‘Feeling constantly kicked down’: A qualitative phenomenological study exploring rejection sensitivity in autistic adults

van Asselt, A., Roke, Y., Begeer, S., & Scheeren, A. (2025). ‘Feeling constantly kicked down’: A qualitative phenomenological study exploring rejection sensitivity in autistic adults. Autism, 29(11), 2703-2714. https://doi.org/10.1177/13623613251376893

Publication date: 2 Oct 2025 Added to AutiHub: 6 Aug 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
4
Publication authors identified as autistic
1 / 4 (25.0%)

Abstract

Autistic individuals are at greater risk of social rejection than non-autistic peers. On social media, adults with autism report an extreme sensitivity to social rejection. This qualitative study explored lived experiences of heightened rejection sensitivity in this population. Purposive sampling through social media was used to recruit 19 autistic adults aged 21–71 (11 women, 8 men) who self-reported heightened rejection sensitivity. Face-to-face or online semi-structured interviews were held. Interpretative phenomenological analysis was utilized to analyse the data, and synthesized member checking was conducted to ensure data accuracy. Participants described their rejection sensitivity as profoundly overwhelming, exhausting emotions and thoughts when anticipating or perceiving rejection and criticism. These responses could be accompanied by physical tension, pain and reliving past rejections. Its intensity varied greatly depending on contextual factors (e.g. baseline mood and topic of rejection) and was frequently invalidated. Identified predisposing factors included inherent autistic traits and lifelong rejection experiences. Many strategies were employed to alleviate these challenges, including therapy, with varying success. The participants’ lived experiences show that heightened rejection sensitivity can be a debilitating yet overlooked experience in autistic adults. Further quantitative research is needed to study its prevalence, predisposing factors, impact and potential interventions. Lay abstract Understanding rejection sensitivity in autistic adults: An interview study to gather insights from lived experiences Why was this study done? Autistic individuals are more likely to face rejection and criticism than non-autistic individuals. How stressful these events are can depend on their rejection sensitivity. People with higher rejection sensitivity are more anxious about being rejected, are quicker to think that they are being rejected and have stronger reactions when rejection happens. Some autistic adults on social media describe their rejection sensitivity as extreme. This study aimed to better understand how these adults with autism experience their rejection sensitivity and how it affects their daily lives. What did the researchers do? We interviewed 19 adults with autism, aged 21 to 71, who experience high rejection sensitivity. These interviews were done either face-to-face or online. After analysing the interviews, we shared the findings with participants to check if they matched their experiences. What did the researchers find? Participants described their rejection sensitivity as overwhelming and exhausting. When they felt rejected or criticized, or feared this would happen in the future, they experienced strong emotional and physical reactions, such as overthinking, tension and pain. They could also re-experience memories of past rejection or criticism during these moments. The intensity of these responses varied depending on the situation and was often dismissed by others, including healthcare professionals. Participants felt that their rejection sensitivity came from a combination of their autistic traits and lifelong experiences of being rejected. Some tried therapy or other ways to cope with their rejection sensitivity, with mixed success. What do the findings mean? This study shows that high rejection sensitivity can be a serious and often overlooked challenge for autistic adults. More research is needed to understand it better and support them with this experience.

Bibliography cited by this reference

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Bibliography inclusion overview

These indicators describe the cited bibliography imported for this publication. Cited-reference metrics use the cited-reference total as denominator. Cited-author metrics state whether they use all cited-author occurrences or only occurrences linked to authors already integrated in the AutiHub database. They use cached links between cited authors and authors integrated in the AutiHub database. Last computed: 16 Aug 2026 11:31.

Cited references
72
Total cited references integrated for this publication.
Cited references with an identified autistic author
6 / 72 (8.3%)
Cited author occurrences identified as autistic
8 / 266 (3.0%)
Among occurrences linked to AutiHub author records: 8 / 86 (9.3%). Distinct cited authors identified as autistic: 7 / 245 (2.9%).
Cited author occurrences linked to AutiHub author records
86 / 266 (32.3%)
Distinct linked cited authors: 77 / 245 (31.4%)
Linked cited-author occurrences not identified as autistic
78 / 86 (90.7%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 78 / 266 (29.3%). Distinct linked cited authors not identified as autistic: 70 / 77 (90.9%).
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