Using Experience Sampling Methodology to Capture Disclosure Opportunities for Autistic Adults

Love, A. M., Edwards, C., Cai, R. Y., & Gibbs, V. (2023). Using Experience Sampling Methodology to Capture Disclosure Opportunities for Autistic Adults. Autism in Adulthood, 5(4), 389-400. https://doi.org/10.1089/aut.2022.0090

Publication date: 21 Feb 2023 Added to AutiHub: 5 Jul 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: Despite a recent surge in literature contributing to our understanding of autistic individuals' disclosure experiences, the findings remain mixed. Research based on autistic people's perspective often indicates negative outcomes, while research that focuses on nonautistic perspectives is more positive. In addition, no disclosure study has used ecologically valid research methods, which help to reduce the risk of memory biases and are more representative of real-world experiences. The aim of this research was to capture outcomes from real-world disclosure opportunities as reported by a diverse range of autistic adults. Methods:Thirty-six autistic adults reported their disclosure opportunities through experience sampling methodology (58% female, 28% male, and 14% nonbinary), multiple times per day or week for 2 months. Importantly, we embedded coproduction from conception to dissemination, ensuring that the outputs are relevant and beneficial for the autistic community. Results: In total, participants recorded 231 disclosure opportunities (M = 6.42, SD = 4.83). Two-thirds of opportunities (n = 153) were categorized as disclosure, where the participants decided to share they were autistic, and 33.8% (n = 78) were labeled nondisclosure, where the participants decided not to share that they were autistic. Qualitative thematic analysis of open responses resulted in five themes that illustrated the thought processes during disclosure opportunities, the reactions of others, and reflections following disclosure for autistic adults in our study. Conclusion: These findings show that disclosure decisions and outcomes are complex and are influenced by both internal and external factors. Both support for autistic adults navigating this process and knowledge for nonautistic individuals on the experiences of their autistic friends, family, and community members will help to alleviate negative experiences and improve the mental well-being of autistic adults who face these decisions daily.

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Cited references
33
Total cited references integrated for this publication.
Cited references with an identified autistic author
1 / 33 (3.0%)
Cited author occurrences identified as autistic
1 / 108 (0.9%)
Among occurrences linked to AutiHub author records: 1 / 41 (2.4%). Distinct cited authors identified as autistic: 1 / 94 (1.1%).
Cited author occurrences linked to AutiHub author records
41 / 108 (38.0%)
Distinct linked cited authors: 33 / 94 (35.1%)
Linked cited-author occurrences not identified as autistic
40 / 41 (97.6%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 40 / 108 (37.0%). Distinct linked cited authors not identified as autistic: 32 / 33 (97.0%).
  1. Ru Ying Cai , Amanda L. Richdale (2016). Educational Experiences and Needs of Higher Education Students with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 46(1), 31-41. Springer Science and Business Media LLC.
    Crossref OpenAlex
  2. Niall Bolger , Jean‐Philippe Laurenceau (2013). Intensive Longitudinal Methods: An Introduction to Diary and Experience Sampling Research .
    Type: Book OpenAlex: https://openalex.org/W1962684661
    Crossref OpenAlex
  3. Simon M. Bury , Rachel Jellett , Jennifer R. Spoor , Darren Hedley (2023). “It Defines Who I Am” or “It’s Something I Have”: What Language Do [Autistic] Australian Adults [on the Autism Spectrum] Prefer? Journal of Autism and Developmental Disorders, 53(2), 677-687. Springer Science and Business Media LLC.
    Crossref OpenAlex
  4. Yu-Wei Chen , Anita Bundy , Reinie Cordier , Stewart Einfeld (2014). Feasibility and usability of experience sampling methodology for capturing everyday experiences of individuals with autism spectrum disorders . Disability and Health Journal, 7(3), 361-366. Elsevier BV.
    Crossref OpenAlex
  5. Eilidh Cage , Zoe Troxell-Whitman (2020). Understanding the Relationships Between Autistic Identity, Disclosure, and Camouflaging . Autism in Adulthood, 2(4), 334-338. SAGE Publications.
    Crossref OpenAlex
  6. S. Knappe , J. Klotsche , A. Strobel , R.T. LeBeau , M.G. Craske , H.-U. Wittchen et al. (2013). Dimensional anxiety scales for DSM-5: Sensitivity to clinical severity . European Psychiatry, 28(7), 448-456. Cambridge University Press (CUP).
    Crossref OpenAlex
  7. Yunhe Huang , Ye In Hwang , Samuel R. C. Arnold , Lauren P. Lawson , Amanda L. Richdale , Julian N Trollor (2022). Autistic Adults’ Experiences of Diagnosis Disclosure . Journal of Autism and Developmental Disorders, 52(12), 5301-5307. Springer Science and Business Media LLC.
    Crossref OpenAlex
  8. Rosa A. Hoekstra , Anna A. E. Vinkhuyzen , Sally Wheelwright , Meike Bartels , Dorret I. Boomsma , Simon Baron-Cohen et al. (2011). The Construction and Validation of an Abridged Version of the Autism-Spectrum Quotient (AQ-Short) . Journal of Autism and Developmental Disorders, 41(5), 589-596. Springer Science and Business Media LLC.
    Crossref OpenAlex
  9. Julia Cook , Laura Hull , Laura Crane , Will Mandy (2021). Camouflaging in autism: A systematic review . Clinical Psychology Review, 89, 102080. Elsevier BV.
    Crossref OpenAlex
  10. Kurt Kroenke , Robert L. Spitzer , Janet B. W. Williams (2001). The PHQ-9 . Journal of General Internal Medicine, 16(9), 606-613. Springer Science and Business Media LLC.
    Crossref OpenAlex
  11. 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
  12. Yu-Wei Chen , Anita C Bundy , Reinie Cordier , Yi-Ling Chien , Stewart L Einfeld (2017). A cross-cultural exploration of the everyday social participation of individuals with autism spectrum disorders in Australia and Taiwan: An experience sampling study . Autism, 21(2), 231-241. SAGE Publications.
    Crossref OpenAlex
  13. 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
  14. Tiffany D. Johnson , Aparna Joshi (2016). Dark clouds or silver linings? A stigma threat perspective on the implications of an autism diagnosis for workplace well-being. Journal of Applied Psychology, 101(3), 430-449. American Psychological Association (APA).
    Crossref OpenAlex
  15. Sandy Thompson-Hodgetts , Chantal Labonte , Rinita Mazumder , Shanon Phelan (2020). Helpful or harmful? A scoping review of perceptions and outcomes of autism diagnostic disclosure to others . Research in Autism Spectrum Disorders, 77, 101598. Elsevier BV.
    Crossref OpenAlex
  16. Noah J. Sasson , Kerrianne E Morrison (2019). First impressions of adults with autism improve with diagnostic disclosure and increased autism knowledge of peers . Autism, 23(1), 50-59. SAGE Publications.
    Crossref OpenAlex
  17. Katie Maras , Imogen Marshall , Chloe Sands (2019). Mock Juror Perceptions of Credibility and Culpability in an Autistic Defendant . Journal of Autism and Developmental Disorders, 49(3), 996-1010. Springer Science and Business Media LLC.
    Crossref OpenAlex
  18. Kyle M. Frost , Kathryn M. Bailey , Brooke R. Ingersoll (2019). “I Just Want Them to See Me As…Me”: Identity, Community, and Disclosure Practices Among College Students on the Autism Spectrum . Autism in Adulthood, 1(4), 268-275. SAGE Publications.
    Crossref OpenAlex
  19. Ru Ying Cai , Amanda L. Richdale , Cheryl Dissanayake , Mirko Uljarević (2020). How Does Emotion Regulation Strategy Use and Psychological Wellbeing Predict Mood in Adults With and Without Autism Spectrum Disorder? A Naturalistic Assessment . Journal of Autism and Developmental Disorders, 50(5), 1786-1799. Springer Science and Business Media LLC.
    Crossref OpenAlex
  20. Sally Lindsay , Victoria Osten , Mana Rezai , Sunny Bui (2021). Disclosure and workplace accommodations for people with autism: a systematic review . Disability and Rehabilitation, 43(5), 597-610. Informa UK Limited.
    Crossref OpenAlex
  21. Anna Melissa Romualdez , Zachary Walker , Anna Remington (2021). Autistic adults’ experiences of diagnostic disclosure in the workplace: Decision-making and factors associated with outcomes . Autism & Developmental Language Impairments, 6, 23969415211022955-23969415211022955. SAGE Publications.
    Crossref OpenAlex
  22. Michelle Lum , Michelle Garnett , Erin O’Connor (2014). Health communication: A pilot study comparing perceptions of women with and without high functioning autism spectrum disorder . Research in Autism Spectrum Disorders, 8(12), 1713-1721. Elsevier BV.
    Crossref
  23. Armita Farsinejad , Ailsa Russell , Catherine Butler (2022). Autism disclosure – The decisions autistic adults make . Research in Autism Spectrum Disorders, 93, 101936. Elsevier BV.
    Crossref OpenAlex
  24. Jane Mantzalas , Amanda L. Richdale , Achini Adikari , Jennifer Lowe , Cheryl Dissanayake (2022). What Is Autistic Burnout? A Thematic Analysis of Posts on Two Online Platforms . Autism in Adulthood, 4(1), 52-65. SAGE Publications.
    Crossref OpenAlex
  25. (n.d.). Jessup GM Bian S Chen YW Bundy A. P. I. E. L. Survey Application Manual. The University of Sydney. Published online November 1 2012. https://ses.library.usyd.edu.au/handle/2123/9490 Accessed March21 2022.
    Type: Other
    Crossref
  26. John Jamieson , Virginia Braun , Victoria Clarke (2014). Successful Qualitative Research: A practical guide for beginners . QMiP Bulletin, 1(18), 39-41. British Psychological Society.
    OpenAlex
  27. den Houting J (2021). Participatory and inclusive autism research practice guides . Participatory and Inclusive Autism Research Practice Guides, 192236536X.
    Type: Other
    Crossref
  28. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    Crossref
  29. 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
  30. Braun V. (2013). Successful Qualitative Research: A Practical Guide for Beginners . Successful qualitative research: A practical guide for beginners.
    Type: Other
    Crossref
  31. Greene M. (2014). On the inside looking in: Methodological insights and challenges in conducting qualitative insider research . Qual Report, 19(29), 1106.
    Type: Other
    Crossref
  32. Ryan A. Miller , Richmond D. Wynn , Kristine W. Webb (2019). “This really interesting juggling act”: How university students manage disability/queer identity disclosure and visibility. Journal of Diversity in Higher Education, 12(4), 307-318. American Psychological Association (APA).
    Crossref