The association between social camouflage and mental health among autistic people in Japan and the UK: a cross-cultural study

IF 6.3 1区 医学 Q1 GENETICS & HEREDITY Molecular Autism Pub Date : 2024-01-04 DOI:10.1186/s13229-023-00579-w
Fumiyo Oshima, Toru Takahashi, Masaki Tamura, Siqing Guan, Mikuko Seto, Laura Hull, William Mandy, Kenji Tsuchiya, Eiji Shimizu
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Abstract

To examine the relationship between social camouflage and mental health in Japanese autistic adults and make an international comparison with a sample from the UK. This study analysed secondary data of participants with a self-reported diagnosis of autism from Japan (N = 210; 123 men and 87 women) and the UK (N = 305; 181 women, 104, men, and 18 nonbinary). The relationships between the quadratic term of the Camouflaging Autistic Traits Questionnaire and mental health scales, including depression and anxiety, were assessed. The UK sample showed linear relationships, whereas the Japanese sample showed significant nonlinear relationships. The quadratic terms of the Camouflaging Autistic Traits Questionnaire slightly explained generalised anxiety (β = .168, p = .007), depression (β = .121, p = .045), and well-being (β = − .127, p = .028). However, they did not explain the association between social anxiety and the Camouflaging Autistic Traits Questionnaire. Participants had self-reported diagnoses, and while the autism-spectrum quotient provides a cut-off value for screening, it does not enable confirming diagnoses. Mean scores of the Japanese version of the Camouflaging Autistic Traits Questionnaire were lower as compared to the original CAT-Q, which implies that the social camouflage strategy types used by autistic people in Japan and the UK could differ. The cross-sectional design limits causal inferences. In the UK, more social camouflage was associated with poorer mental health scores, whereas too little or too much social camouflage was associated with a low mental health score in Japan. The Japanese population is seemingly less aware of and educated on autistic characteristics and considers ‘average’ behaviour a good thing. This could influence Japanese autistic people’s social camouflage use, differing from that of autistic people in the UK. The differences in the relationship between social camouflage and mental health between Japan and the UK could be associated with national-level divergence regarding the culture of autism.
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日本和英国自闭症患者的社交伪装与心理健康之间的关系:一项跨文化研究
研究日本成年自闭症患者的社交伪装与心理健康之间的关系,并与英国样本进行国际比较。本研究分析了来自日本(210 人,其中男性 123 人,女性 87 人)和英国(305 人,其中女性 181 人,男性 104 人,非二元性 18 人)的自我报告诊断为自闭症的参与者的二手数据。我们评估了伪装自闭症特征问卷的二次项与心理健康量表(包括抑郁和焦虑)之间的关系。英国样本显示出线性关系,而日本样本则显示出显著的非线性关系。伪装自闭症特质问卷的二次项略微解释了广泛焦虑(β = .168,p = .007)、抑郁(β = .121,p = .045)和幸福感(β = - .127,p = .028)。然而,它们并不能解释社交焦虑与伪装自闭症特征问卷之间的关联。虽然自闭症谱系商数为筛查提供了一个临界值,但并不能用于确诊。日语版自闭症特征伪装问卷的平均得分低于原版CAT-Q问卷,这意味着日本和英国的自闭症患者使用的社交伪装策略类型可能有所不同。横断面设计限制了因果推论。在英国,更多的社交伪装与较差的心理健康得分有关,而在日本,太少或太多的社交伪装与较低的心理健康得分有关。日本人对自闭症特征的了解和教育似乎较少,并认为 "一般 "行为是件好事。这可能会影响日本自闭症患者对社交伪装的使用,与英国自闭症患者不同。日本和英国在社会伪装和心理健康之间的关系差异可能与自闭症文化方面的国家级差异有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Molecular Autism
Molecular Autism GENETICS & HEREDITY-NEUROSCIENCES
CiteScore
12.10
自引率
1.60%
发文量
44
审稿时长
17 weeks
期刊介绍: Molecular Autism is a peer-reviewed, open access journal that publishes high-quality basic, translational and clinical research that has relevance to the etiology, pathobiology, or treatment of autism and related neurodevelopmental conditions. Research that includes integration across levels is encouraged. Molecular Autism publishes empirical studies, reviews, and brief communications.
期刊最新文献
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