Evidence map›Paper›PMID 42311563›Full record

SynthesisFrontiers in psychiatry2026

The relationship between autistic camouflaging and mental health: a scoping review.

Ellie Kiger Hodge, Katherine Kuhl Meltzoff

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

2 authors.

Ellie Kiger HodgeUniversity of California, Riverside, CA, United States.
Katherine Kuhl MeltzoffSchool of Education, University of California, Riverside, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Autistic camouflaging, also referred to as "masking" or "adaptive morphing", refers to the conscious and unconscious use of strategies to socially fit in, mimic neurotypical behavior, or suppress or "mask" ASD traits. Some studies suggested a relationship between camouflaging and poor mental health. Objective: The goal of this review is to answer the question: "What is the current state of literature regarding the relation between autistic camouflaging and mental health?" Methods: We reviewed qualitative, quantitative, and mixed-method peer-reviewed publications regarding autistic camouflaging and mental health from four databases (Google Scholar, Psychinfo, PubMed, and JSTOR). Studies needed to involve autistic participants, be an experimental or observational study, and be in English. Results of said studies relating to camouflaging and depression, anxiety, stress, mental wellbeing, or burnout were summarized with effect sizes being reported when available. Data were charted using an adapted and modified Cochrane review checklist. Results: Forty-eight studies were selected based on eligibility criteria. Results indicated a positive relationship between camouflaging and poor mental health with effect sizes ranging from small to large. Mental health issues appeared to relate more with assimilation (attempting to fit in during social settings) than with compensation (mimicking and practiced skills) or masking (actively attempting to suppress ASD traits). Results for qualitative studies indicated that the relationship between camouflaging and mental health appeared to be bidirectional. Non-autistic individuals had similar relationships between camouflaging and mental health as autistic participants. Conclusions: Given the finding that camouflaging is associated with poor mental health outcomes, and qualitative findings that it may contribute to poor mental health, caution should be taken regarding the encouraging of camouflaging behaviors, especially assimilation behaviors, by interventions. Future research is needed into these relationships, especially as said relationship was present in non-autistic samples as well.

Indexed as

ASCASDcamouflagingmaskingmental health

Identifiers

PMID42311563
PMCPMC13270291

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.