medtests.de · Masking
Masking Test (CAT-Q)
This self-test uses the CAT-Q, the Camouflaging Autistic Traits Questionnaire. It measures how much you compensate, mask, and push yourself through social situations: the strategies that can make autism invisible to others, and sometimes to standard screening tests too.
Camouflaging Autistic Traits Questionnaire
Please read each statement below and choose the answer that best fits your experiences during social interactions.
What does the CAT-Q measure?
The CAT-Q asks 25 questions across three strategies. Compensation covers deliberately learned social behavior: copying body language, preparing scripts, studying how people interact in film and fiction. Masking covers monitoring and hiding: controlling your face and posture, concealing your reactions, performing "normal". Assimilation covers the cost of fitting in: feeling like you're putting on an act, forcing yourself to interact, never quite feeling free to be yourself. Answers run from 1 to 7, five questions are reverse-scored, and totals range from 25 to 175.
What does the result mean?
The CAT-Q has no official diagnostic cutoff. In the original research, autistic adults scored substantially higher than non-autistic adults, with autistic women averaging around 124, and scores of 100 or more are commonly read as notable camouflaging. Heavy camouflaging matters for two reasons. It can explain why screening tests, and even clinicians, have missed autistic traits. And it's consistently linked to exhaustion and poorer mental health, because sustained masking is costly. A high score isn't an autism diagnosis on its own, but combined with an elevated AQ or RAADS-R result it's a strong reason to look for an assessor who knows masked presentations.
Source
Hull L, Mandy W, Lai M-C, Baron-Cohen S, Allison C, Smith P, Petrides KV. Development and Validation of the Camouflaging Autistic Traits Questionnaire (CAT-Q). Journal of Autism and Developmental Disorders, 2019.