{"title":"Contrasting two types of auditory distraction in autistic and neurotypical individuals: A preregistered study","authors":"Lejla Alikadic, Jan Philipp Röer","doi":"10.1016/j.rasd.2024.102493","DOIUrl":"10.1016/j.rasd.2024.102493","url":null,"abstract":"<div><div>Attentional control (AC) allows us to concentrate on relevant information and ignore irrelevant information. The processing of irrelevant auditory information cannot be completely suppressed, however, because of the openness of the auditory system. As a result, auditory distractors have a negative effect on a variety of different cognitive tasks. Auditory distraction in individuals with autism spectrum disorder (ASD) is of particular importance, because of differences in AC compared to neurotypical individuals. However, a systematic, adequately powered investigation has not yet been conducted. The current pre-registered study was designed to close this empirical gap using a classic and robust empirical approach. We contrasted two types of auditory distraction in adult autistic participants with at least medium intellectual and language abilities and neurotypical participants, (1) the disruptive effect of changing distractors compared to repeated distractors (i.e., the changing-state effect), and (2) the disruptive effect of a single distractor that deviates from the previous stimulus pattern (i.e., the auditory deviant effect). The weak central coherence account predicts a more pronounced changing-state effect in autistic individuals due to superior local low-level information processing, and no differences for the auditory deviant effect. The hypothesis of predictive impairment in autism predicts no differences in the changing-state effect, and a reduced auditory deviant effect due to deficits in the formation of predictions in ASD. Our results are partly consistent and partly inconsistent with these predictions. Overall, we found that autistic and neurotypical individuals are largely similar in their susceptibility to auditory distraction.</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102493"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142437848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional upper-extremity movements in autism: A narrative literature review","authors":"Shanan Sun , Nicholas E. Fears , Haylie L. Miller","doi":"10.1016/j.rasd.2024.102489","DOIUrl":"10.1016/j.rasd.2024.102489","url":null,"abstract":"<div><h3>Background</h3><div>Many autistic individuals exhibit clinically-significant motor difficulties. Previous reviews focused on overall motor ability or coordination, but with little attention paid to quantifying differences in upper extremity skills, which are critical to many activities of daily living. Our objective was to identify and evaluate the published literature on upper extremity motor skills of autistic people.</div></div><div><h3>Method</h3><div>We conducted a literature search in PubMed, Scopus, and PsycInfo for empirical research articles reporting functional upper extremity movement performance in autism. We included articles reporting results of primary data collection from autistic people published before July 10, 2024. Articles were identified and data were extracted and evaluated using EndNote and Microsoft Excel by a team of three authors.</div></div><div><h3>Results</h3><div>Our search strategy yielded 1181 unique articles. After screening these articles, the final sample included 43 empirical research articles focused on functional upper extremity movements, including pointing (<em>n</em> = 13), reaching to grasp (<em>n</em> = 18), and handwriting (<em>n</em> = 12) in autism. Across these skills, autistic people exhibited slower, more variable movements than their non-autistic counterparts.</div></div><div><h3>Conclusions</h3><div>Upper extremity movement differences in autism are likely the result of differences in motor planning and increased online monitoring of movement execution. Limitations and potential bias exist in the racial, ethnic, age, and gender diversity of available data, and in the variability of methods used to assess performance. However, the current body of literature suggests significant differences between autistic and non-autistic upper extremity movements. Slower, more variable upper extremity movements likely affect many functional difficulties experienced in autistic people’s daily lives.</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102489"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Myriam Casseus , Hannah A. Shoval , Abby J. Erasmus , JenFu Cheng
{"title":"Clinical and functional characteristics of co-occurring cerebral palsy and autism spectrum disorder among children and young adults","authors":"Myriam Casseus , Hannah A. Shoval , Abby J. Erasmus , JenFu Cheng","doi":"10.1016/j.rasd.2024.102490","DOIUrl":"10.1016/j.rasd.2024.102490","url":null,"abstract":"<div><h3>Background</h3><div>To examine clinical and functional factors associated with co-occurring cerebral palsy (CP) and autism spectrum disorder (ASD).</div></div><div><h3>Methods</h3><div>Data were collected from the electronic health records of 994 patients with CP aged 3 to 26 years (59 % males) who received services from a U.S. hospital system between January 1, 2016 and July 1, 2021. CP, ASD, and other co-occurring conditions were abstracted using International Classification of Diseases - 10th Revision (ICD-10) codes, diagnostic summaries, and clinical descriptions. Bivariate and adjusted multivariable analyses examined the association between ASD, CP type, Gross Motor Function Classification System (GMFCS) level, speech or language disorders, and mental or behavioral problems.</div></div><div><h3>Results</h3><div>Prevalence of ASD was 8.2 % among patients with CP. Patients with GMFCS levels III-V were less likely to have a diagnosis of ASD (adjusted odds ratio [AOR] = 0.21; 95 % confidence interval [CI], 0.11–0.41). However, speech or language disorders (AOR = 6.00; 95 % CI, 2.14–16.81) and mental or behavioral problems (AOR =8.79; 95 % CI, 4.99–15.49) were associated with significantly higher odds of ASD.</div></div><div><h3>Conclusions</h3><div>Children and young adults with co-occurring CP and ASD have higher prevalence of clinical and functional impairments compared with counterparts with CP without co-occurring ASD. Screening for both conditions is necessary because of the high prevalence of ASD in this population. It is also necessary to implement specialized assessment procedures to decrease the risk of misclassifying or overlooking ASD among children and young adults with CP.</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102490"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karla K. Ausderau , Brittany M. St John , Muhammad O. Al-Heizan , Caitlin Dammann , Sarah Chaudoir , John Sideris
{"title":"Factor analysis of the feeding and eating in AutiSm Together Assessment","authors":"Karla K. Ausderau , Brittany M. St John , Muhammad O. Al-Heizan , Caitlin Dammann , Sarah Chaudoir , John Sideris","doi":"10.1016/j.rasd.2024.102469","DOIUrl":"10.1016/j.rasd.2024.102469","url":null,"abstract":"<div><h3>Background</h3><p>Autistic children experience high rates of feeding challenges, negatively affecting their.health, eating patterns, and social eating experiences. The Feeding and Eating in AutiSm Together; FEAST, a caregiver-report questionnaire, was developed to characterize feeding challenges in autistic children ages 2 to 12 years. The purpose of this study is to determine the construct validity of the FEAST assessment using a large national sample of autistic children.</p></div><div><h3>Method</h3><p>A large national sample (N = 396) of caregivers completed the online survey. An ordinal confirmatory factor model using a robust weighted least squares approach validated the four predicted groupings of feeding challenges (sensory processing; behavior; oral.motor skills; and gastrointestinal) with generally strong loadings onto the four distinct.factors.</p></div><div><h3>Results</h3><p>Model fit statistics indicated good model fit (Robust Root Mean Square Error of.Approximation=.080, Robust Comparative Fit Index =.909, Robust Tucker-Lewis.Index=.901) Findings provide preliminary confirmation of the construct validity of the.FEAST assessment to characterize feeding difficulties for autistic children ages 2–12. Small to medium correlations between all factors indicate items successfully targeted.four unique areas of feeding challenge. For all factors, the largest correlation was with.behavior.</p></div><div><h3>Conclusion</h3><p>Assessments developed to address the complex feeding and mealtime challenges for.autistic children are essential to identify and integrate the most appropriate intervention.approaches. FEAST offers researchers and clinicians with a comprehensive and psychometrically sound assessment tool to address autistic children’s unique feeding.challenges.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102469"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gülsevim Oda , Deniz Ece Kaya , Tuba Bilbay Kaynar , Emine Nursen Topcuoğlu , Murat Coşkun , Gamze Aren
{"title":"Comparison of the oral microbiota of children with autism spectrum disorder in primary dentition with neurotypical controls","authors":"Gülsevim Oda , Deniz Ece Kaya , Tuba Bilbay Kaynar , Emine Nursen Topcuoğlu , Murat Coşkun , Gamze Aren","doi":"10.1016/j.rasd.2024.102480","DOIUrl":"10.1016/j.rasd.2024.102480","url":null,"abstract":"<div><h3>Background</h3><p>The number of studies suggesting differences in oral microbiota in autism spectrum disorders (ASDs) is increasing. However, the relationship between oral microbiota and ASD has not been determined. Therefore, this study aimed to examine the oral microbiota of children with ASD compared with neurotypical controls.</p></div><div><h3>Method</h3><p>Nine boys with a diagnosis of ASD according to the Diagnostic and Statistical Manual of the American Psychiatric Association, Fifth Edition who were aged 36 to 60 months (44 ± 6.34), and nine neurotypical age-matched boys were included in the study. After detailed clinical examinations, saliva samples were collected. DNA from the samples was investigated by high-throughput sequencing of the 16S rRNA gene. The Childhood Autism Rating Scale was used to assess the severity of ASD in the case group.</p></div><div><h3>Results</h3><p>An analysis of alpha and beta diversity indexes and principal coordinate analysis revealed no significant differences between ASD and neurotypical controls nor were there significant differences in the relative abundance of the phyla and genera between the two groups. However, the distribution of operational taxonomic units (with a relative abundance> 1 %) for Bacillales, <em>Granulicatella elegans</em>, Micrococcaceae, Micrococcales, <em>Neisseria zalophi</em>, <em>S. anginosus SK52 = DSM 2563</em>, <em>S. cristatus AS 1.389</em>, <em>S. mitis</em>, <em>S. oralis</em> subsp. <em>dentisani</em> and <em>S. pneumoniae</em> were significantly higher in the ASD group (p < 0.05).</p></div><div><h3>Conclusions</h3><p>Differences in the relative abundance of some taxa in the saliva of children with ASD compared with neurotypical controls were found. Further studies are needed to understand the relationship between oral microbiota and ASD.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102480"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognitive and emotional empathy in neurotypical individuals with high autistic traits: The role of emotional valence","authors":"Yixin Jiang , Shuo Liu , Qi Cheng , Yongning Song","doi":"10.1016/j.rasd.2024.102486","DOIUrl":"10.1016/j.rasd.2024.102486","url":null,"abstract":"<div><h3>Background</h3><div>Empathy is an important ability in social interactions, and previous findings regarding empathy of high autistic traits (AT) have been mixed.</div></div><div><h3>Method</h3><div>The current study sought to investigate cognitive empathy (CE) and emotional empathy (EE) in neurotypical individuals with high AT, examining their responses to both positive and negative emotions in comparison to a matched control group within a sizable sample. Participants were 908 young Chinese adults in the neurotypical range who self-reported their AT using the Autism Quotient and Broad Autism Phenotype Questionnaire and then completed the Multifaceted Empathy Test.</div></div><div><h3>Results</h3><div>The results showed that the high AT group exhibited less CE, lower EE for positive emotions (EE-P), and intact EE for negative emotions (EE-N) compared to the low AT group. Except for EE-N, other empathic components were positively correlated with AT. The CE-P (i.e., cognitive empathy for positive emotions), CE-N (i.e., cognitive empathy for negative emotions), and EE-P showed a significantly moderate discriminatory effect in predicting AT in neurotypical adults.</div></div><div><h3>Conclusions</h3><div>Together, these results underscore that the performance on empathy of neurotypical individuals with high AT was moderated by emotional valence of stimuli. Specifically, neurotypical adults with high AT showed a general reduction in CE and a selective decrease in EE. Their EE-P was lower but EE-N was intact.</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102486"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xudong Zhao , Wenrui Li , Aijia Xu , Xintong Li , Wendian Shi
{"title":"Atypical dynamic trust learning in individuals with high autistic traits in a multi-round trust game with multiple trustworthiness cues","authors":"Xudong Zhao , Wenrui Li , Aijia Xu , Xintong Li , Wendian Shi","doi":"10.1016/j.rasd.2024.102481","DOIUrl":"10.1016/j.rasd.2024.102481","url":null,"abstract":"<div><h3>Background</h3><p>Understanding the trust-building process, especially in contexts requiring the integration of multiple trustworthiness cues, is a fundamental aspect of social interactions among individuals with high autistic traits (ATs). It can offer valuable insights into the social functioning of these individuals.</p></div><div><h3>Method</h3><p>Participants with high and low ATs (N = 120; 30 in each group for two experiments) completed a 10-round trust game that embedded various trustworthiness cues, including reputation, advice (Experiment 1 = direct advice; Experiment 2 = social-emotional advice), and reciprocity. Linear mixed-effects models with investment rates as the dependent variable were used to analyze the data.</p></div><div><h3>Results</h3><p>Methodologically, the experimental results elucidated the fundamental characteristics of dynamic trust formation within the context of multidimensional trust information. Furthermore, High-AT individuals showed assigned less weight to reciprocity but relied heavily on reputation, and exhibited maladaptive advice-taking. Unlike low-AT individuals, high-AT individuals did not adaptively reduce reputational effect over rounds.</p></div><div><h3>Conclusions</h3><p>Our findings highlight the unique challenges faced by individuals with high ATs when navigating complex social interactions.</p></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102481"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sadiq Naveed , Adam A. Dmytriw , Sherief Ghozy , Sara Morsy
{"title":"Genetic networks suggest Asperger’s syndrome as a distinct subtype of autism spectrum disorders.","authors":"Sadiq Naveed , Adam A. Dmytriw , Sherief Ghozy , Sara Morsy","doi":"10.1016/j.rasd.2024.102484","DOIUrl":"10.1016/j.rasd.2024.102484","url":null,"abstract":"<div><h3>Background</h3><div>The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) issued new diagnostic criteria for autism spectrum disorders (ASD) which resulted in missing the diagnosis of some cases of Asperger’s syndrome (AS). This negatively affected the support received by those affected. In this study, we explored if AS could be biologically stratified from the broader spectrum through a gene co-expression network preservation analysis.</div></div><div><h3>Methods</h3><div>We analysed the GEO microarray data of 24 individuals with Asperger’s syndrome and 72 individuals with autism. Then, we used a weighted gene co-expression network (WGCNA) pipeline to construct gene co-expression networks. We explored whether these modules share the same co-expression patterns between autism and Asperger’s syndrome using network preservation analysis.</div></div><div><h3>Results</h3><div>Our results showed that all co-expression modules of autism are preserved into the Asperger’s syndrome. However, three modules of Asperger’s syndrome out of 30 modules were not preserved in autism.</div><div>Gene enrichment analysis revealed that these modules were involved in chromatin remodelling, immune and neuroinflammatory response, synaptic and neuronal development. Brain enrichment analysis showed significant downregulation of neurodevelopment genes in different brain regions associated with impaired social recognition in Asperger’s syndrome.</div></div><div><h3>Conclusions</h3><div>The identified genetic and molecular profiles suggest that Asperger’s syndrome, despite sharing numerous similarities with autism, possesses a distinct genetic profile that makes it a distinct subtype of autism. This distinction could have significant implications for the management and treatment strategies tailored to individuals with Asperger’s syndrome.</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102484"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142324098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaitlin H. Koffer Miller , Dylan S. Cooper , Sha Tao , David S. Mandell , Robert I. Field , Lindsay L. Shea
{"title":"\"Everyone should at least get a Kia\": Policymaker perspectives on equity of Medicaid among transition age autistic youth","authors":"Kaitlin H. Koffer Miller , Dylan S. Cooper , Sha Tao , David S. Mandell , Robert I. Field , Lindsay L. Shea","doi":"10.1016/j.rasd.2024.102482","DOIUrl":"10.1016/j.rasd.2024.102482","url":null,"abstract":"<div><h3>Background</h3><div>This study examined the challenges faced by transition age autistic youth in accessing Medicaid services, considering the historical focus on children in autism research and services. The study aimed to explore Medicaid enrollment and support for this population.</div></div><div><h3>Method</h3><div>The study involved Medicaid and Protection & Advocacy (P&A) representatives from states with varying performance levels in eligibility, access, and service use. Discussions with experts focused on waivers, Early, Periodic, Screening, Detection, and Treatment (EPSDT), and barriers to service access.</div></div><div><h3>Results</h3><div>The findings highlighted the need to improve service access for transition age autistic youth. States identified the importance of maximizing EPDST utilization before aging out of childhood systems and pursuing waiver enrollment. These insights emphasized the significance of addressing service gaps during the transition to adulthood.</div></div><div><h3>Conclusions</h3><div>The study's implications for practice are substantial. Policymakers and service providers must acknowledge the limitedservice access for autistic individuals as they transition from child systems. The study emphasized the value of strategies like maximizing EPDST utilization and pursuing waivers to ensure ongoing support for autistic youth during their transition to adulthood. By addressing these challenges, practitioners can better meet the needs of transition age autistic individuals and facilitate their access to essential services.</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102482"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valeria Khudiakova, Emmeline Russell, Sophie Sowden-Carvalho, Andrew D.R. Surtees
{"title":"A systematic review and meta-analysis of mental health outcomes associated with camouflaging in autistic people","authors":"Valeria Khudiakova, Emmeline Russell, Sophie Sowden-Carvalho, Andrew D.R. Surtees","doi":"10.1016/j.rasd.2024.102492","DOIUrl":"10.1016/j.rasd.2024.102492","url":null,"abstract":"<div><h3>Background</h3><div>This systematic review and meta-analysis aimed to assess the strength and quality of the evidence for the relationship between camouflaging and its potential outcomes in autistic people. With the worryingly high proportions of autistic people experiencing mental illness and suicidality, it is important to understand whether camouflaging is a risk factor in that population.</div></div><div><h3>Methods</h3><div>Searches of five databases (Web of Science, MEDLINE, PsycINFO, Embase, ProQuest Dissertations & Theses) yielded 16 studies eligible for a meta-analysis using correlations and six additional studies eligible for a narrative review, with 5897 autistic participants in total. Risk of bias was assessed for all studies using a bespoke tool. Based on the 16 studies eligible for the meta-analysis, we computed meta-correlations between camouflaging and anxiety, depression, social anxiety, and psychological wellbeing, using a random-effects model. Meta-regressions examined if study effect sizes were moderated by study quality, participants’ mean age, and proportions of female and clinically diagnosed participants. <strong>Results:</strong></div><div>We found significant moderate positive relationships between camouflaging and anxiety/generalised anxiety, depression, and social anxiety and a significant small negative relationship between camouflaging and mental wellbeing. There was no significant moderating effect of the aforementioned variables on study effect sizes.</div></div><div><h3>Discussion</h3><div>All of the studies were underpowered to detect small effects, and many used insufficiently validated measures. The established link between camouflaging and mental health difficulties is discussed with reference to future research and clinical practice. Longitudinal studies should also aim to establish causality.</div></div><div><h3>Other</h3><div>There was no funding associated with this review. The researchers have no conflicts of interest to disclose. The review was preregistered on PROSPERO (REDACTED FOR ANONYMISED PEER REVIEW).</div></div>","PeriodicalId":48255,"journal":{"name":"Research in Autism Spectrum Disorders","volume":"118 ","pages":"Article 102492"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}