Exploring Subfactors of Adult Cognitive Disengagement Syndrome and Impact on Neuropsychological Performance.

IF 2.7 3区 医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2024-04-01 Epub Date: 2024-01-04 DOI:10.1177/10870547231218945
Elmma Khalid, Hannah B VanLandingham, Karen S Basurto, Amanda N Nili, Christopher Gonzalez, Janna L Guilfoyle, Gabriel P Ovsiew, Nicole M Durkin, Devin M Ulrich, Zachary J Resch, Neil H Pliskin, Jason R Soble, Brian M Cerny
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Abstract

Objective: This study investigated subfactors of cognitive disengagement syndrome (CDS; previously referred as sluggish cognitive tempo) among adults referred for neuropsychological evaluation of attentiondeficit/hyperactivity disorder (ADHD).

Method: Retrospective analyses of data from 164 outpatient neuropsychological evaluations examined associations between CDS subfactors and self-reported psychological symptoms and cognitive performance.

Results: Factor analysis produced two distinct but positively correlated constructs: "Cognitive Complaints'' and "Lethargy." Both correlated positively with symptom reports (rs = 0.26-0.57). Cognitive Complaints correlated negatively with working memory, processing speed, and executive functioning performance (rs = -0.21 to -0.37), whereas Lethargy correlated negatively only with processing speed and executive functioning performance (rs = -0.26 to -0.42). Both predicted depression symptoms, but only Cognitive Complaints predicted inattention symptoms. Both subfactors demonstrated modest to nonsignificant associations with cognitive performance after accounting for estimated premorbid intelligence and inattention.

Conclusion: Findings indicate a bidimensional conceptualization of CDS, with differential associations between its constituent subfactors, reported symptoms, and cognitive performance.

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探索成人认知脱离综合症的子因素及其对神经心理学表现的影响。
研究目的本研究调查了因注意力缺陷/多动障碍(ADHD)而接受神经心理学评估的成年人中认知脱离综合征(CDS,以前称为认知节奏迟缓)的子因素:方法:对164例门诊神经心理学评估数据进行回顾性分析,研究CDS子因子与自我报告的心理症状和认知表现之间的关联:因子分析得出了两个不同但呈正相关的结构:"认知抱怨''和 "倦怠"。两者均与症状报告呈正相关(rs = 0.26-0.57)。认知抱怨 "与工作记忆、处理速度和执行功能表现呈负相关(rs = -0.21 至 -0.37),而 "倦怠 "仅与处理速度和执行功能表现呈负相关(rs = -0.26 至 -0.42)。两者都能预测抑郁症状,但只有认知抱怨能预测注意力不集中症状。在考虑了估计的病前智力和注意力不集中的因素后,这两个子因子与认知功能表现的相关性不大,甚至不显著:研究结果表明,CDS 是一种双维概念,其组成子因子、报告症状和认知表现之间存在不同的关联。
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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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