Autistic adults’ personal experiences of navigating a social world prior to and during Covid-19 lockdown in Spain

Lois Mosquera, M., Mandy, W., Pavlopoulou, G., & Dimitriou, D. (2021). Autistic adults’ personal experiences of navigating a social world prior to and during Covid-19 lockdown in Spain. Research in Developmental Disabilities, 117, 104057. https://doi.org/10.1016/j.ridd.2021.104057

Publication date: 6 Aug 2021 Added to AutiHub: 7 Aug 2026 Type: Article Article language: English

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Authors

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

Abstract

BACKGROUND: The SARS-CoV-2 coronavirus pandemic brought significant movement restrictions and national lockdowns. These drastic changes impacted routines, social life and support networks for the autistic community. AIMS: This study investigated the lived experiences of autistic adults with social expectations before and during the first Covid-19 lockdown in Spain. METHODS: A qualitative Reflexive Thematic Analysis was applied to 10 Photo Elicitation Interviews using images provided by five autistic adults. Interviews were conducted at two time points, before the pandemic and during the first lockdown. FINDINGS: Three themes before the pandemic were identified: (1) everyday interactions, (2) finding sense of belonging, and (3) fractured wellbeing, which revealed the participants' eagerness to fit in socially whilst experiencing rejection, weakening their mental health. During the first Covid-19 lockdown, two master themes were identified: (1) daily, positive experiences, and (2) surfacing failures, which emphasised an increased lived stigma as well as an ineffective autism support network, contributing to a heightened anxiety. CONCLUSIONS: The current study provides further support to the recent findings highlighting lack of appropriate mental health support for the autistic communities during the pandemic, across the world. Future research should aim to provide more data on the experiences and needs of autistic communities when sudden societal changes are imposed.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

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
50
Total cited references integrated for this publication.
Cited references with an identified autistic author
5 / 50 (10.0%)
Cited author occurrences identified as autistic
10 / 138 (7.2%)
Among occurrences linked to AutiHub author records: 10 / 59 (16.9%). Distinct cited authors identified as autistic: 8 / 119 (6.7%).
Cited author occurrences linked to AutiHub author records
59 / 138 (42.8%)
Distinct linked cited authors: 43 / 119 (36.1%)
Linked cited-author occurrences not identified as autistic
49 / 59 (83.1%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 49 / 138 (35.5%). Distinct linked cited authors not identified as autistic: 35 / 43 (81.4%).
  1. Marcus Banks , David Zeitlyn (2015). Visual Methods in Social Research . SAGE Publications Ltd.
    OpenAlex
  2. Clare Sarah Allely (2019). Understanding and recognising the female phenotype of autism spectrum disorder and the “camouflage” hypothesis: a systematic PRISMA review . Advances in Autism, 5(1), 14-37. Emerald.
    Crossref OpenAlex OpenCitations
  3. Jennifer C. Sarrett (2016). Biocertification and Neurodiversity: the Role and Implications of Self-Diagnosis in Autistic Communities . Neuroethics, 9(1), 23-36. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  4. Johanna Spiers , Jonathan A. Smith (2020). Interpretative Phenomenological Analysis . SAGE Research Methods Foundations. SAGE Publications Ltd.
    OpenAlex
  5. Marcus Banks (2001). Visual Methods in Social Research . SAGE Publications, Ltd.
    Crossref OpenAlex
  6. Elizabeth A. Bates , Joseph J. McCann , Linda K. Kaye , Julie C. Taylor (2017). “Beyond words”: a researcher’s guide to using photo elicitation in psychology . Qualitative Research in Psychology, 14(4), 459-481. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  7. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  8. Sarah Bargiela , Robyn Steward *Autistic author. Learn more… , Will Mandy (2016). The Experiences of Late-diagnosed Women with Autism Spectrum Conditions: An Investigation of the Female Autism Phenotype . Journal of Autism and Developmental Disorders, 46(10), 3281-3294. Springer Science and Business Media LLC.
    AutiHub · Autistic Scholars Crossref OpenAlex OpenCitations
  9. John L. Oliffe , Joan L. Bottorff (2007). Further Than the Eye Can See? Photo Elicitation and Research With Men . Qualitative Health Research, 17(6), 850-858. SAGE Publications.
    Crossref OpenAlex OpenCitations
  10. Alexandra Leedham , Andrew R. Thompson , Richard Smith , Megan Freeth (2020). ‘I was exhausted trying to figure it out’: The experiences of females receiving an autism diagnosis in middle to late adulthood . Autism, 24(1), 135-146. SAGE Publications.
    Crossref OpenAlex OpenCitations
  11. Elisa Bignante (2010). The use of photo-elicitation in field research . EchoGéo, 11(11). OpenEdition.
    Crossref OpenAlex OpenCitations
  12. Jonathan S Beck , Rebecca A Lundwall , Terisa Gabrielsen , Jonathan C Cox , Mikle South (2020). Looking good but feeling bad: “Camouflaging” behaviors and mental health in women with autistic traits . Autism, 24(4), 809-821. SAGE Publications.
    Crossref OpenAlex OpenCitations
  13. Iris Epstein , Bonnie Stevens , Patricia McKeever , Sylvain Baruchel (2006). Photo Elicitation Interview (PEI): Using Photos to Elicit Children's Perspectives . International Journal of Qualitative Methods, 5(3), 1-11. SAGE Publications.
    Crossref OpenAlex OpenCitations
  14. David G. Amaral , Petrus J. de Vries (2020). COVID‐19 and Autism Research: Perspectives from Around the Globe . Autism Research, 13(6), 844-869. Wiley.
    Type: Article DOI: 10.1002/aur.2329 OpenAlex: https://openalex.org/W3037983895
    Crossref OpenAlex OpenCitations
  15. Douglas Harper (2002). Talking about pictures: A case for photo elicitation . Visual Studies, 17(1), 13-26. Informa UK Limited.
    Crossref OpenAlex
  16. Ella Perry , Will Mandy , Laura Hull , Eilidh Cage (2022). Understanding Camouflaging as a Response to Autism-Related Stigma: A Social Identity Theory Approach . Journal of Autism and Developmental Disorders, 52(2), 800-810. Springer Science and Business Media LLC.
    Crossref OpenCitations
  17. Deborah K. Padgett , Bikki Tran Smith , Katie-Sue Derejko , Benjamin F. Henwood , Emmy Tiderington (2013). A Picture Is Worth...? Photo Elicitation Interviewing With Formerly Homeless Adults . Qualitative Health Research, 23(11), 1435-1444. SAGE Publications.
    Crossref OpenAlex OpenCitations
  18. Kristen Hatten , Tiago Forin , Robin Adams (2013). A picture elicits a thousand meanings: Photo elicitation as a method for in- vestigating cross-disciplinary identity development . 120th ASEE Annual Conference and Exposition.
    Type: Other OpenAlex: https://openalex.org/W2242812444
    Crossref OpenAlex
  19. Lucy Anne Livingston , Emma Colvert , the Social Relationships Study Team , Patrick Bolton , Francesca Happé (2019). Good social skills despite poor theory of mind: exploring compensation in autism spectrum disorder . Journal of Child Psychology and Psychiatry, 60(1), 102-110. Wiley.
    Crossref OpenAlex OpenCitations
  20. Virginia Braun , Victoria Clarke (2019). Reflecting on reflexive thematic analysis . Qualitative Research in Sport, Exercise and Health, 11(4), 589-597. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  21. Douglas Harper (1997). Visualizing Structure: Reading Surfaces of Social Life . Qualitative Sociology, 20(1), 57-77. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  22. Virginia Braun , Victoria Clarke (2021). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales . Qualitative Research in Sport, Exercise and Health, 13(2), 201-216. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  23. Antonio Narzisi (2020). Handle the Autism Spectrum Condition during Coronavirus (COVID-19) Stay at Home Period: Ten Tips for Helping Parents and Caregivers of Young Children . Brain Sciences, 10(4), 207. MDPI AG.
    Crossref OpenAlex OpenCitations
  24. Laura Foran Lewis (2016). Exploring the Experience of Self-Diagnosis of Autism Spectrum Disorder in Adults . Archives of Psychiatric Nursing, 30(5), 575-580. Elsevier BV.
    Crossref OpenAlex OpenCitations
  25. Eilidh Cage , Zoe Troxell-Whitman (2019). Understanding the Reasons, Contexts and Costs of Camouflaging for Autistic Adults . Journal of Autism and Developmental Disorders, 49(5), 1899-1911. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  26. Sarah Cassidy , Louise Bradley , Rebecca Shaw , Simon Baron-Cohen (2018). Risk markers for suicidality in autistic adults . Molecular Autism, 9(1), 42. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  27. Eilidh Cage , Jessica Di Monaco , Victoria Newell (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults . Journal of Autism and Developmental Disorders, 48(2), 473-484. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  28. Meng-Chuan Lai , Michael Lombardo , Amber Ruigrok , Bhismadev Chakrabarti , Bonnie Auyeung , Péter Szatmári et al. (2017). Quantifying and exploring camouflaging in men and women with autism . Autism, 21(6), 690-702. SAGE Publications.
    Crossref OpenAlex OpenCitations
  29. Laura Hull , K. V. Petrides , Carrie Allison , Paula Smith , Simon Baron-Cohen , Meng-Chuan Lai et al. (2017). “Putting on My Best Normal”: Social Camouflaging in Adults with Autism Spectrum Conditions . Journal of Autism and Developmental Disorders, 47(8), 2519-2534. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  30. Chung (2020). COVID-19 and its impact on autistic adults in the SPARK community .
    Type: Other
    Crossref
  31. Collier (1967). Visual anthropology’s contributions to the field of anthropology . Visual Anthropology, 1(37-46), 2519.
    Type: Other
    Crossref
  32. Collier (1986). Visual anthropology .
    Type: Other
    Crossref
  33. Laura Crane , Richard Batty , Hanna Adeyinka , Lorna Goddard , Lucy A. Henry , Elisabeth L. Hill (2018). Autism Diagnosis in the United Kingdom: Perspectives of Autistic Adults, Parents and Professionals . Journal of Autism and Developmental Disorders, 48(11), 3761-3772. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  34. (n.d.). Data Protection Act 2018, c. 12 Available at http://www.legislation.gov.uk/ukpga/2018/12/contents/enacted (Accessed: 3 March 2019).
    Type: Other
    Crossref
  35. Dimitriou (2020). Autistic adults are in a silent crisis in COVID-19 lockdown .
    Type: Other
    Crossref
  36. Rachel T.Y. Hong , Esther C.L. Goh (2019). Using photo elicitation interviewing to access the subjective well-being of children from poor families within an affluent Asian society: Insights for service delivery . Children and Youth Services Review, 96, 430-438. Elsevier BV.
    Crossref OpenAlex OpenCitations
  37. Will Mandy (2019). Social camouflaging in autism: Is it time to lose the mask? Autism, 23(8), 1879-1881. SAGE Publications.
    Crossref OpenAlex OpenCitations
  38. Hazel (1996). Eliciting techniques with young people .
    Type: Other
    Crossref
  39. Lucy Anne Livingston , Punit Shah , Victoria Milner , Francesca Happé (2020). Quantifying compensatory strategies in adults with and without diagnosed autism . Molecular Autism, 11(1), 15-15. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  40. Michele Kong (2021). What COVID-19 means for non-neurotypical children and their families . Pediatric Research, 89(3), 396-397. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  41. Danna Oomen , Annabel D. Nijhof , Jan R. Wiersema (2021). The psychological impact of the COVID-19 pandemic on adults with autism: a survey study across three countries . Molecular Autism, 12(1), 21-21. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  42. Georgia Pavlopoulou , Rebecca Wood , Chris Papadopoulos (2020). Impact of Covid-19 on the experiences of parents and family carers of autistic children and young people in the UK . University of Bedfordshire Repository (University of Bedfordshire).
    Type: Report OpenAlex: https://openalex.org/W3038840305
    Crossref OpenAlex
  43. Elizabeth Pellicano , Simon Brett , Jacquiline den Houting *Autistic author. Learn more… , Melanie Heyworth *Autistic author. Learn more… , Iliana Magiati , Robyn Steward *Autistic author. Learn more… et al. (2020). "I want to see my friends": the everyday experiences of autistic people and their families during COVID-19 .
    Type: Article OpenAlex: https://openalex.org/W3080468776
    Crossref OpenAlex
  44. Kristen Hatten , Tiago Forin , Robin Adams (2020). A picture elicits a thousand meanings: Photo elicitation as a method for investigating cross-disciplinary identity development . 2013 ASEE Annual Conference & Exposition Proceedings, 23.89.1-23.89.21. ASEE Conferences.
    OpenAlex
  45. Official State Bulletin (2020). Royal Decree 463/2020, March 14, declaring the state of alarm for the management of the health crisis situation caused by COVID-19 .
    Type: Other
    Crossref
  46. Samantha Brooks (2008). Qualitative Psychology: A Practical Guide to Research Methods . QMiP Bulletin, 1(6), 47-49. British Psychological Society.
    OpenAlex
  47. Smith (2007). Interpretative phenomenological analysis .
    Type: Other
    Crossref