Evidence map›Paper›PMID 27645702›Full record

ArticleEuropean child & adolescent psychiatry2017

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

Laura M E Blanken, Tonya White, Sabine E Mous, Maartje Basten, Ryan L Muetzel, Vincent W V Jaddoe, Marjolein Wals, Jan van der Ende, Frank C Verhulst, Henning Tiemeier

Abstract read
In one paragraph

Article in European child & adolescent psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Meta-Analysis of the RDoC Social Processing Domain across Units of Analysis in Children and Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  2. Trial
  3. Critical windows: timing of child maltreatment exposure and adult mental health.Child and adolescent psychiatry and mental health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laura M E BlankenDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Tonya WhiteDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Sabine E MousDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Maartje BastenDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Ryan L MuetzelDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Vincent W V JaddoeThe Generation R Study Group, Erasmus MC, Rotterdam, The Netherlands.
Marjolein WalsDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Jan van der EndeDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Frank C VerhulstDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands.
Henning TiemeierDepartment of Child and Adolescent Psychiatry, Erasmus MC-Sophia, Rotterdam, The Netherlands. h.tiemeier@erasmusmc.nl.ORCID http://orcid.org/0000-0002-4395-1397

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychiatric symptoms in childhood are closely related to neurocognitive deficits. However, it is unclear whether internalising and externalising symptoms are associated with general or distinct cognitive problems. We examined the relation between different types of psychiatric symptoms and neurocognitive functioning in a population-based sample of 1177 school-aged children. Internalising and externalising behaviour was studied both continuously and categorically. For continuous, variable-centred analyses, broadband scores of internalising and externalising symptoms were used. However, these measures are strongly correlated, which may prevent identification of distinct cognitive patterns. To distinguish groups of children with relatively homogeneous symptom patterns, a latent profile analysis of symptoms at age 6 yielded four exclusive groups of children: a class of children with predominantly internalising symptoms, a class with externalising symptoms, a class with co-occurring internalising and externalising symptoms, that resembles the CBCL dysregulation profile and a class with no problems. Five domains of neurocognitive ability were tested: attention/executive functioning, language, memory and learning, sensorimotor functioning, and visuospatial processing. Consistently, these two different modelling approaches demonstrated that children with internalising and externalising symptoms show distinct cognitive profiles. Children with more externalising symptoms performed lower in the attention/executive functioning domain, while children with more internalising symptoms showed impairment in verbal fluency and memory. In the most severely affected class of children with internalising and externalising symptoms, we found specific impairment in the sensorimotor domain. This study illustrates the specific interrelation of internalising and externalising symptoms and cognition in young children.

Indexed as

Child DevelopmentInternal-External ControlChildChild BehaviorChild Behavior DisordersCognitionFemaleHumansMaleMental DisordersProblem BehaviorCognitionExternalising symptomsInternalising symptoms

Identifiers

PMID27645702
PMCPMC5364260

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.