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However, few studies have investigated why and how autistic adults camouflage at work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This mixed-methods study explored workplace camouflaging frequency and experiences among\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009131 employed autistic adults. Linear regression examined whether camouflaging differed across identity groups, logistic regression tested whether camouflaging predicted changes in coworker behavior, and reflexive thematic analysis was used to analyze qualitative data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 86% of participants reported camouflaging often or sometimes at work. More camouflaging was associated with being female (B=0.94,\n                      <jats:italic>p<\/jats:italic>\n                      &lt;.001), non-binary (B=0.78,\n                      <jats:italic>p<\/jats:italic>\n                      =.011), and transgender (B\u2009=\u20091.10,\n                      <jats:italic>p<\/jats:italic>\n                      =.007) compared to male identity, but was not associated with race, ethnicity, sexual orientation, or autism disclosure. More frequent camouflaging was associated with nearly three times greater likelihood of noticing changes in others\u2019 behavior. Thematic analysis revealed five themes: camouflaging as a response to encountering prejudice or abuse, as a way of coping, as a response to being silenced, as compulsory production of extra labor, and as forced repression of identity. Mixed-methods integration indicated that gender minority participants reported being silenced and compulsory extra labor at higher within-group rates, and non-disclosed participants relied on active coping strategies at more than double the rate of disclosed participants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings underscore the importance of understanding camouflaging within workplace contexts, where social expectations and identity dynamics shape autistic employees\u2019 experiences and inform efforts to reduce stigma and support authentic self-expression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov, NCT05949086.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10803-026-07476-0","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T08:02:47Z","timestamp":1785744167000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cI Try to Act Like a Neurotypical so it Makes Customers More Comfortable\u201d: A Mixed Methods Analysis of Autistic Camouflaging at Work"],"prefix":"10.1007","clinical-trial-number":[{"clinical-trial-number":"nct05949086","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2157-2174","authenticated-orcid":false,"given":"Kari L.","family":"Sherwood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Erickson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5480-9433","authenticated-orcid":false,"given":"Jane","family":"Burke-Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0079-1477","authenticated-orcid":false,"given":"Matthew J.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"issue":"2","key":"7476_CR1","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1177\/1464700107078139","volume":"8","author":"S Ahmed","year":"2007","unstructured":"Ahmed, S. 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Kari Sherwood and Matthew J. Smith (authors of the current manuscript). The principal investigator of the RCT, Dr. Smith may receive royalties from SIMmersion LLC on future commercial sales of\n                      WorkChat\n                      . Dr. Smith adhered to the University of Michigan\u2019s Conflict Management Plan that was reviewed and approved by the University of Michigan Conflict of Interest Committee. No other authors report any other conflict of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the University of Michigan\u2019s Institutional Review Board (HUM00228606) on July 7, 2023.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participants provided written informed consent to participate in the study prior to study enrollment.","order":3,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participants provided written informed consent for publication of de-identified data.","order":4,"name":"Ethics","label":"Consent for Publication","group":{"name":"EthicsHeading","label":"Declarations"}}]}}