Vers l'identification des adultes autistes à risque de troubles des conduites alimentaires : bref rapport sur le regroupement du camouflage social et des différences de traitement sensoriel

Titre original en anglais : Towards Identifying Autistic Adults at Risk for Eating Disorders: A Brief Report Into Clustering of Social Camouflaging and Sensory Processing Differences

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Nimbley, E., Bradley, S., Pickard, A., Sader, M., Maloney, E., Moore, F. R., Suratwala, T., Sharpe, H., Duffy, F., & Gillespie‐Smith, K. (2025). Towards Identifying Autistic Adults at Risk for Eating Disorders: A Brief Report Into Clustering of Social Camouflaging and Sensory Processing Differences. European Eating Disorders Review, 34(3), 648-654. https://doi.org/10.1002/erv.70062

Date de publication: 02/12/2025 Ajout dans AutiHub: 06/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
10
Auteur·ices de la publication identifié·es comme autistes
1 / 10 (10,0 %)
  1. Emy Nimbley
  2. Siofra Bradley
  3. Abi Pickard
  4. Michelle Sader
  5. Ellen Maloney *
  1. Fhionna R. Moore
  2. Tasha Suratwala
  3. Helen Sharpe
  4. Fiona Duffy
  5. Karri Gillespie‐Smith

Résumé

CONTEXTE : Les personnes autistes présentant un trouble des conduites alimentaires (TCA) courent un risque plus élevé d'obtenir des résultats et des expériences de traitement moins favorables, peut-être en raison d'un manque de compréhension des mécanismes sous-jacents. Plusieurs facteurs ont été impliqués, tels que le traitement sensoriel et le camouflage social ; cependant, peu de recherches empiriques ont examiné comment ces mécanismes se regroupent ou s'agrègent, et si certains regroupements exposent l'individu à un risque accru de sévérité des TCA. MÉTHODE : Une analyse secondaire de données a été menée à partir d'une enquête en ligne auprès de n = 180 adultes autistes (âge moyen = 38 ans). Les participants ont rempli des mesures auto-rapportées du traitement sensoriel, du camouflage social et des symptômes de TCA. Des analyses de classification hiérarchique (HCA) ont été réalisées afin d'explorer le regroupement des comportements sensoriels et de camouflage social, et une ANOVA à un facteur a été menée afin d'explorer les différences entre les regroupements concernant les symptômes de TCA. RÉSULTATS : Trois regroupements distincts ont été identifiés : regroupement 1 (camouflage élevé, sensoriel faible) ; regroupement 2 (camouflage élevé, sensoriel élevé) ; et regroupement 3 (camouflage faible, sensoriel moyen). Les participants du regroupement 2 ont rapporté des symptômes de TCA significativement plus élevés que ceux du regroupement 3. Aucune différence significative n'a été observée entre les regroupements restants. CONCLUSION : Les résultats suggèrent que la combinaison de ces facteurs peut exposer les personnes autistes à un risque plus élevé de TCA, bien que de futures recherches longitudinales, à méthodes mixtes et plus représentatives, prenant en compte un éventail plus large de mécanismes de risque, soient nécessaires de toute urgence avant que des conclusions puissent être tirées.

BACKGROUND: Autistic people with an eating disorder (ED) are at higher risk of poorer treatment outcomes and experiences, perhaps due to a lack of understanding surrounding underlying mechanisms. Several factors have been implicated, such as sensory processing and social camouflaging; however, there has been little empirical investigation into how such mechanisms group or cluster together, and if certain clusters place the individual at greater risk of ED severity. METHOD: A secondary data analysis was conducted on an online survey of n = 180 Autistic adults (mean age = 38 years). Participants completed self-reported measures of sensory processing, social camouflaging and ED symptoms. Hierarchal clustering analyses (HCA) was conducted to explore clustering on sensory and social camouflaging behaviours, and a one-way ANOVA was conducted to explore between-cluster differences on ED symptoms. RESULTS: Three distinct clusters were identified: Cluster 1 (high camouflaging, low sensory); Cluster 2 (high camouflaging, high sensory); and Cluster 3 (low camouflaging, average sensory). Participants in Cluster 2 reported significantly higher ED symptoms that those in Cluster 3. There were no significant differences between remaining clusters. CONCLUSION: Findings suggest the combination of these factors may place Autistic individuals at higher ED risk, although future longitudinal, mixed-method and more representative research, which considers a wider range of risk mechanisms, is urgently needed before conclusions can be drawn.

Bibliographie citée par cette référence

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
45
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
6 / 45 (13,3 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
9 / 261 (3,4 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 9 / 98 (9,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 7 / 208 (3,4 %).
Occurrences citées rattachées à la base AutiHub
98 / 261 (37,5 %)
Auteurices cité·es distinct·es rattaché·es : 57 / 208 (27,4 %)
Occurrences rattachées, non identifiées comme autistes
89 / 98 (90,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 89 / 261 (34,1 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 50 / 57 (87,7 %).
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