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Updated: Mar 3, 2026

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Camouflaging in ADHD: the need for construct validation before clinical adoption.

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Summary

Camouflaging strategies from autism research are not directly applicable to attention-deficit hyperactivity disorder (ADHD). ADHD

Keywords:
Camouflagingcompensatory strategiesconstruct validityexecutive dysfunctionmasking ADHD

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Area of Science:

  • Neurodevelopmental disorders
  • Psychiatry
  • Psychology

Background:

  • Camouflaging, or symptom concealment, is studied in autism.
  • Its applicability to attention-deficit hyperactivity disorder (ADHD) is debated.
  • Executive functions are crucial for camouflaging but are impaired in ADHD.

Purpose of the Study:

  • To critically evaluate the transferability of camouflaging concepts from autism to ADHD.
  • To highlight the limitations of current measures in assessing ADHD-related camouflaging.
  • To argue against the reclassification of compensatory behaviors as camouflaging without further research.

Main Methods:

  • Conceptual analysis of camouflaging in autism and ADHD.
  • Review of executive functions and their role in symptom concealment.
  • Critique of existing measurement tools for ADHD.

Main Results:

  • Camouflaging, as defined in autism, does not translate well to ADHD.
  • Executive function deficits in ADHD hinder sustained symptom concealment.
  • Current measures lack ADHD-specific validity for camouflaging.

Conclusions:

  • Camouflaging is not a coherent construct in ADHD research currently.
  • Dedicated theory, definitions, and validated measures are needed before applying camouflaging to ADHD.
  • Compensatory behaviors in ADHD require distinct theoretical frameworks.