Background: Camou aging refers to behaviors in which autistic individuals hide their autistic characteristics and "pass" as non-autistic people. It is postulated that camou aging is a response to stigma, and preliminary evidence supports this hypothesis. However, there has been limited research on this topic outside of Western countries. This study sought to replicate and extend previous work examining the relationships between camou aging, stigma, and mental health in Japanese autistic people. Methods: Two hundred eighty seven autistic people living in Japan completed an online survey on camou aging, perceived stigma, individualistic and collective strategies, mental wellbeing, anxiety, social anxiety, and depression. We used multiple regression analysis, mediation analyses, and two-sample t-tests to analyze the collected data.Results: We found that higher camou aging was predicted by higher perceived stigma and more individualistic and collective strategy use.Camou aging mediates the association of stigma with depression, anxiety, and social anxiety (but not wellbeing). Furthermore, autistic people in Japan reported lower perceived stigma, camou aging, wellbeing, and collective strategy use but more individualistic strategies than those in a Western sample.Conclusion: Our ndings support the hypothesis that camou aging is a response to stigma and can in uence the impact of stigma on mental health.There are also cross-cultural differences worth attending to, and more work around supporting positive autistic identity in Japan would be bene cial.
Community BriefWhy is this an important issue? Social camou aging is a behavior in which autistic individuals hide their autistic characteristics and "pass" as non-autistic people. While camou aging can help autistic individuals adapt to non-autistic society, it also causes extreme fatigue, depression, and anxiety. To reduce these negative effects, we must identify the reasons why autistic people camou age. In 2021, Perry et al. surveyed Western autistic people and showed that camou aging might be a strategy to avoid autism-related stigma. However, it is unclear whether their ndings apply to autistic people worldwide.
What was the purpose of this study?This study examines whether Perry et al.'s results also apply to autistic people in Japan and whether perceived stigma, camou aging, mental health, and coping strategies in the West differs from those in Japan.
What did the researchers do?The researchers surveyed 287 autistic adults residing in Japan about perceived stigma, camou aging, mental health, and their coping strategies. Then, the researchers examined whether perceived stigma affects the extent to which autistic people camou age. They also investigated the role camou aging plays in how stigma affects autistic people's mental health. Finally, they compared perceived stigma, camou aging, mental health, and coping strategies in the West with that in Japan.What were the results of the study?This study found the following:(1) The higher the perceived stigma, the higher t...