Le camouflage, et non le traitement sensoriel ou l'identité autistique, prédit les symptômes de troubles des conduites alimentaires chez les adultes autistes

Titre original en anglais : Camouflaging, not sensory processing or autistic identity, predicts eating disorder symptoms in autistic adults

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.

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Bradley, S., Moore, F., Duffy, F., Clark, L., Suratwala, T., Knightsmith, P., & Gillespie-Smith, K. (2024). Camouflaging, not sensory processing or autistic identity, predicts eating disorder symptoms in autistic adults. Autism, 28(11), 2858-2868. https://doi.org/10.1177/13623613241245749

Publication date: 18/04/2024 Ajout dans AutiHub: 17/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
7
Auteur·ices de la publication identifié·es comme autistes
1 / 7 (14,3 %)
  1. Siofra Bradley
  2. Fhionna Moore
  3. Fiona Duffy
  4. Lili Clark
  1. Tasha Suratwala
  2. Pooky Knightsmith *
  3. Karri Gillespie-Smith

Résumé

L'objectif de cette étude était d'explorer le rôle de l'identité autistique, du traitement sensoriel et des comportements de camouflage dans la symptomatologie des troubles des conduites alimentaires chez les adultes autistes. Les recherches antérieures se sont concentrées sur les facteurs cognitifs et sensoriels pour expliquer l'association entre l'autisme et les troubles des conduites alimentaires, mais les rôles de l'identité sociale et du camouflage restent à explorer. Des participants autistes (N = 180) ont été recrutés dans des structures du NHS et des groupes communautaires. Les participants ont rempli des questionnaires en ligne évaluant l'identité autistique, les comportements de camouflage, le traitement sensoriel, les traits autistiques et les symptômes de troubles des conduites alimentaires. Une régression multiple a révélé que le camouflage prédisait significativement les symptômes de troubles des conduites alimentaires. Bien que le traitement sensoriel y fût associé, il ne prédisait pas significativement la sévérité des symptômes de troubles des conduites alimentaires. En outre, aucune relation significative n'a été observée entre l'identité autistique et la sévérité des symptômes de troubles des conduites alimentaires. Cette étude met en évidence l'impact que les comportements de camouflage et le traitement sensoriel peuvent avoir sur la symptomatologie des troubles des conduites alimentaires dans l'autisme et pourrait indiquer des considérations importantes pour le traitement des troubles des conduites alimentaires chez les personnes autistes. Résumé grand public Cette étude visait à explorer l'impact de l'identité autistique (c'est-à-dire le sentiment d'appartenir à la communauté autistique), des profils sensoriels (par exemple, être hypersensible ou hyposensible aux sensations) et des comportements de camouflage (c'est-à-dire le masquage) sur les symptômes de troubles des conduites alimentaires chez les adultes autistes. Cent quatre-vingts personnes autistes ont été recrutées dans la communauté et le NHS. Les personnes autistes ont rempli des questionnaires en ligne évaluant l'identité autistique, les profils sensoriels, les comportements de camouflage, les traits autistiques et les symptômes de troubles des conduites alimentaires. L'analyse a montré que des niveaux plus élevés de comportements de camouflage prédisaient des niveaux plus élevés de symptômes de troubles des conduites alimentaires. Les profils sensoriels étaient associés aux symptômes de troubles des conduites alimentaires, mais ne les prédisaient pas, et aucune relation n'a été observée entre le niveau d'identité autistique et les symptômes de troubles des conduites alimentaires. Cela montre que le camouflage est le prédicteur le plus important des symptômes de troubles des conduites alimentaires chez les personnes autistes et justifie une exploration plus approfondie.

The objective of this study was to explore the role that Autistic identity, sensory processing and camouflaging behaviours have on eating disorder symptomology in Autistic adults. Previous research has focused on cognitive and sensory factors to explain the association between autism and eating disorders, but the roles of social identity and camouflaging are yet to be explored. Autistic participants (N = 180) were recruited from NHS settings and community groups. The participants completed online questionnaires measuring autistic identity, camouflaging behaviours, sensory processing, autistic traits and eating disorder symptoms. Multiple regression revealed that camouflaging significantly predicted eating disorder symptoms. Although sensory processing was related, it did not significantly predict eating disorder symptom severity. In addition, there was no significant relationship between autistic identity and eating disorder symptom severity. This study highlights the impact that camouflaging behaviours and sensory processing can have on eating disorder symptomatology in autism and may indicate important considerations for the treatment of eating disorders in Autistic people. Lay Abstract This study aimed to explore the impact of Autistic identity (i.e. feeling like you belong to the Autistic community), sensory profiles (e.g. being over or under responsive to sensations) and camouflaging behaviours (i.e. masking) on eating disorder symptoms in Autistic adults. 180 Autistic people were recruited from the community and NHS. The Autistic people completed online questionnaires measuring Autistic identity, sensory profiles, camouflaging behaviours, autistic traits and eating disorder symptoms. The analysis showed that higher levels of camouflaging behaviour predicted higher levels of eating disorder symptoms. Sensory profiles were related to but did not predict eating disorder symptoms and there was no relationship between level of Autistic identity and eating disorder symptoms. This shows that camouflaging is the most important predictor of eating disorder symptoms in Autistic people, and warrants further exploration.

Bibliographie citée par cette référence

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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 : 19/09/2026 01:01.

Références citées
64
Avec un DOI
58
Sans DOI, à partir du texte brut de la bibliographie
5
4 / 64 (6,2 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
2 / 64 (3,1 %)
Références avec noms d’auteurices détectés
62 / 64 (96,9 %)
Sans nom d’auteurice détecté
2
Sans titre structuré
2
Sans identifiant stable
5
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
294
À partir du DOI ou de métadonnées externes
294
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
3
110 / 294 (37,4 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 184 / 294 (62,6 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
7 / 294 (2,4 %)
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 : 7 / 110 (6,4 %). Personnes distinctes identifiées comme autistes : 7 / 225 (3,1 %).
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