Repository logo
 

Cross-cultural variation in experiences of acceptance, camouflaging and mental health difficulties in autism: A registered report.

Published version
Peer-reviewed

Repository DOI


Type

Article

Change log

Authors

Keating, Connor Tom  ORCID logo  https://orcid.org/0000-0001-5906-1789
Hickman, Lydia 
Geelhand, Philippine 
Leung, Joan 

Abstract

Recent findings suggest that stigma and camouflaging contribute to mental health difficulties for autistic individuals, however, this evidence is largely based on UK samples. While studies have shown cross-cultural differences in levels of autism-related stigma, it is unclear whether camouflaging and mental health difficulties vary across cultures. Hence, the current study had two aims: (1) to determine whether significant relationships between autism acceptance, camouflaging, and mental health difficulties replicate in a cross-cultural sample of autistic adults, and (2) to compare these variables across cultures. To fulfil these aims, 306 autistic adults from eight countries (Australia, Belgium, Canada, Japan, New Zealand, South Africa, the United Kingdom, and the United States) completed a series of online questionnaires. We found that external acceptance and personal acceptance were associated with lower levels of depression but not camouflaging or stress. Higher camouflaging was associated with elevated levels of depression, anxiety, and stress. Significant differences were found across countries in external acceptance, personal acceptance, depression, anxiety, and stress, even after controlling for relevant covariates. Levels of camouflaging also differed across countries however this effect became non-significant after controlling for the covariates. These findings have significant implications, identifying priority regions for anti-stigma interventions, and highlighting countries where greater support for mental health difficulties is needed.

Description

Keywords

Adult, Humans, Autistic Disorder, Mental Health, Pre-Registration Publication, Cross-Cultural Comparison, Surveys and Questionnaires, Autism Spectrum Disorder

Journal Title

PLoS One

Conference Name

Journal ISSN

1932-6203
1932-6203

Volume Title

19

Publisher

Public Library of Science (PLoS)