Assessing Camouflaging in the Spanish Population: Cultural Adaptation of the Camouflaging Autistic Traits Questionnaire for Spain

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Lois Mosquera, M., Zubizarreta, S. C. P., Fungueiriño, M. T., Navarro, M. A., Hull, L., Álvarez, A. C., Gafo, B. G., & Prieto, M. F. (2022). Assessing Camouflaging in the Spanish Population: Cultural Adaptation of the Camouflaging Autistic Traits Questionnaire for Spain [Preprint]. Research Square Platform LLC. https://doi.org/10.21203/rs.3.rs-2048328/v1

Publication date: 13 Sep 2022 Added to AutiHub: 7 Aug 2026 Type: Preprint Article language: English
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Authors

Publication authors
8
Publication authors identified as autistic
1 / 8 (12.5%)
  1. Miguel Lois Mosquera *
  2. Sabela Conde-Pumpido Zubizarreta
  3. María Tubío Fungueiriño
  4. María Alemany Navarro
  1. Laura Hull
  2. Angel Carracedo Álvarez
  3. Berta Gándara Gafo
  4. Montse Fernández Prieto

Abstract

Abstract Purpose: Misdiagnosis or late diagnosis in Autism Spectrum Disorder (ASD), especially for women without intellectual disability, has been partly attributed to camouflaging. However, in Spain there is a need for culturally adapted tools with gender perspective when assessing autism. Therefore, the main object of this study was to adapt the Camouflaging Autistic Traits Questionnaire (CAT-Q) for use in the Spanish population. Method: A internationally established method for cultural adaptations was carried out. The procedure consisted of direct and back translation process, cognitive interviews in 7 participants from 16 years old diagnosed with ASD living in Spain and a linguistic expert review. Results: The translation process resulted in a tool culturally adapted to the Spanish population. Cognitive interviews revealed no serious difficulties, with only 3 problematic items. Conclusion: The CAT-Q-Spanish is conceptually and semantically equivalent to the original tool and provides a camouflage measure for Spanish adolescents and adults diagnosed with ASD.

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Cited references
43
Total cited references integrated for this publication.
Cited references with an identified autistic author
5 / 43 (11.6%)
Cited author occurrences identified as autistic
6 / 257 (2.3%)
Among occurrences linked to AutiHub author records: 6 / 100 (6.0%). Distinct cited authors identified as autistic: 6 / 192 (3.1%).
Cited author occurrences linked to AutiHub author records
100 / 257 (38.9%)
Distinct linked cited authors: 62 / 192 (32.3%)
Linked cited-author occurrences not identified as autistic
94 / 100 (94.0%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 94 / 257 (36.6%). Distinct linked cited authors not identified as autistic: 56 / 62 (90.3%).
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