaviors in which autistic individuals mask their autistic characteristics and "pass" as non-autistic people. It is postulated that camouflaging is a response to stigma, and preliminary evidence supports this hypothesis. However, research on this topic outside of Western countries is limited. This study replicated and extended previous work in the West that examined the relationships between camouflaging, stigma, and mental health of autistic adults, with a Japanese sample. Methods: Two-hundred eighty-seven autistic people living in Japan (146 men, 120 women, 14 nonbinary, 5 other gender identities, 2 preferred not to say; mean age = 37.5 years, standard deviation = 9.8 years) completed an online survey on camouflaging, perceived stigma, coping strategies for stigma, mental well-being, generalized anxiety, social anxiety, and depression. We used hierarchical multiple regression analyses to investigate the relationships between camouflaging and stigma and coping strategies for stigma. Mediation analyses were also employed to examine whether camouflaging mediated the relationships between stigma and autistic people's mental health. Results: Replicating previous work, we found that higher camouflaging was associated with higher perceived stigma. Both coping strategies of hiding/denying and valuing/embracing stigmatized characteristics were positively related to camouflaging. Camouflaging mediated the association of stigma with depression, generalized anxiety, and social anxiety (but not well-being). Conclusions: Our findings support the hypothesis that camouflaging is closely related to autism-related stigma and can influence the impact of stigma on mental health. More work around social outreach and addressing autism-related stigma would be beneficial to reduce the negative role of camouflaging.

Indexed as

autismcamouflagingJapanmental healthsocial identity theorystigma

Identifiers

PMID40151661
PMCPMC11937760

What OpenQuestion holds

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Registered trials

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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.