Evidence map›Paper›PMID 42416637›Full record

ArticleJCPP advances2026

Understanding the associations between neurodevelopmental features and internalising and externalising behaviours: A transdiagnostic approach.

Sarah J Carrington, Jennifer Keating, Mirko Uljarević, Kirsten Abbot-Smith, Catherine R G Jones, Susan R Leekam

Abstract read
In one paragraph

Article in JCPP advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Sarah J CarringtonSchool of Psychology Aston University Birmingham UK.ORCID https://orcid.org/0000-0001-5548-8793
Jennifer KeatingSchool of Social Sciences Cardiff University Cardiff UK.ORCID https://orcid.org/0000-0002-5930-8080
Mirko UljarevićDepartment of Psychiatry and Behavioral Sciences Stanford University Stanford California USA.ORCID https://orcid.org/0000-0002-7481-3923
Kirsten Abbot-SmithSchool of Psychology University of Kent Canterbury UK.ORCID https://orcid.org/0000-0001-8623-0664
Catherine R G JonesCardiff University Centre for Human Developmental Science School of Psychology Cardiff University Cardiff UK.ORCID https://orcid.org/0000-0003-0541-0431
Susan R LeekamCardiff University Centre for Human Developmental Science School of Psychology Cardiff University Cardiff UK.ORCID https://orcid.org/0000-0002-1122-0135

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Internalising and externalising behaviours-significant markers for lifetime psychiatric vulnerability-are elevated in children with neurodevelopmental diagnoses, including autism. Although neurodevelopmental features of autism are dimensions that span the population, limited research has examined their differential patterns of association with internalising and externalising behaviours in children without specific, categorically-defined diagnoses. Evidence of such associations outside of a traditional diagnostic context may enable more targeted support for children's individual needs, irrespective of diagnoses. The current study aimed to characterise the relationship between neurodevelopmental features found in autism-restricted and repetitive behaviours (RRB) and social communication difficulties-and internalising and externalising behaviours in children from mainstream school who experience emotional, behavioural, or cognitive challenges. Methods: We recruited 136 6-7-year-olds without known clinical conditions but with school-identified emotional, behavioural or cognitive difficulties. The Repetitive Behaviour Questionnaire-2 assessed RRBs, the pragmatics scale from the Revised Children's Communication Checklist-2 assessed social communication, and the Strengths and Difficulties Questionnaire examined internalising and externalising behaviours. Results: Simultaneous hierarchical linear regression analysis identified differential associations when adjusting for covariance between internalising and externalising. Social communication made a stronger contribution than RRBs to variance in externalising behaviours ( Conclusion: These findings will inform future research aimed at understanding the co-occurrence of traits across diagnostic boundaries. Evidence that RRBs and social communication are differentially associated with internalising and externalising behaviours may identify target areas for the support of children with emotional and behavioural difficulties, a group whose co-occurring neurodevelopmental features are often under-recognised.

Indexed as

externalisinginternalisingpragmatic languagerestricted and repetitive behaviourssocial communicationtransdiagnostic research

Identifiers

PMID42416637
PMCPMC13338984

What OpenQuestion holds

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Registered trials

None linked

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.