Cognitive Disengagement Syndrome Symptoms from Early Childhood to Adolescence in a Nationally Representative Spanish Sample.

IF 4.2 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Clinical Child and Adolescent Psychology Pub Date : 2023-11-06 DOI:10.1080/15374416.2023.2272944
G Leonard Burns, Juan José Montaño, Stephen P Becker, Mateu Servera
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Abstract

Objective: The identification of a common set of symptoms for assessing cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) for early childhood (ages 5-8), middle childhood (ages 9-12), and adolescence (ages 13-16) is needed to advance research on the developmental psychopathology of CDS (i.e. a common symptom set with comparable internal and external validity for each age group).

Method: Parents of a nationally representative sample of 5,525 Spanish children and adolescents (ages 5 to 16, 56.1% boys) completed measures of CDS, attention-deficit/hyperactivity disorder-inattention (ADHD-IN), and other measures.

Results: First, the 15 CDS symptoms showed convergent and discriminant validity relative to the ADHD-IN symptoms within each age group. Second, CDS showed stronger first-order and unique associations than ADHD-IN with anxiety, depression, somatization, daytime sleep-related impairment, and nighttime sleep disturbance, whereas ADHD-IN showed stronger first-order and unique associations than CDS with ADHD-hyperactivity/impulsivity, oppositional defiant disorder, and academic impairment. Third, CDS showed stronger first-order and unique associations than ADHD-IN with a history of having an anxiety, depression, or bipolar disorder diagnosis, whereas ADHD-IN showed stronger first-order and unique associations with having an ADHD diagnosis.

Conclusions: The identification of a common set of CDS symptoms spanning early childhood to adolescence allows for the advancement of research on CDS, with a particular need now for longitudinal studies and examination of CDS with other functional outcomes and across other cultural contexts.

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具有全国代表性的西班牙样本中从幼儿期到青春期的认知脱离综合症症状。
目的:确定一组常见症状,用于评估儿童早期(5-8岁)、儿童中期(9-12岁)、,和青春期(13-16岁)需要推进对CDS的发展精神病理学的研究(即每个年龄组具有可比的内部和外部有效性的常见症状集)。方法:5525名西班牙儿童和青少年(5至16岁,56.1%为男孩)的全国代表性样本的父母完成了CDS、注意力缺陷/多动障碍注意力不集中(ADHD-IN)和其他测量。结果:首先,在每个年龄组中,15种CDS症状相对于ADHD-IN症状表现出收敛和判别有效性。其次,CDS在焦虑、抑郁、躯体化、日间睡眠相关障碍和夜间睡眠障碍方面比ADHD-IN表现出更强的一级和独特关联,而ADHD-IN在多动症多动/冲动、对抗性违抗性障碍和学业障碍方面比CDS表现出更强的一级或独特关联。第三,与有焦虑、抑郁或双相情感障碍诊断史的ADHD-IN相比,CDS表现出更强的一阶和独特相关性,而ADHD-IN与有ADHD诊断史的表现出更强一阶和唯一相关性。结论:识别出一组从儿童早期到青春期的常见CDS症状,有助于推进CDS的研究,现在特别需要对CDS进行纵向研究,并在其他功能结果和其他文化背景下进行检查。
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来源期刊
CiteScore
9.70
自引率
4.80%
发文量
58
期刊介绍: The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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