Cognitive performance in children and adolescents with psychopathology traits: A cross-sectional multicohort study in the general population

被引:24
作者
Blok, Elisabet [1 ,2 ]
Schuurmans, Isabel K. [2 ,3 ]
Tijburg, Anne J. [1 ]
Hillegers, Manon [1 ]
Koopman-Verhoeff, Maria E. [1 ,4 ]
Muetzel, Ryan L. [1 ]
Tiemeier, Henning [1 ,5 ]
White, Tonya [1 ,6 ]
机构
[1] Univ Med Ctr Rotterdam, Erasmus MC, Dept Child & Adolescent Psychiat Psychol, Sophia Childrens Hosp, Rotterdam, Netherlands
[2] Univ Med Ctr Rotterdam, Erasmus MC, Generat R Study Grp, Rotterdam, Netherlands
[3] Univ Med Ctr Rotterdam, Dept Epidemiol, Erasmus MC, Rotterdam, Netherlands
[4] Leiden Univ, Inst Educ & Child Studies, Leiden, Netherlands
[5] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA
[6] Univ Med Ctr Rotterdam, Dept Radiol & Nucl Med, Erasmus MC, Rotterdam, Netherlands
关键词
adolescence; childhood; cognition; Child Behavior Checklist; psychopathology; PEDIATRIC BIPOLAR DISORDER; 14-YEAR FOLLOW-UP; CHILDHOOD; ANXIETY; DYSREGULATION; ACHIEVEMENT; INTELLIGENCE; METAANALYSIS; PHENOTYPE; PATHWAYS;
D O I
10.1017/S0954579422000165
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Psychopathology and cognitive development are closely related. Assessing the relationship between multiple domains of psychopathology and cognitive performance can elucidate which cognitive tasks are related to specific domains of psychopathology. This can help build theory and improve clinical decision-making in the future. In this study, we included 13,841 children and adolescents drawn from two large population-based samples (Generation R and ABCD studies). We assessed the cross-sectional relationship between three psychopathology domains (internalizing, externalizing, dysregulation profile (DP)) and four cognitive domains (vocabulary, fluid reasoning, working memory, and processing speed) and the full-scale intelligence quotient. Lastly, differential associations between symptoms of psychopathology and cognitive performance by sex were assessed. Results indicated that internalizing symptoms were related to worse performance in working memory and processing speed, but better performance in the verbal domain. Externalizing and DP symptoms were related to poorer global cognitive performance. Notably, those in the DP subgroup had a 5.0 point lower IQ than those without behavioral problems. Cognitive performance was more heavily affected in boys than in girls given comparable levels of psychopathology. Taken together, we provide evidence for globally worse cognitive performance in children and adolescents with externalizing and DP symptoms, with those in the DP subgroup being most heavily affected.
引用
收藏
页码:926 / 940
页数:15
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