Abstract
Recently, individuals with autistic traits, especially female, have been known to use compensatory strategies (e.g. hiding their autistic traits or compensatory learning) for better adaptation. Though these strategies are predicted to be relevant with the non-clinical undiagnosed autistic people, their adaptive status and the factor contributing to it remain largely unexplored, especially the influence of gender. We explored the strengths of non-clinical adults with high autistic traits (high, N = 89, scored 19 or higher on Autism Spectrum Screening Questionnaire: ASSQ, self- and/or other-ratings) who were respondents to an online survey recruited from all over Japan, using items of the personal strengths in the Adult Self Report (ASR) and Adult Behavior Checklist (rating by others). We compared the high group with the low autistic traits group (low, N = 408, less than 19 on both ASSQ self- and other- ratings on the online survey) and the autism spectrum disorder group (ASD, N = 50, initial visit to hospital), as well as by gender. Personal strengths estimated by others were significantly higher than those by self in the high group, especially in females, but were opposite in the ASD group and equivalent in the low group, respectively. Multiple regression analysis revealed that personal strengths estimated by others increased adaptive functioning, with worsening of internalizing symptoms in high group females, both of which were assessed using ASR. Thus, non-clinical autistic females appeared to have unique adaptation styles.
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The authors declare that the data supporting the findings of this study are available within the article and its supplementary information files.
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02 April 2024
A Correction to this paper has been published: https://doi.org/10.1007/s12144-024-05824-w
References
Achenbach, T. M. (2015). Multicultural evidence-based assessment using the Achenbach system of empirically based assessment (ASEBA) for ages 1½-90+. Psychologia, 9(2), 13. https://doi.org/10.21500/19002386.1810
Achenbach, T. M., & Rescorla, L. A. (2003). Manual for the ASEBA Adult Forms & Profiles. University of Vermont, Research Center for Children, Youth & Families.
Adachi, M., Takahashi, M., Takayanagi, N., Yoshida, S., Yasuda, S., Tanaka, M., Osato-Kaneda, A., Saito, M., Kuribayashi, M., Kato, S., & Nakamura, K. (2018). Correction: adaptation of the Autism Spectrum Screening Questionnaire (ASSQ) to preschool children. Plos One, 13(8), e0203254. https://doi.org/10.1371/journal.pone.0203254
Aiken, L. S., & West, S. G. (1991). Multiple regression: testing and interpreting interactions. Sage Publications, Inc.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders. 4th ed., Text Revision (DSM-IV-TR). American Psychiatric Association.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Attwood, T. (2007). The complete guide to Asperger’s syndrome. Jessica Kingsley Publishers.
Bargiela, S., Steward, R., & Mandy, W. (2016). The Experiences of late-diagnosed women with Autism Spectrum Conditions: an investigation of the female autism phenotype. Journal of Autism and Developmental Disorders, 46(10), 3281–3294. https://doi.org/10.1007/s10803-016-2872-8
Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of autism and developmental disorders, 31(1), 5–17. https://doi.org/10.1023/a:1005653411471
Deisinger, J. A. (2015). “The broad autism Phenotype”. In A. F. Rotatori (Ed.), The broad autism phenotype (advances in Special Education (29 vol., p. iii). Bingley: Emerald Group Publishing Limited. https://doi.org/10.1108/S0270-401320150000029009
Dworzynski, K., Ronald, A., Bolton, P., & Happé, F. (2012). How different are girls and boys above and below the diagnostic threshold for Autism Spectrum Disorders? Journal of the American Academy of Child & Adolescent Psychiatry, 51(8), 788–797. https://doi.org/10.1016/j.jaac.2012.05.018
Ehlers, S., Gillberg, C., & Wing, L. (1999). A screening questionnaire for Asperger syndrome and other high-functioning autism spectrum disorders in school age children. Journal of autism and developmental disorders, 29(2), 129–141. https://doi.org/10.1023/a:1023040610384
Frith, U., & de Vignemont, F. (2005). Egocentrism, allocentrism, and Asperger syndrome. Consciousness and cognition, 14(4), 719–738. https://doi.org/10.1016/j.concog.2005.04.006
Funabiki, Y., Kawagishi, H., Uwatoko, T., Yoshimura, S., & Murai, T. (2011). Development of a multi-dimensional scale for PDD and ADHD. Research in developmental disabilities, 32(3), 995–1003. https://doi.org/10.1016/j.ridd.2011.01.052
Funabiki, Y., & Murai, T. (2015). Standardization of japanese version of the adult Behaviour Checklist/18–59. Japanese Journal of Clinical Psychiatry, 44(8), 1135–1141. [in Japanese].
Gillott, A., & Standen, P. J. (2007). Levels of anxiety and sources of stress in adults with autism. Journal of intellectual disabilities: JOID, 11(4), 359–370. https://doi.org/10.1177/1744629507083585
Gollwitzer, A., Martel, C., McPartland, J. C., & Bargh, J. A. (2019). Autism spectrum traits predict higher social psychological skill. Proceedings of the National Academy of Sciences of the United States of America, 116(39), 19245–19247. https://doi.org/10.1073/pnas.1911460116
Goodman, R. (1997). The Strengths and Difficulties Questionnaire: a research note. Journal of child psychology and psychiatry and allied disciplines, 38(5), 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x
Gotham, K., Unruh, K., & Lord, C. (2015). Depression and its measurement in verbal adolescents and adults with autism spectrum disorder. Autism, 19(4), 491–504. https://doi.org/10.1177/1362361314536625
Griffin, C., Lombardo, M. V., & Auyeung, B. (2016). Alexithymia in children with and without autism spectrum disorders. Autism Research, 9(7), 773–780. https://doi.org/10.1002/aur.1569
Honda, H. (2017). Neurodevelopmental Disorders in adults. Japanese Journal of Cognitive Neuroscience, 19(1), 33–39. https://www.jstage.jst.go.jp/article/ninchishinkeikagaku/19/1/19_33/_article/-char/en [in Japanese].
Hong, J., Bishop-Fitzpatrick, L., Smith, L. E., Greenberg, J. S., & Mailick, M. R. (2016). Factors Associated with subjective quality of life of adults with Autism Spectrum Disorder: self-report versus maternal reports. Journal of autism and developmental disorders, 46(4), 1368–1378. https://doi.org/10.1007/s10803-015-2678-0
Hull, L., Mandy, W., Lai, M. C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2019). Development and validation of the camouflaging autistic traits questionnaire (CAT-Q). Journal of Autism and Developmental Disorders, 49(3), 819–833. https://doi.org/10.1007/s10803-018-3792-6
Ii, T., Hayashi, E., Hirose, Y., & Tojo, Y. (2003). High-Functioning Autism Spectrum Screening Questionnaire (ASSQ) Study on characteristic of the social disabilities and educational support in the children with ASD, ADHD.National Institute of Special Needs Education,39–45. [in Japanese]
Ishizu, K., & Ambo, H. (2008). Tendency toward over-adaptation; school adjustment and stress responses. Japanese Journal of Educational Psychology, 56(1), 23–31. https://doi.org/10.5926/jjep1953.56.1_23[in Japanese].
Ito, H., Matsumoto, K., Takayanagi, N., Harada, S., Ohtake, S., Mochizuki, N., Nakajima, S., Noda, W., Tanaka, Y., & Tsujii, M. (2014). Psychometric properties of the japanese version of the Autism Spectrum Screening Questionnaire (ASSQ): development of a short form. The Japanese Journal of Psychology, 85(3), 304–312. https://doi.org/10.4992/jjpsy.85.13213[in Japanese].
Johnson, S. A., Filliter, J. H., & Murphy, R. R. (2009). Discrepancies between self- and parent- perceptions of autistic traits and empathy in high functioning children and adolescents on the Autism spectrum. Journal of Autism and Developmental Disorders, 39(12), 1706–1714. https://doi.org/10.1007/s10803-009-0809-1
Kanne, S. M., Christ, S. E., & Reiersen, A. M. (2009). Psychiatric symptoms and psychosocial difficulties in young adults with autistic traits. Journal of Autism and Developmental Disorders, 39(6), 827–833. https://doi.org/10.1007/s10803-008-0688-x
Kirchner, J. C., & Dziobek, I. (2014). Towards successful employment of adults with autism: a first analysis of special interests and factors deemed important for vocational performance. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 2(2), 77–85. https://tidsskrift.dk/sjcapp/article/view/15858
Kirchner, J., Ruch, W., & Dziobek, I. (2016). Brief report: character strengths in adults with Autism Spectrum Disorder without Intellectual Impairment. Journal of autism and developmental disorders, 46(10), 3330–3337. https://doi.org/10.1007/s10803-016-2865-7
Kopp, S., & Gillberg, C. (2011). The Autism Spectrum Screening Questionnaire (ASSQ)-Revised Extended Version (ASSQ-REV): an instrument for better capturing the autism phenotype in girls? A preliminary study involving 191 clinical cases and community controls. Research in Developmental Disabilities, 32(6), 2875–2888. https://doi.org/10.1016/j.ridd.2011.05.017
Lai, M. C., Lombardo, M. V., Ruigrok, A. N., Chakrabarti, B., Auyeung, B., Szatmari, P., Happé, F., Baron-Cohen, S., & MRC AIMS Consortium. (2017). Quantifying and exploring camouflaging in men and women with autism. Autism: the international journal of research and practice, 21(6), 690–702. https://doi.org/10.1177/1362361316671012
Lee, L. C., Harrington, R. A., Louie, B. B., & Newschaffer, C. J. (2008). Children with autism: quality of life and parental concerns. Journal of autism and developmental disorders, 38(6), 1147–1160. https://doi.org/10.1007/s10803-007-0491-0
Leedham, A., Thompson, A. R., Smith, R., & Freeth, M. (2020). ‘I was exhausted trying to figure it out’: the experiences of females receiving an autism diagnosis in middle to late adulthood. Autism: the international journal of research and practice, 24(1), 135–146. https://doi.org/10.1177/1362361319853442
Livingston, L. A., & Happé, F. (2017). Conceptualising compensation in neurodevelopmental disorders: reflections from autism spectrum disorder. Neuroscience and Biobehavioral Reviews, 80(June), 729–742. https://doi.org/10.1016/j.neubiorev.2017.06.005
Livingston, L. A., Shah, P., & Happé, F. (2019). Compensatory strategies below the behavioural surface in autism: a qualitative study. The Lancet Psychiatry, 6(9), 766–777. https://doi.org/10.1016/S2215-0366(19)30224-X
Lombardo, M. V., & Baron-Cohen, S. (2010). Unraveling the paradox of the autistic self. Wiley interdisciplinary reviews Cognitive science, 1(3), 393–403. https://doi.org/10.1002/wcs.45
Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-to-female ratio in Autism Spectrum Disorder? A systematic review and Meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 466–474. https://doi.org/10.1016/j.jaac.2017.03.013
Morling, B., Kitayama, S., & Miyamoto, Y. (2002). Cultural practices emphasize influence in the United States and adjustment in Japan. Personality and Social Psychology Bulletin, 28(3), 311–323. https://doi.org/10.1177/0146167202286003
Pollmann, M. M. H., Finkenauer, C., & Begeer, S. (2010). Mediators of the link between autistic traits and relationship satisfaction in a non-clinical sample. Journal of Autism and Developmental Disorders, 40(4), 470–478. https://doi.org/10.1007/s10803-009-0888-z
Rapp, C. A., & Goscha, R. J. (2006). The strengths model: case management with people with psychiatric disabilities (2nd ed.). Oxford University Press.
Rescorla, L. A., Achenbach, T. M., Ivanova, M. Y., Turner, L. V., Árnadóttir, H., Au, A., Caldas, J. C., Chen, Y. C., Decoster, J., Fontaine, J., Funabiki, Y., Guðmundsson, H. S., Leung, P., Liu, J., Maraš, J. S., Marković, J., Oh, K. J., da Rocha, M. M., Samaniego, V. C., Silvares, E., Simulioniene, R., Sokoli, E., Vazquez, N., & Zasepa, E. (2016). Collateral reports and cross-informant agreement about adult psychopathology in 14 Societies. Journal Of Psychopathological And Behavioral Assessment, 38, 381–397. https://doi.org/10.1007/s10862-016-9541-2
Sandercock, R. K., Lamarche, E. M., Klinger, M. R., & Klinger, L. G. (2020). Assessing the convergence of self-report and informant measures for adults with autism spectrum disorder. Autism, 24(8), 2256–2268. https://doi.org/10.1177/1362361320942981
Schriber, R. A., Robins, R. W., & Solomon, M. (2014). Personality and self-insight in individuals with autism spectrum disorder. Journal of Personality and Social Psychology, 106(1), 112–130. https://doi.org/10.1037/a0034950
Seligman, M. E. P., Park, N., & Peterson, C. (2004). The values in action (VIA) classification of character strengths. Ricerche di Psicologia, 27(1), 63–78.
Sugawara, Y., Hiramoto, I., & Kodama, H. (2013). Over-adaptation and heart rate variability in japanese high school girls. Autonomic Neuroscience, 176(1), 78–84. https://doi.org/10.1016/j.autneu.2013.02.016
Tazaki, M., & Nakane, Y. (1997). Nihongo-ban WHO/QOL26 [A Guide to WHOQOL-26]. Kaneko Shobo. [in Japanese]
Teti, M., Cheak-Zamora, N., Lolli, B., & Maurer-Batjer, A. (2016). Reframing autism: young adults with Autism Share their strengths through photo-stories. Journal of pediatric nursing, 31(6), 619–629. https://doi.org/10.1016/j.pedn.2016.07.002
The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological medicine, 28(3), 551–558. https://doi.org/10.1017/s0033291798006667
Wainer, A. L., Block, N., Donnellan, M. B., & Ingersoll, B. (2013). The broader autism phenotype and friendships in non-clinical dyads. Journal of Autism and Developmental Disorders, 43(10), 2418–2425. https://doi.org/10.1007/s10803-013-1789-8
Yoshitake, N., Sun, Y., Sugawara, M., Matsumoto, S., Sakai, A., Takaoka, J., & Goto, N. (2015). The psychometric properties of the WHOQOL-BREF in japanese couples. Health psychology open, 2(2), 2055102915598089. https://doi.org/10.1177/2055102915598089
Acknowledgements
This research was supported by Grant-in-Aid for Scientific Research (A) (17H00883) and for Challenging Exploratory Research (15K15223, 20K20649). We would like to express our deep gratitude to the patients, participants, and staff members of the hospital and our laboratory for their kind and considerate support. We also thank Kou Murayama for assisting with data analysis. Special thanks to Taiko Shiwa for providing invaluable insights and for fruitful discussions. We would like to thank Editage (www.editage.com) for English language editing.
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Sejima, K., Uozumi, R., Murai, T. et al. Ambivalent effects of highly estimated personal strengths on adaptive functioning and internalizing symptoms in non-clinical autistic females. Curr Psychol 43, 2555–2567 (2024). https://doi.org/10.1007/s12144-023-04285-x
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DOI: https://doi.org/10.1007/s12144-023-04285-x