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Cognitive functioning in children with internalising, externalising and dysregulation problems: a population-based

Laura M E Blanken1,2, Tonya White1,3, Sabine E Mous1,2

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Summary
This summary is machine-generated.

Childhood psychiatric symptoms like internalizing and externalizing behaviors are linked to distinct neurocognitive deficits. Externalizing symptoms impact attention, while internalizing symptoms affect verbal fluency and memory.

Keywords:
CognitionExternalising symptomsInternalising symptoms

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Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Neuropsychology

Background:

  • Childhood psychiatric symptoms are common and linked to neurocognitive deficits.
  • The specific cognitive profiles associated with internalizing versus externalizing symptoms require further clarification.

Purpose of the Study:

  • To investigate the relationship between distinct psychiatric symptom profiles and neurocognitive functioning in school-aged children.
  • To determine if internalizing and externalizing symptoms are associated with general or specific cognitive impairments.

Main Methods:

  • Utilized a population-based sample of 1177 school-aged children.
  • Employed latent profile analysis to identify distinct symptom groups (internalizing, externalizing, co-occurring, no problems).
  • Assessed five domains of neurocognitive ability: attention/executive functioning, language, memory, sensorimotor, and visuospatial processing.

Main Results:

  • Children with externalizing symptoms showed lower performance in attention/executive functioning.
  • Children with internalizing symptoms exhibited impairments in verbal fluency and memory.
  • A distinct sensorimotor domain impairment was observed in children with co-occurring internalizing and externalizing symptoms.

Conclusions:

  • Internalizing and externalizing psychiatric symptoms in children are associated with distinct neurocognitive profiles.
  • Understanding these specific cognitive deficits is crucial for targeted interventions.
  • The findings highlight the complex interplay between early psychiatric symptoms and cognitive development.