Camouflaging in ADHD: The Need for Construct Validation Before Clinical Adoption

The British Journal of Psychiatry  ·  2026

Marios Adamou;

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ABSTRACT

Summary This editorial argues that camouflaging, as developed in autism research, does not transfer coherently to attention-deficit hyperactivity disorder (ADHD). The executive functions required for sustained symptom concealment are precisely those impaired in ADHD. Current measures lack ADHD-specific validity, and compensatory behaviours should not be reclassified as camouflaging without dedicated theory, operational definitions and validated measurement.

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