Variation interculturelle des expériences d’acceptation, de camouflage et de difficultés de santé mentale dans l’autisme : un rapport enregistré

Titre original en anglais : Cross-cultural variation in experiences of acceptance, camouflaging and mental health difficulties in autism: A registered report

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Keating, C. T., Hickman, L., Geelhand, P., Takahashi, T., Leung, J., Monk, R., Schuster, B., Rybicki, A., Girolamo, T., Clin, É., Papastamou, F., Belenger, M., Eigsti, I., Cook, J. L., Kosaka, H., Osu, R., Okamoto, Y., & Sowden, S. (2024). Cross-cultural variation in experiences of acceptance, camouflaging and mental health difficulties in autism: A registered report. PLOS ONE, 19(3), e0299824. https://doi.org/10.1371/journal.pone.0299824

Date de publication: 20/03/2024 Ajout dans AutiHub: 06/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
18
Auteur·ices de la publication identifié·es comme autistes
1 / 18 (5,6 %)
  1. Connor Tom Keating
  2. Lydia Hickman
  3. Philippine Geelhand
  4. Tōru Takahashi
  5. Joan Leung
  6. Ruth Monk *
  1. Bianca Schuster
  2. Alicia Rybicki
  3. Teresa Girolamo
  4. Élise Clin
  5. Fanny Papastamou
  6. Marie Belenger
  1. Inge‐Marie Eigsti
  2. Jennifer Louise Cook
  3. Hirotaka Kosaka
  4. Rieko Osu
  5. Yuko Okamoto
  6. Sophie Sowden

Résumé

Des résultats récents suggèrent que la stigmatisation et le camouflage contribuent aux difficultés de santé mentale chez les personnes autistes ; toutefois, ces données reposent largement sur des échantillons du Royaume-Uni. Bien que des études aient montré des différences interculturelles dans les niveaux de stigmatisation liée à l’autisme, on ne sait pas clairement si le camouflage et les difficultés de santé mentale varient selon les cultures. Ainsi, la présente étude avait deux objectifs : (1) déterminer si les relations significatives entre l’acceptation de l’autisme, le camouflage et les difficultés de santé mentale se reproduisent dans un échantillon interculturel d’adultes autistes, et (2) comparer ces variables entre les cultures. Afin de répondre à ces objectifs, 306 adultes autistes provenant de huit pays (Australie, Belgique, Canada, Japon, Nouvelle-Zélande, Afrique du Sud, Royaume-Uni et États-Unis) ont rempli une série de questionnaires en ligne. Nous avons constaté que l’acceptation externe et l’acceptation personnelle étaient associées à des niveaux plus faibles de dépression, mais non au camouflage ou au stress. Un camouflage plus élevé était associé à des niveaux accrus de dépression, d’anxiété et de stress. Des différences significatives entre les pays ont été observées concernant l’acceptation externe, l’acceptation personnelle, la dépression, l’anxiété et le stress, même après contrôle des covariables pertinentes. Les niveaux de camouflage différaient également entre les pays ; toutefois, cet effet est devenu non significatif après contrôle des covariables. Ces résultats ont des implications importantes, en identifiant des régions prioritaires pour les interventions de lutte contre la stigmatisation et en mettant en évidence les pays où un soutien accru face aux difficultés de santé mentale est nécessaire.

Recent findings suggest that stigma and camouflaging contribute to mental health difficulties for autistic individuals, however, this evidence is largely based on UK samples. While studies have shown cross-cultural differences in levels of autism-related stigma, it is unclear whether camouflaging and mental health difficulties vary across cultures. Hence, the current study had two aims: (1) to determine whether significant relationships between autism acceptance, camouflaging, and mental health difficulties replicate in a cross-cultural sample of autistic adults, and (2) to compare these variables across cultures. To fulfil these aims, 306 autistic adults from eight countries (Australia, Belgium, Canada, Japan, New Zealand, South Africa, the United Kingdom, and the United States) completed a series of online questionnaires. We found that external acceptance and personal acceptance were associated with lower levels of depression but not camouflaging or stress. Higher camouflaging was associated with elevated levels of depression, anxiety, and stress. Significant differences were found across countries in external acceptance, personal acceptance, depression, anxiety, and stress, even after controlling for relevant covariates. Levels of camouflaging also differed across countries however this effect became non-significant after controlling for the covariates. These findings have significant implications, identifying priority regions for anti-stigma interventions, and highlighting countries where greater support for mental health difficulties is needed.

Bibliographie citée par cette référence

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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
163
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
13 / 163 (8,0 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
20 / 669 (3,0 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 20 / 274 (7,3 %). Auteurices cité·es distinct·es identifié·es comme autistes : 14 / 529 (2,6 %).
Occurrences citées rattachées à la base AutiHub
274 / 669 (41,0 %)
Auteurices cité·es distinct·es rattaché·es : 154 / 529 (29,1 %)
Occurrences rattachées, non identifiées comme autistes
254 / 274 (92,7 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 254 / 669 (38,0 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 140 / 154 (90,9 %).
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