伪装与自闭症谱系障碍:系统综述

Ajla Bukva, Daria Zecevic
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引用次数: 0

摘要

为了适应环境,满足社会规范,并增加创造成功人际交往的机会,自闭症谱系障碍(以下简称ASD)患者经常试图制定应对策略,其中一种策略就是伪装。伪装可以被看作是一种个人试图隐藏他们个性中不那么令人满意的方面的方式。本研究的目的是通过对相关文献的回顾,确定在自闭症谱系障碍个体中伪装表现的性别差异,确定伪装对心理健康的影响,以及伪装的原因和后果。通过检索SCOPUS数据库,应用自闭症谱系障碍和伪装领域出版物的纳入和排除标准,本综述共纳入和分析了10篇出版物。结果表明,与男性患者相比,女性ASD患者的伪装水平更高。除此之外,人们还发现伪装与心理健康问题有关。结果显示,女性自闭症患者比男性自闭症患者更支持常规理由。对伪装后果的研究结果表明,伪装自己的ASD患者最常感到不快乐,因为他们认为伪装自己的真实身份和个性是在撒谎,是在欺骗自己的真实身份。此外,研究表明,由于伪装,ASD患者并没有遇到“自闭症患者”的刻板印象,然而,这造成了负面后果,如延迟或质疑他们的ASD诊断,特别是在女性/性别的ASD患者中。
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CAMOUFLAGING AND AUTISM SPECTRUM DISORDER: SYSTEMATIC REVIEW
In order to fit into the environment, satisfy social norms, and increase the opportunities of creating successful interpersonal interactions, individuals with autism spectrum disorder (hereinafter referred to as ASD) often try to develop coping strategies, and one such strategy is camouflaging. Camouflaging can be seen as a way in which individuals try to hide the less desirable aspects of their personality. The aim of this review was to determine the sex/gender differences in the representation of camouflaging in individuals with ASD by reviewing the relevant literature, to determine the impact of camouflaging on mental health, as well as the reasons and consequences of the camouflaging. By searching the SCOPUS database and after applying inclusion and exclusion criteria for publications in the field of autism spectrum disorder and camouflaging, a total of 10 publications were included and analyzed in the current review. Results show that individuals of the female sex/gender with ASD report higher levels of camouflaging compared to individuals of the male sex/gender with ASD. In addition to the above, it has been found that camouflaging is associated with mental health challenges. The results showed that individuals of the female sex/gender with ASD were more supportive of conventional reasons than individuals of the male sex/ gender with ASD. The results of research on the consequences of camouflaging show that people with ASD who camouflage themselves most often feel unhappy because they perceive camouflaging their true identity and personality as lying and deceiving about who they really are. Also, research indicates that thanks to camouflaging, individuals with ASD did not encounter the stereotype of “autistic person”, however, this caused negative consequences such as delaying or questioning their diagnosis of ASD, especially in individuals of female sex/gender with ASD.
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