Does Camouflaging Cause Reduced Quality of Life? A Co-Twin Control Study.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2024-10-12 DOI:10.1007/s10803-024-06583-0
Karl Lundin Remnélius, Janina Neufeld, Johan Isaksson, Sven Bölte
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Abstract

Camouflaging has been proposed to have a detrimental effect on quality of life, yet previous research has not accounted sufficiently for potential confounding by genetic and shared environmental factors. The current study utilized a co-twin control design providing stringent control for a range of confounders to investigate the hypothesis that camouflaging autistic traits has a negative impact on quality of life. The sample included 140 individual twins from 42 monozygotic (MZ) and 28 dizygotic (DZ) twin-pairs, enriched for participants with neurodevelopmental conditions including 22 autistic participants. All twins provided self-reports of camouflaging and quality of life. Autistic participants and specifically autistic females displayed increased camouflaging behaviors compared to non-autistic participants. Across the sample, higher levels of camouflaging were associated with reduced quality of life, surviving adjustment for confounding effects of autistic traits, ADHD, sex, and age. Within DZ- as well as MZ-pairs, which provide the highest level of control for unmeasured confounders, twins who camouflaged more reported lower quality of life compared to their co-twins, consistent with a causal influence of camouflaging on quality of life. Our results strengthen previous claims purporting camouflaging behaviors as a risk factor for reduced quality of life.

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伪装会降低生活质量吗?双生子对照研究
有人认为伪装会对生活质量产生不利影响,但以往的研究并未充分考虑遗传和共同环境因素的潜在混杂因素。本研究采用同卵双生子对照设计,对一系列混杂因素进行严格控制,以研究伪装自闭症特征对生活质量有负面影响的假设。样本包括来自 42 对单卵(MZ)双胞胎和 28 对双卵(DZ)双胞胎的 140 名个体,其中包括 22 名自闭症患者。所有双胞胎都提供了关于伪装和生活质量的自我报告。与非自闭症参与者相比,自闭症参与者,特别是女性自闭症参与者的伪装行为有所增加。在对自闭症特征、多动症、性别和年龄的混杂影响进行调整后,整个样本的伪装程度越高,生活质量越低。在对未测量混杂因素进行最高级别控制的 DZ 对和 MZ 对中,与同卵双胞胎相比,伪装程度越高的双胞胎生活质量越低,这与伪装对生活质量的因果影响是一致的。我们的研究结果加强了之前关于伪装行为是生活质量下降风险因素的说法。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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