Camouflage et autisme : questions de conceptualisation et de méthodologie

Titre original en anglais : Camouflaging and autism: Conceptualisation and methodological issues

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

À propos de la mention auteur·ice autiste

Arnold, W. M., Bitsika, V., & Sharpley, C. F. (2026). Camouflaging and autism: Conceptualisation and methodological issues. Autism, 30(5), 1131-1146. https://doi.org/10.1177/13623613261420085

Date de publication: 21/02/2026 Ajout dans AutiHub: 11/09/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
3
Auteur·ices de la publication identifié·es comme autistes
1 / 3 (33,3 %)

Résumé

Il a été suggéré que le concept de « camouflage » manque de clarté dans la recherche sur l’autisme, et que ses outils de mesure, tels que le Camouflaging Autistic Traits Questionnaire (CAT-Q), pourraient être confondus par d’autres facteurs. Une revue critique de 389 études a été menée afin d’examiner ces problèmes conceptuels et méthodologiques potentiels. Les résultats remettent en question le fait qu’un même construit ait été étudié dans l’ensemble des études, car il existe des incohérences concernant : (a) les termes utilisés ; (b) les références à la littérature conceptuelle établie ; (c) la manière dont les termes sont utilisés (par exemple, de façon interchangeable ou distincte) ; et (d) la manière dont les termes sont définis. Bien que le CAT-Q présente une excellente fiabilité, les données soutenant sa validité sont mitigées, comme le montre sa confusion avec d’autres construits (par exemple, l’anxiété sociale) et sa spécificité limitée à l’autisme. La validité des mesures du camouflage fondées sur les divergences entre informateurs est également remise en question en raison de références insuffisantes à une méthodologie établie. Enfin, la généralisabilité du camouflage à l’ensemble de la population autiste n’est pas claire en raison : (a) de la surreprésentation de femmes autistes diagnostiquées à l’âge adulte ; et (b) de la sous-représentation de personnes autistes présentant des difficultés intellectuelles ou langagières concomitantes, ainsi que de celles ayant des besoins de soutien plus importants. Ces questions sont examinées à la fois sous l’angle de leur pertinence clinique et de la manière dont les recherches futures pourraient les résoudre. Résumé grand public De nombreuses personnes autistes ont déclaré utiliser des stratégies de « camouflage » pour s’adapter au monde social non autiste ou y faire face, et éviter d’être jugées négativement par autrui. Cependant, de nombreux termes ont été utilisés comme synonymes de camouflage, tels que masquage, compensation et gestion des impressions. En raison de cette confusion concernant les termes à utiliser, il a été suggéré que le concept de camouflage manque de clarté et de compréhension, et que cela pourrait contribuer à l’inexactitude des outils utilisés pour mesurer ce comportement. Nous examinons 389 études antérieures afin d’étudier ces préoccupations. Nos résultats confirment ce manque de clarté en montrant que les études sont incohérentes concernant : (a) les termes qu’elles utilisent pour désigner des stratégies comportementales ressemblant au camouflage ; (b) le fait qu’elles se réfèrent ou non à la littérature existante ; (c) le fait qu’elles utilisent des termes différents pour désigner le même concept ou des types de comportement distincts ; et (d) la manière dont elles définissent les termes qu’elles utilisent. Nos résultats remettent également en question l’exactitude des outils de mesure du camouflage, car ces outils pourraient aussi mesurer d’autres comportements (par exemple, l’anxiété sociale) qui ne sont pas vécus uniquement par les personnes autistes. Nous constatons également que les études sur le camouflage se sont principalement concentrées sur des femmes autistes ne présentant pas de difficultés cognitives ou langagières concomitantes et ayant reçu leur diagnostic à l’âge adulte. Bien que le camouflage puisse contribuer au sous-diagnostic de certaines femmes autistes, la plupart des personnes autistes sont des hommes et reçoivent un diagnostic durant la petite enfance, et un grand nombre de personnes autistes présentent effectivement ces autres difficultés. De ce fait, il n’est pas clair que les résultats des études antérieures sur le camouflage puissent s’appliquer à toutes les personnes autistes. Nous formulons quelques suggestions sur la manière dont les chercheurs pourraient résoudre certaines de ces questions dans leurs futures études, et nous examinons ce que ces résultats signifient pour les cliniciens travaillant avec des personnes autistes.

It has been suggested that there is poor clarity of the ‘camouflaging’ concept in autism research, and potential confounding of its measurement tools, such as the Camouflaging Autistic Traits Questionnaire (CAT-Q). A critical review of 389 studies was conducted to investigate these potential conceptual and methodological issues. The findings question whether the same construct has been investigated across studies, as there is inconsistency in: (a) which terms are used; (b) reference made to established conceptual literature; (c) how terms are used (e.g. interchangeably or distinctly); and (d) how terms are defined. Although the CAT-Q has excellent reliability, there is mixed support for its validity, which is evidenced by its confounding by other constructs (e.g. social anxiety) and its limited autism-specificity. The validity of informant discrepancy measures of camouflaging is also questioned due to insufficient reference to established methodology. Finally, the generalisability of camouflaging to the overall autistic population is unclear due to: (a) overrepresentation of autistic females diagnosed during adulthood; and (b) underrepresentation of autistic people with co-occurring intellectual or language difficulties, and those with greater support needs. These issues are considered both in terms of their clinical relevance and how future research might resolve them. Lay Abstract Many autistic people have reported using ‘camouflaging’ strategies to adapt or cope within the non-autistic social world and avoid being negatively judged by other people. However, many terms have been used synonymously with camouflaging, such as masking, compensation and impression management. Due to this confusion about which terms to use, there is some suggestion that there is poor clarity and understanding of the camouflaging concept, and that this may contribute to inaccuracy of the tools used to measure this behaviour. We review 389 previous studies to examine these concerns. Our findings confirm this lack of clarity by showing that studies are inconsistent in: (a) which terms they used to refer to behavioural strategies that resemble camouflaging; (b) whether they referred to existing literature; (c) whether they used different terms to refer to the same concept or to separate types of behaviour; and (d) how they defined the terms that they used. Our findings also question the accuracy of camouflaging measurement tools, as these tools may also be measuring other behaviours (e.g. social anxiety) that are not only experienced by autistic people. We also find that camouflaging studies have mostly focused on autistic females with no accompanying cognitive or language difficulties, and who have received their diagnosis in adulthood. Although camouflaging may contribute to the underdiagnosis of some autistic females, most autistic people are male and are diagnosed during early childhood, and a large number of autistic people do experience those other difficulties. Because of this, it is not clear whether the findings of previous camouflaging studies can apply to all autistic people. We provide some suggestions for how researchers might resolve some of these issues in their future studies, and we consider what the findings mean for clinicians who work with autistic people.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 12/09/2026 18:19.

Références citées
183
Avec un DOI
174
Sans DOI, à partir du texte brut de la bibliographie
9
30 / 183 (16,4 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
2 / 183 (1,1 %)
Références avec noms d’auteurices détectés
181 / 183 (98,9 %)
Sans nom d’auteurice détecté
2
Sans titre structuré
2
Sans identifiant stable
9
Références avec noms bruts d’auteurices restant à vérifier
2
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
780
À partir du DOI ou de métadonnées externes
780
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
3
418 / 780 (53,6 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 362 / 780 (46,4 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
37 / 780 (4,7 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 37 / 418 (8,9 %). Personnes distinctes identifiées comme autistes : 25 / 542 (4,6 %).
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