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August 5, 20250 citations

Autistic Traits Predict Internalising Problems More Than Attention-Deficit Hyperactivity Disorder Traits

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DMDale MetcalfeEMEmily McCormack

Key Points

  • MAIN FINDING: Autistic traits were found to be stronger predictors of internalising problems compared to ADHD traits.
  • KEY EVIDENCE: Regression and dominance analysis of data from 239 adults indicated the predictive strength of traits.
  • APPROACH: The study employed standardized measures including the CATI, ASRS, and DASS to assess traits and problems.
  • SIGNIFICANCE: This research challenges previous beliefs, highlighting the importance of focusing on autistic traits in mental health discussions.

Abstract

Internalising problems are prevalent amongst neurodevelopmental conditions and associated with a range of negative outcomes. Yet, the unique contributions of autistic and ADHD traits remain under-researched. Using the Comprehensive Autistic Trait Inventory (CATI), ADHD Self-Report Scale (ASRS), and the Depression Anxiety Stress Scales (DASS), this study aimed to quantify the relative contributions of autistic and ADHD traits to internalising problems. Adopting a traits-based approach in a general population sample 239 adults took part. Regression and dominance analysis indicated both autistic and ADHD traits predicted internalising problems, and that autistic traits were the stronger predictor. This is contrary to the other research which implied ADHD traits have the greatest bearing; however, this study used different measures and indicates that measures focussing on cognition may have overlooked the physical manifestations of internalising problems in individuals with higher autistic traits. Whilst camouflaging was touched upon, its impact requires further investigation.

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Cite This Study

Metcalfe et al. (2025) studied this question.

synapsesocial.com/papers/689a0f99e6551bb0af8d1438https://doi.org/10.31234/osf.io/5mb7r_v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Neurodiversity and mental health in adulthood: exploring the unique contributions of autism and ADHD to internalising problems2026
  2. 2Understanding the mechanistic links between neurodevelopmental traits and internalising problems: the mediating roles of intolerance of uncertainty and negative problem orientation2026
  3. 3The mental health and adaptive functioning of adults with subdiagnostic autistic traits2026
  4. 4The distribution of parent‐reported autistic and subclinical ADHD traits in children with and without an autism diagnosis2024 · 1 citations
  5. 5Autistic traits in children with ADHD: preliminary evidence for a subgroup with elevated rule-breaking and aggressive behaviors2026