scholarly journals Factually based autism awareness campaigns may not always be effective in changing attitudes towards autism: Evidence from British and South Korean nursing students

Autism ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 1177-1190
Author(s):  
Saoirse Mac Cárthaigh ◽  
Beatriz López
Keyword(s):  
Cultural Differences ◽  
Student Nurses ◽  
Autistic Traits ◽  
Self Report ◽  
Factual Knowledge ◽  
Korean Student ◽  
South Korean ◽  
Frequency Of Contact ◽  
Autistic People ◽  
Autism Knowledge

This study explored the relationship between autism knowledge, autistic traits, frequency of contact with autistic people and attitudes towards these individuals in British and South Korean student nurses and whether these relationships were affected by the presence of autistic traits. In total, 331 participants (156 South Korean and 175 British) completed self-report measures of autism knowledge, attitudes towards autistic people, frequency of contact with these individuals and autistic traits. Although British participants demonstrated greater knowledge and more favourable attitudes, significant knowledge deficiencies were noted in both groups. Among British participants, knowledge was found to be a significant, but a very marginal, predictor of attitudes, whereas neither knowledge nor frequency of contact were predictive of attitudes among South Korean participants. Contrary to previous research findings, cultural differences in the presence of autistic traits were not noted, nor were these traits found to correlate with attitudes towards autistic people. The findings suggest that awareness initiatives which aim to address attitudes towards autism need more than simply increasing factual knowledge. More importantly, the results suggest that Western-developed autism awareness initiatives may be ineffectual if cultural idiosyncrasies are not considered. Lay abstract This study explored the relationship between autism knowledge, autistic traits, frequency of contact with autistic people and attitudes towards these individuals in British and South Korean student nurses and whether these relationships were affected by the presence of autistic traits. In total, 331 participants (156 South Korean and 175 British) completed self-report measures of autism knowledge, attitudes towards autistic people, frequency of contact with these individuals and autistic traits. Although British participants demonstrated greater knowledge and more favourable attitudes, significant knowledge gaps were noted in both groups. Among British participants, knowledge was found to be only a marginal predictor of attitudes, whereas neither knowledge nor frequency of contact were predictive of attitudes among South Korean participants. Contrary to previous research findings, cultural differences in the presence of autistic traits were not noted, nor were these traits found to be related to attitudes towards autistic people. The findings suggest that awareness initiatives which aim to address attitudes towards autism need more than simply increasing factual knowledge. More importantly, the results suggest that Western-developed autism awareness initiatives may be ineffectual if cultural differences are not considered.

Camouflaging in non-autistic adults is associated with poorer mental health

2019 ◽  
Author(s):  
Mark Somerville ◽  
Sarah E. MacPherson ◽  
Sue Fletcher-Watson
Keyword(s):  
Mental Health ◽  
Executive Function ◽  
Autistic Traits ◽  
Self Report ◽  
Linear Regression Models ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Autistic People ◽  
Autistic Adults ◽  
The Relationship

Camouflaging is a frequently reported behaviour in autistic people, which entails the use of strategies to compensate for and mask autistic traits in social situations. Camouflaging is associated with poor mental health in autistic people. This study examined the manifestation of camouflaging in a non-autistic sample, examining the relationship between autistic traits, camouflaging, and mental health. In addition, the role of executive functions as a mechanism underpinning camouflaging was explored. Sixty-three non-autistic adults completed standardised self-report questionnaires which measured: autistic traits, mental health symptoms, and camouflaging behaviours. In addition, a subset (n=51) completed three tests of executive function measuring inhibition, working memory, and set-shifting. Multiple linear regression models were used to analyse data. Results indicated that autistic traits are not associated with mental health symptoms when controlling for camouflaging, and camouflaging predicted increased mental health symptoms. Camouflaging did not correlate with any measure of executive function. These findings have implications for understanding the relationship between autistic traits and mental health in non-autistic people and add to the growing development of theory and knowledge about the mechanism and effects of camouflaging.

scholarly journals Development and Validation of the Suicide Behaviours Questionnaire – Autism Spectrum Conditions in Autistic, Possibly Autistic and Non-Autistic Adults.

2020 ◽  
Author(s):  
Sarah Cassidy ◽  
Louise Bradley ◽  
Heather Cogger-Ward ◽  
Jacqui Rodgers
Keyword(s):  
Assessment Tool ◽  
Autistic Traits ◽  
Autism Spectrum ◽  
Assessment Tools ◽  
Self Report ◽  
Measurement Properties ◽  
Autism Spectrum Conditions ◽  
Autistic People ◽  
Autistic Adults ◽  
Development And Validation

Abstract Background: Autistic people and those with high autistic traits are at high risk of experiencing suicidality. Yet, there are no suicidality assessment tools developed or validated for these groups.Methods: A widely used and validated suicidality assessment tool developed for the general population (SBQ-R), was adapted using feedback from autistic adults. The adapted tool was refined through 9 interviews, and an online survey with 251 autistic adults, to establish clarity and relevance of the items. Subsequently, 308 autistic, 113 possibly autistic, and 268 non-autistic adults completed the adapted tool online, alongside self-report measures of autistic traits (AQ), camouflaging autistic traits (CAT-Q), depression (PHQ-9), anxiety (ASA-A), thwarted belongingness and perceived burdensomeness (INQ-15), lifetime non-suicidal self-injury, and the original version of the suicidality assessment tool (SBQ-R). Analyses explored the appropriateness and measurement properties of the adapted tool between the groups.Results: There was evidence in support of content validity, structural validity, internal consistency, convergent and divergent validity, test retest validity, sensitivity and specificity (for distinguishing those with or without lifetime experience of suicide attempt), and hypothesis testing of the adapted tool (SBQ-ASC) in each group. The structure of the SBQ-ASC was equivalent between autistic and possibly autistic adults, regardless of gender, or use of visual aids to help quantify abstract rating scales.Limitations: The samples involved in the development and validation of the adapted tool were largely female, and largely diagnosed as autistic in adulthood, which is not representative of the wider autistic population. The SBQ-ASC has been developed for use in research and is not recommended to assess risk of future suicide attempts and/or self-harm.Conclusions: The SBQ-ASC is a brief self-report suicidality assessment tool, developed and validated with and for autistic adults, without co-occurring intellectual disability. The SBQ-ASC is appropriate for use in research to identify suicidal thoughts and behaviours in autistic and possibly autistic people, and model associations with risk and protective factors.

scholarly journals Is Camouflaging Autistic Traits Associated with Suicidal Thoughts and Behaviours? Expanding the Interpersonal Psychological Theory of Suicide in an Undergraduate Student Sample

2019 ◽  
Vol 50 (10) ◽  
pp. 3638-3648 ◽  
Author(s):  
S. A. Cassidy ◽  
K. Gould ◽  
E. Townsend ◽  
M. Pelton ◽  
A. E. Robertson ◽  
...  
Keyword(s):  
Online Survey ◽  
Autistic Traits ◽  
Psychological Theory ◽  
Self Report ◽  
Thwarted Belongingness ◽  
Cross Sectional ◽  
Student Sample ◽  
Autistic People ◽  
Increased Risk ◽  
Interpersonal Psychological Theory

AbstractThe current study explored whether people who camouflage autistic traits are more likely to experience thwarted belongingness and suicidality, as predicted by the Interpersonal Psychological Theory of Suicide (IPTS). 160 undergraduate students (86.9% female, 18–23 years) completed a cross-sectional online survey from 8th February to 30th May 2019 including self-report measures of thwarted belongingness and perceived burdensomeness, autistic traits, depression, anxiety, camouflaging autistic traits, and lifetime suicidality. Results suggest that camouflaging autistic traits is associated with increased risk of experiencing thwarted belongingness and lifetime suicidality. It is important for suicide theories such as the IPTS to include variables relevant to the broader autism phenotype, to increase applicability of models to both autistic and non-autistic people.

scholarly journals CAT-Q MSCS BASC2 Pre-Print

2021 ◽  
Author(s):  
Hilary Aime ◽  
Nichole Scheerer ◽  
Troy Boucher ◽  
Grace Iarocci
Keyword(s):  
Young Adults ◽  
Social Competence ◽  
Autistic Traits ◽  
Self Report ◽  
Anxiety And Depression ◽  
Autistic People ◽  
Competence Scale ◽  
And Gender ◽  
The Relationship

Background: Camouflaging, defined as the use of strategies to compensate for or hide autistic traits, is associated with internalizing behaviour (i.e., anxiety and depression) in both autistic and non-autistic people. Non-autistic adults who have poorer social competence tend to engage in more camouflaging, thus it’s unclear whether the increase in internalizing behaviour associated with camouflaging may be explained by poor social competence, rather than camouflaging itself. The purpose of this study was to extend previous research on camouflaging and internalizing behaviour among non-autistic people through examination of the role of social competence. Methods: In this study, 315 non-autistic young adults completed the Multidimensional Social Competence Scale (MSCS) to assess their social competence, the Camouflaging of Autistic Traits Questionnaire (CAT-Q) to assess their use of camouflaging strategies, and the Behaviour Assessment Scale for Children 2 – Self-Report of Personality, College Version (BASC-2 SRP-COL) to assess their internalizing behaviour. Results: We found that camouflaging predicted internalizing behaviour among non-autistic young adults after controlling for social competence, autistic traits, age, IQ, and gender. Camouflaging partially mediated the relationship between social competence and internalizing behaviours. Conclusions: These results suggest that the use of camouflaging strategies is uniquely associated with internalizing behaviour over and above social competence and may, in part, contribute to the increased internalizing behaviours observed in individuals with poorer social competence.

scholarly journals Comparison of Autistic Traits between Iranian Students with Different Ethnical Background: A Cross-Cultural Study ​

2021 ◽  
Author(s):  
Mojtaba Elhami Athar ◽  
Ali Ebrahimi ◽  
Sirvan Karimi ◽  
Roya Esmaeili ◽  
Esmaeil Mousavi Asl ◽  
...  
Keyword(s):  
Cultural Differences ◽  
Autistic Traits ◽  
Autism Spectrum ◽  
Self Report ◽  
Autism Spectrum Conditions ◽  
Clinical Samples ◽  
Autism Spectrum Quotient ◽  
Medical Sciences ◽  
Student Sample ◽  
Number Pattern

Abstract Background: Autistic traits (ATs) include symptoms associated with autism spectrum conditions (ASCs), which are assumed to be continuously distributed across the general population. Studies had indicated the cultural differences in the expression ATs. To our knowledge, this is the first study designed to compare the expression of autistic traits between different ethnicities from the same country. Methods: Using the Autism-spectrum Quotient (AQ-28), we examined the possible cultural differences in the expression of autistic traits from four groups of students with different ethnicities backgrounds, including Turkish (n = 262), Persian (n = 290), Kurdish (n = 300), and Luri (n = 307) students. Results: Behaviors associated with autistic traits were reported overall higher for males than females. Also, significant cultural differences in autistic traits were found that were different for males and females. Furthermore, while the medical sciences student group scored significantly than the humanities group in the Imagination dimension, the humanities group had significantly high scores in Number/Pattern dimensions than the engineering and medical sciences groups. Limitations: First, other ethnicities (e.g., Arabs, Baloch) were not studied because of the lack of access. Second, for data gathering, we used only the self-report method. Third, our study included only a student sample but not the community and clinical samples from different ethnicities. Finally, our study sample included only students who are not representative of their entire ethnicity.Conclusions: Altogether, our results provide further support for the idea that the expression of ATs is significantly influenced by culture.

scholarly journals Development and validation of the suicidal behaviours questionnaire - autism spectrum conditions in a community sample of autistic, possibly autistic and non-autistic adults

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Sarah A. Cassidy ◽  
Louise Bradley ◽  
Heather Cogger-Ward ◽  
Jacqui Rodgers
Keyword(s):  
Assessment Tool ◽  
Autistic Traits ◽  
Autism Spectrum ◽  
Assessment Tools ◽  
Self Report ◽  
Measurement Properties ◽  
Autism Spectrum Conditions ◽  
Autistic People ◽  
Autistic Adults ◽  
Development And Validation

Abstract Background Autistic people and those with high autistic traits are at high risk of experiencing suicidality. Yet, there are no suicidality assessment tools developed or validated for these groups. Methods A widely used and validated suicidality assessment tool developed for the general population (SBQ-R), was adapted using feedback from autistic adults, to create the Suicidal Behaviours Questionnaire—Autism Spectrum Conditions (SBQ-ASC). The adapted tool was refined through nine interviews, and an online survey with 251 autistic adults, to establish clarity and relevance of the items. Subsequently, 308 autistic, 113 possibly autistic, and 268 non-autistic adults completed the adapted tool online, alongside self-report measures of autistic traits (AQ), camouflaging autistic traits (CAT-Q), depression (PHQ-9), anxiety (ASA-A), thwarted belongingness and perceived burdensomeness (INQ-15), lifetime non-suicidal self-injury, and the original version of the suicidality assessment tool (SBQ-R). Analyses explored the appropriateness and measurement properties of the adapted tool between the groups. Results There was evidence in support of content validity, structural validity, internal consistency, convergent and divergent validity, test–retest validity, sensitivity and specificity (for distinguishing those with or without lifetime experience of suicide attempt), and hypothesis testing of the adapted tool (SBQ-ASC) in each group. The structure of the SBQ-ASC was equivalent between autistic and possibly autistic adults, regardless of gender, or use of visual aids to help quantify abstract rating scales. Limitations The samples involved in the development and validation of the adapted tool were largely female, and largely diagnosed as autistic in adulthood, which limits the generalisability of results to the wider autistic population. The SBQ-ASC has been developed for use in research and is not recommended to assess risk of future suicide attempts and/or self-harm. The SBQ-ASC has been designed with and for autistic and possibly autistic adults, and is not appropriate to compare to non-autistic adults given measurement differences between these groups. Conclusions The SBQ-ASC is a brief self-report suicidality assessment tool, developed and validated with and for autistic adults, without co-occurring intellectual disability. The SBQ-ASC is appropriate for use in research to identify suicidal thoughts and behaviours in autistic and possibly autistic people, and model associations with risk and protective factors.

scholarly journals Camouflaging in autism: a systematic review

2021 ◽  
Author(s):  
Julia cook ◽  
Laura Hull ◽  
Laura Crane ◽  
William Mandy
Keyword(s):  
Autistic Traits ◽  
Evidence Base ◽  
Social Contexts ◽  
Self Report ◽  
Current Evidence ◽  
Future Research ◽  
Sex And Gender ◽  
Adults With Autism ◽  
Autistic People ◽  
Current Evidence Base

In certain social contexts some autistic people appear behaviourally non-autistic. In recent years, this phenomenon, termed ‘camouflaging’ has driven a burgeoning body of research. The current review aimed to systematically appraise and synthesise the current evidence base pertaining to autistic camouflaging. After a systematic search of eight databases, 24 studies quantifying camouflaging in children and adults with autism diagnoses or high levels of autistic traits were reviewed. The multiple methods used to measure camouflaging broadly fell under two different approaches: internal-external discrepancy or self-report. These approaches appear to relate to two distinct but potentially connected elements of camouflaging: observable behavioural presentation and self-perceived camouflaging efforts. Whilst significant variation was noted across individual study findings, three key conclusions about the nature of autistic camouflaging emerged: (1) adults with more autistic traits report greater engagement in camouflaging; (2) sex and gender differences are evident in camouflaging; and (3) higher self-reported camouflaging is associated with increased psychological distress. However, the research base was limited with regard to participant characterisation and representativeness suggesting conclusions cannot be applied to the autistic community as a whole. We propose priorities for future research in refining the current understanding of camouflaging and improving measurement methods.

scholarly journals Autistic Traits, STEM, and Medicine: Autism Spectrum Quotient Scores Predict Medical Students’ Career Specialty Preferences

SAGE Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 215824402110503
Author(s):  
Emma Turner ◽  
Emma Aitken ◽  
Gareth Richards
Keyword(s):  
Medical Students ◽  
Career Paths ◽  
Online Survey ◽  
Autistic Traits ◽  
Autism Spectrum ◽  
Self Report ◽  
Autism Spectrum Quotient ◽  
Autistic People ◽  
Stem Students ◽  
And Mathematics

There is a higher than chance representation of autistic people and people with elevated autistic traits in Science, Technology, Engineering and Mathematics (STEM) industries. Medical students, despite studying a STEM subject, have lower autistic traits than other STEM students. Medicine is heterogenous, covering technique-oriented specialties (e.g., surgery) with little patient interaction, person-oriented specialties (e.g., pediatrics), and general practice. We present an online survey in which 502 UK university students (medicine, n = 344; STEM, n = 94; non-STEM, n = 64) reported their study area and career aspirations and completed the Autism Spectrum Quotient (AQ), a quantitative self-report measure of autistic traits. Our main findings were that medical students had significantly lower AQ scores than other STEM ( p < .001, d = 0.614) and non-STEM students ( p < .001, d = 0.874), and that medical students aiming to pursue technique-focused career paths had significantly higher AQ scores than medical students aiming to pursue person-oriented career paths ( p = .009, d = 0.318). Each of these effects remained statistically significant after adjusting for alpha inflation. The findings of this study corroborate those of previous research reporting a link between autism and STEM; they also provide evidence that autistic traits are a predictor of medical students’ career ambitions, with those students with high AQ scores being more likely to pursue technique-focused (as opposed to person-focused) roles. This may be informative for developing and optimizing the strengths of individuals with differing levels of autistic traits.

scholarly journals Greater autism knowledge and contact with autistic people are independently associated with favourable attitudes towards autistic people

2020 ◽  
Vol 1 ◽  
Author(s):  
Alanna J. Shand ◽  
Scarlett A. D. Close ◽  
Punit Shah
Keyword(s):  
Individual Differences ◽  
Linear Regression ◽  
Multivariate Analyses ◽  
Public Awareness ◽  
Public Attitudes ◽  
Autistic Traits ◽  
Knowledge Level ◽  
Awareness Campaigns ◽  
Autistic People ◽  
Autism Knowledge

AbstractUnderstanding individual differences in attitudes to autism is crucial for improving attitudes and reducing stigma towards autistic people, yet there is limited and inconsistent research on this topic. This is compounded by a lack of appropriate measures and multivariate analyses. Addressing these issues, using up-to-date measures and multiple linear regression, we examined the relative contributions of participant age, sex, autism knowledge, level of contact with autistic people, and autistic traits to attitudes towards autistic people. We found that greater autism knowledge and higher levels of contact, but no other variables, were uniquely predictive of attitudes towards autistic people. We conclude that, in addition to public awareness campaigns to raise knowledge of autism, it may be important to increase contact between autistic and non-autistic people to improve public attitudes towards autistic people.

scholarly journals Developmental trajectories of autistic social traits in the general population

2021 ◽  
pp. 1-9
Author(s):  
Richard Pender ◽  
Pasco Fearon ◽  
Beate St Pourcain ◽  
Jon Heron ◽  
Will Mandy
Keyword(s):  
General Population ◽  
Full Range ◽  
Population Sample ◽  
Autistic Traits ◽  
Communication Disorders ◽  
Autism Spectrum ◽  
Growth Mixture Modelling ◽  
Autistic People ◽  
Social Difficulties ◽  
Autism Trait

Abstract Background Autistic people show diverse trajectories of autistic traits over time, a phenomenon labelled ‘chronogeneity’. For example, some show a decrease in symptoms, whilst others experience an intensification of difficulties. Autism spectrum disorder (ASD) is a dimensional condition, representing one end of a trait continuum that extends throughout the population. To date, no studies have investigated chronogeneity across the full range of autistic traits. We investigated the nature and clinical significance of autism trait chronogeneity in a large, general population sample. Methods Autistic social/communication traits (ASTs) were measured in the Avon Longitudinal Study of Parents and Children using the Social and Communication Disorders Checklist (SCDC) at ages 7, 10, 13 and 16 (N = 9744). We used Growth Mixture Modelling (GMM) to identify groups defined by their AST trajectories. Measures of ASD diagnosis, sex, IQ and mental health (internalising and externalising) were used to investigate external validity of the derived trajectory groups. Results The selected GMM model identified four AST trajectory groups: (i) Persistent High (2.3% of sample), (ii) Persistent Low (83.5%), (iii) Increasing (7.3%) and (iv) Decreasing (6.9%) trajectories. The Increasing group, in which females were a slight majority (53.2%), showed dramatic increases in SCDC scores during adolescence, accompanied by escalating internalising and externalising difficulties. Two-thirds (63.6%) of the Decreasing group were male. Conclusions Clinicians should note that for some young people autism-trait-like social difficulties first emerge during adolescence accompanied by problems with mood, anxiety, conduct and attention. A converse, majority-male group shows decreasing social difficulties during adolescence.

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