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Do Implicit and Explicit Racial Biases Influence Autism Identification and Stigma? An Implicit Association Test

Rita Obeid1,2,3, Jennifer Bailey Bisson4, Alexandra Cosenza5

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PubMed
Summary

Implicit and explicit biases affect perceptions of autism spectrum disorder (ASD) and conduct disorder (CD). Findings suggest biases, particularly racial ones, influence ASD and CD identification and stigma, highlighting a need for targeted training.

Keywords:
Autism spectrum disorderConduct disorderExplicitIATImplicitStigma

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Area of Science:

  • Psychology
  • Neurodevelopmental Disorders
  • Social Cognition

Background:

  • Autism spectrum disorder (ASD) and conduct disorder (CD) are distinct neurodevelopmental conditions.
  • Stigma associated with both ASD and CD can impact diagnosis and social integration.
  • Implicit and explicit biases may influence the perception and stigmatization of these conditions.

Purpose of the Study:

  • To investigate the relationship between implicit and explicit biases and the identification and stigma of ASD and CD.
  • To examine how racial biases intersect with the perception of ASD and CD in vignettes.

Main Methods:

  • 493 college students completed Implicit Association Tests (IATs) for stigma and racial bias.
  • Participants evaluated vignettes of children with ASD or CD, paired with Black or White child images.
  • Explicit stigma and diagnostic accuracy were also assessed.

Main Results:

  • Conduct disorder (CD) exhibited greater implicit and explicit stigma than autism spectrum disorder (ASD).
  • Accurate ASD identification correlated with lower explicit stigma; CD identification increased stigma.
  • Racial biases were observed: White participants linked White children with ASD and Black children with CD, with a reverse trend in Black participants.

Conclusions:

  • Implicit and explicit biases are distinct constructs.
  • Racial biases influence the perception of ASD and CD, associating in-group children with ASD and out-group children with CD.
  • Training is recommended to reduce in-group favoritism and associated biases in ASD and CD perception.