Neuropsychological precursors of psychopathology and the moderating/mediating effect of social skills in 4-to-7-year-old children

The current study examined the predictive interrelations between social cognition, executive functioning, social skills, and psychopathology in 4-to-7-year-old typically developing children. Furthermore, the moderating and mediating effects of social skills on the relationships between social cognition, executive functioning and internalizing/externalizing behaviour were examined. The sample consisted of 286 children from regular primary schools in the Netherlands. Both direct and indirect measures of social cognition (Theory of Mind, emotion recognition and social cognitive skills in daily life) and executive functioning (inhibitory control, visual spatial working memory, verbal fluency, planning abilities and EF in daily life) were used in the study. Social skills and psychopathology were measured using parent-rating scales (SSRS and CBCL respectively). Problems in the domain of social cognition and executive functioning, as well as internalizing and externalizing behaviour...Show moreThe current study examined the predictive interrelations between social cognition, executive functioning, social skills, and psychopathology in 4-to-7-year-old typically developing children. Furthermore, the moderating and mediating effects of social skills on the relationships between social cognition, executive functioning and internalizing/externalizing behaviour were examined. The sample consisted of 286 children from regular primary schools in the Netherlands. Both direct and indirect measures of social cognition (Theory of Mind, emotion recognition and social cognitive skills in daily life) and executive functioning (inhibitory control, visual spatial working memory, verbal fluency, planning abilities and EF in daily life) were used in the study. Social skills and psychopathology were measured using parent-rating scales (SSRS and CBCL respectively). Problems in the domain of social cognition and executive functioning, as well as internalizing and externalizing behaviour problems were highly correlated. Also, social skills were highly correlated with psychopathology. Social cognition only predicted internalizing behaviour, whereas executive functioning only appeared to be a unique predictor of externalizing behaviour. Moderation and mediation models demonstrated social skills to be a moderator and partial mediator in the relationship between executive functioning and externalizing behaviour problems. Mediation analyses indicated the relationship between social cognition and externalizing behaviour to be fully mediated by executive functioning. The results of this study suggest that training social skills may be important for children who show deficits in executive functioning and who are at risk for developing externalizing behaviour problems. Furthermore, the mediating role of executive functioning on the relationship between social cognition and externalizing behaviour possibly explains the absence of a moderating/mediating effect of social skills on the relationship between social cognition and externalizing behaviour problems. For more knowledge on precursors of psychopathology, future studies should focus on atypically developing children, should examine the prediction of specific psychiatric disorders, examine the possible differential results from direct and indirect measures and examine the development of the social cognition, executive functions, social skills and psychopathology in middle and late childhood, and during adolescence.Show less

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Neuropsychological precursors of psychopathology and the moderating/mediating effect of social skills in 4-to-7-year-old children