Validation of the Dutch Camouflaging Autistic Traits Questionnaire (CAT-Q-NL)

Camouflaging behavior is defined as using strategies to hide autistic characteristics. In the present study, we investigate the psychometric properties of a self-report questionnaire measuring camouflaging behavior: the Dutch translation of the Camouflaging Autistic Traits Questionnaire (CAT-Q-NL). In total, 674 individuals (of which 356 autistic) aged 30 to 92, filled out the CAT-Q-NL and the Autism Spectrum Quotient (AQ). In addition, we administered the Autism Diagnostic Observation Schedule (ADOS-2) in a subsample of 90 autistic adults. We executed preregistered analyses (AsPredicted #37800) to investigate the factor structure, measurement invariance, internal consistency and group differences. Convergent validity was assessed by comparing the CAT-Q-NL to the discrepancy between the AQ and ADOS-2. We found an acceptable fit for the original three-factor structure and sufficient to good internal consistency for total and factor scores. However, we did not find measurement invariance between autistic and non-autistic individuals. Correlations between CAT-Q-NL-scores and the discrepancy between AQ and ADOS-2 varied between low to mediocre (r = .04 to .28). Therefore, more research is needed into the convergent validity of the CAT-Q-NL. We conclude that the CAT-Q-NL can be used to measure camouflaging behavior within and between autistic individuals, but not between autistic and non-autistic individuals.