THE INFLUENCE OF SEX, GENDER IDENTITY AND DIAGNOSIS TIME ON SOCIAL CAMOUFLAGE ON AUTISM

Authors

Keywords:

Autism Spectrum Disorder, Late Diagnosis, Social Camouflage

Abstract

Social camouflage refers to a strategy, conscious or unconscious, used by individuals with Autism Spectrum Disorder to fit into social contexts, involving the act of disguising typical autistic behaviors. The aim of this study was to investigate the roles of sex, gender identity (gender diverse versus cisgender), and the timing of diagnosis (before or after the age of 21), as well as the interactions between these factors, in 28 Brazilian adults diagnosed with autism, using the assimilation, compensation, and masking subscales of the Camouflaging Autistic Traits Questionnaire. Participants who scored higher on the questionnaire were female, non-heterosexual, gender diverse, with incomplete higher education, and diagnosed after the age of 21. None of the investigated variables appeared to differently impact social camouflage strategies or the subclasses of compensation, masking, and assimilation. These results differ from what has been presented in the American literature. This difference may be due to cultural issues and distinct understandings and acceptance of autism between Brazilians and Americans.

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Author Biographies

Nassim Chamel Elias, Universidade Federal de São Carlos

Doutor em Educação Especial. Universidade Federal de São Carlos/Departamento de Psicologia, São Carlos (SP), Brasil.  Membro do grupo de pesquisa Análise do Comportamento Humano e Educação Especial.

Bianca Fernandes Cassaguerra, Universidade Federal de São Carlos

Graduada em Psicologia. Universidade Federal de São Carlos/Departamento de Psicologia, São Carlos (SP), Brasil. Membro do grupo de pesquisa Análise do Comportamento Humano e Educação Especial.

References

AMERICAN PSYCHIATRIC ASSOCIATION. Diagnostic and statistical manual of mental disorders. 5th ed. 2013. Disponível em: https://doi.org/10.1176/appi.books.9780890425596. Acesso em: 3 jan. 2025.

ATTWOOD, Tony. The complete guide to Asperger’s syndrome. Jessica Kingsley, 2007.

CHAHBOUN, Salim; STENSENG, Frode; PAGE, André G. The changing faces of autism: The fluctuating international diagnostic criteria and the resulting inclusion and exclusion—A Norwegian perspective. Frontiers in Psychiatry, v. 13, p. 787893, 2022. Disponível em: https://doi.org/10.3389/fpsyt.2022.787893. Acesso em: 3 jan. 2025.

COOK, Julia; HULL, Laura; CRANE, Laura; MANDY, William. Camouflaging in autism: A systematic review. Clinical Psychology Review, v. 89, p. 102080, 2021. Disponível em: https://doi.org/10.1016/J.CPR.2021.102080. Acesso em: 3 jan. 2025.

DUVEKOT, Jorieke; VAN DER ENDE, Jan; VERHULST, Frank C.; SLAPPENDEL, Gerda; VAN DAALEN, Emma; MARAS, Athanasios; GREAVES-LORD, Karen. Factors influencing the probability of a diagnosis of autism spectrum disorder in girls versus boys. Autism: the international journal of research and practice, v. 21, n. 6, p. 646–658, 2017. Disponível em: https://doi.org/10.1177/1362361316672178. Acesso em: 3 jan. 2025.

HELLENDOORN, Afra; WIJNROKS, Loes; VAN DAALEN, Emma; DIETZ, Corina; BUITELAAR, Jan K.; LESEMAN, Paul. Motor functioning, exploration, visuospatial cognition and language development in preschool children with autism. Research in Developmental Disabilities, v. 39, p. 32–42, 2015. Disponível em: https://doi.org/10.1016/j.ridd.2014.12.033. Acesso em: 3 jan. 2025.

HULL, Laura; LEVY, Lauren; LAI, Meng-Chuan; PETRIDES, K. V.; BARON-COHEN, Simon; ALLISON, Carrie; SMITH, Paula; MANDY, William. Is social camouflaging associated with anxiety and depression in autistic adults? Molecular Autism, v. 12, n. 1, p. 1–13, 2021. Disponível em: https://doi.org/10.1186/s13229-021-00421-1. Acesso em: 3 jan. 2025.

HULL, Laura; MANDY, William; LAI, Meng-Chuan; BARON-COHEN, Simon; ALLISON, Carrie; SMITH, Paula; PETRIDES, Konstantinos V. Development and validation of the Camouflaging Autistic Traits Questionnaire (CAT-Q). Journal of Autism and Developmental Disorders, v. 49, n. 3, p. 819–833, 2019. Disponível em: https://doi.org/10.1007/s10803-018-3792-6. Acesso em: 3 jan. 2025.

HULL, Laura; PETRIDES, Konstantinos V.; MANDY, William. The Female Autism Phenotype and Camouflaging: A Narrative Review. Review Journal of Autism and Developmental Disorders, v. 7, p. 306–317, 2020. Disponível em: https://doi.org/10.1007/s40489-020-00197-9. Acesso em: 3 jan. 2025.

LAI, Meng-Chuan; LOMBARDO, Michael V.; AUYEUNG, Bonnie; CHAKRABARTI, Bhismadev; BARON-COHEN, Simon. Sex/gender differences and autism: Setting the scene for future research. Journal of the American Academy of Child & Adolescent Psychiatry, v. 54, n. 1, p. 11–24, 2015. Disponível em: https://doi.org/10.1016/j.jaac.2014.10.003. Acesso em: 3 jan. 2025.

LOO, Benedict R. Y.; TEO, Terry J. Y.; LIANG, Mei J.; LEONG, De-Jie; TAN, Daniel W.; ZHUANG, Shiqi; HULL, Laura; LIVINGSTON, Lucy A.; MANDY, William; HAPPÉ, Francesca; MAGIATI, Iliana. Exploring autistic adults’ psychosocial experiences affecting beginnings, continuity and change in camouflaging over time: A qualitative study in Singapore. Autism, v. 28, n. 3, p. 627–643, 2024. Disponível em: https://doi.org/10.1177/13623613231180075. Acesso em: 3 jan. 2025.

MAZEFSKY, Carla A.; HERRINGTON, John; SIEGEL, Matthew; SCARPA, Angela; MADDOX, Brenna B.; SCAHILL, Lawrence; WHITE, Susan W. The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, v. 52, n. 7, p. 679–688, 2013. Disponível em: https://doi.org/10.1016/j.jaac.2013.05.006. Acesso em: 3 jan. 2025.

MCQUAID, Gemma A.; LEE, Noelle R.; WALLACE, Gregory L. Camouflaging in autism spectrum disorder: Examining the roles of sex, gender identity, and diagnostic timing. Autism, v. 26, n. 2, p. 552–559, 2022. Disponível em: https://doi.org/10.1177/13623613211042131. Acesso em: 3 jan. 2025.

MILNER, Victoria; MANDY, William; HAPPÉ, Francesca; COLVERT, Emma. Sex differences in predictors and outcomes of camouflaging: Comparing diagnosed autistic, high autistic trait and low autistic trait young adults. Autism, v. 27, n. 2, p. 402–414, 2023. Disponível em: https://doi.org/10.1177/13623613221098240. Acesso em: 3 jan. 2025.

SHATTUCK, Paul T.; DURKIN, Maureen; MAENNER, Matthew; NEWSCHAFFER, Craig; MANDELL, David S.; WIGGINS, Lisa; LEE, Li-Ching; RICE, Catherine; GIARELLI, Eva; KIRBY, Russell; BAIO, Jon; PINTO-MARTIN, Jennifer; CUNIFF, Catherine. Timing of identification among children with an autism spectrum disorder: findings from a population-based surveillance study. Journal of the American Academy of Child and Adolescent Psychiatry, v. 48, n. 5, p. 474–483, 2009. Disponível em: https://doi.org/10.1097/CHI.0b013e31819b3848. Acesso em: 3 jan. 2025.

SIGAFOOS, Jeff; SCHLOSSER, Ralf W.; O’REILLY, Mark F.; LANCIONI, Giulio E. Verbal language and communication. In: LUISELLI, James K. (Org.). Teaching and behavior support for children and adults with Autism Spectrum Disorder: A practitioner’s guide. Oxford University Press, 2011.

SILVA, Nádia I. da. Relação entre hábito alimentar e síndrome do espectro autista. 2011. Dissertação (Mestrado em Ciências e Tecnologia de Alimentos)—Universidade de São Paulo, Escola Superior de Agricultura “Luiz de Queiroz”.

TAFLA, Tabitha L.; TEIXEIRA, Marcia C. T. V.; WOODCOCK, Kate A.; SOWDEN-CARVALHO, Sheila. Autism spectrum disorder diagnosis across cultures: Are diagnoses equivalent? Neurodiversity, v. 2, 2024. Disponível em: https://doi.org/10.1177/27546330241226811. Acesso em: 3 jan. 2025.

WALSH, Rachel J.; KRABBENDAM, Lysanne; DEWINTER, Jorien; BEGEER, Sander. Brief Report: Gender Identity Differences in Autistic Adults: Associations with Perceptual and Socio-cognitive Profiles. Journal of Autism and Developmental Disorders, v. 48, p. 4070–4078, 2018. Disponível em: https://doi.org/10.1007/s10803-018-3702-y. Acesso em: 3 jan. 2025.

WARRIER, Varun; GREENBERG, David M.; WEIR, Elizabeth; BUCKINGHAM, Charlotte; SMITH, Paula; LAI, Meng-Chuan; ALLISON, Carrie; BARON-COHEN, Simon. Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nature Communications, v. 11, n. 1, p. 3959, 2020. Disponível em: https://doi.org/10.1038/s41467-020-17794-1. Acesso em: 3 jan. 2025.

WESTWOOD, Hannah; TCHANTURIA, Kate. Autism Spectrum Disorder in Anorexia Nervosa: An Updated Literature Review. Current Psychiatry Reports, v. 19, n. 7, p. 41, 2017. Disponível em: https://doi.org/10.1007/s11920-017-0791-9. Acesso em: 3 jan. 2025.

Published

2025-04-30

How to Cite

Elias, N. C. ., & Cassaguerra, B. F. . (2025). THE INFLUENCE OF SEX, GENDER IDENTITY AND DIAGNOSIS TIME ON SOCIAL CAMOUFLAGE ON AUTISM. Revista Saber Incluir, 3(1). https://doi.org/10.24065/rsi.v3i1.3001