Self-compassion as an antidote to self-stigma and shame in autistic adults

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Riebel, M., Bureau, R., Rohmer, O., Clément, C., & Weiner, L. (2025). Self-compassion as an antidote to self-stigma and shame in autistic adults. Autism, 29(6), 1569-1584. https://doi.org/10.1177/13623613251316965

Publication date: 17 Feb 2025 Added to AutiHub: 11 Sep 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
5
Publication authors identified as autistic
1 / 5 (20.0%)

Abstract

Autistic individuals are frequently exposed to stigmatizing attitudes and discrimination. Through the lived experience of stigmatizing attitudes, autistic people can internalize the negative stereotypes associated with autism. This phenomenon is known as self-stigma. In non-autistic populations, self-stigma is associated with shame and negative mental health outcomes. In this study, we aim to better understand the mental health outcomes associated with self-stigma in autism and to investigate whether and how self-compassion compared to camouflaging may protect from self-stigma in autistic individuals. For this purpose, 689 adults who reported a diagnosis of autism were recruited online and completed self-reported questionnaires for self-stigma (Internalized Stigma of Mental Illness Scale–9 items), self-compassion (Self-Compassion Scale–short form), depression (Depression, Anxiety and Stress Scale-21) and camouflaging (Camouflaging Autistic Traits Questionnaire). We conducted mediation analysis and moderated mediation analysis. Our results indicate that self-stigma is highly prevalent in autistic adults (45.5%), correlated to depression (ρ (687) = 0.437, p < 0.001) and that internalized shame mediates the relationship between self-stigma and depressive symptoms (b = 1.48, 95% confidence interval = (1.11, 1.94)). Self-compassion moderates this mediation (Indirect Effect, IE = −0.305, 95% confidence interval = (0.601, 0.014), β = 0.183, z = 2.012, p = 0.044), whereas camouflaging does not (IE = 0.003, 95% confidence interval = (0.009, 0.015), β = 0.0531, z = 0.514, p = 0.607). These results highlight the protective effect of self-compassion on the negative impacts of self-stigma in autistic individuals. Future research should explore how to adapt existing compassion-focused interventions and evaluate their feasibility and efficacy to reduce self-stigma and shame in autistic populations. Lay abstract What is already known about the topic? Autistic individuals are frequently exposed to stigmatizing attitudes and discrimination. Negative stereotypes about autism, such as dangerousness or inability to work, are very frequent in our societies. Through exposure to these stigmatizing ideas, autistic people can internalize these ideas and begin to believe them to be true about themselves. This is self-stigma. Past research conducted with non-autistic individuals indicate that self-stigma can lead people to feel ashamed of who they are and deteriorate their mental health. What this paper adds? In this paper, we found that self-stigma in autistic people increases depressive symptoms through feelings of shame. We then showed that relating to self with compassion – that is, to be friendly towards oneself (kindness), be aware of one’s feelings and thoughts (mindful awareness) and realize that everyone feels pain and makes mistakes (common humanity) – helps reducing the negatives consequences of self-stigma on mental health. We also demonstrated that camouflaging does not modify the impact of self-stigma on mental health. Implications for practice, research or policy? Because self-compassion can protect from the negative effects of self-stigma, future research should explore how to adapt existing compassion-focused interventions and evaluate their feasibility and efficacy to reduce self-stigma and shame in autistic people.

Bibliography cited by this reference

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

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 01:05.

Cited references
146
With a DOI
137
Without a DOI, from raw bibliography text
6
7 / 146 (4.8%) cited references include at least one author identified as autistic.
References with data to complete
3 / 146 (2.1%)
References with detected author names
143 / 146 (97.9%)
Without detected author names
3
Without a structured title
2
Without a stable identifier
6
References with raw author names still to review
2
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
533
From DOI or external metadata
533
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
4
112 / 533 (21.0%) names are linked to an author already present in AutiHub. 421 / 533 (79.0%) names are not yet linked.
Names linked to a person identified as autistic
9 / 533 (1.7%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 9 / 112 (8.0%). Distinct people identified as autistic: 8 / 464 (1.7%).
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