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

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Journal of attention disorders - 28(2024), 6 vom: 01. Apr., Seite 957-969

Sprache:

Englisch

Beteiligte Personen:

Khalid, Elmma [VerfasserIn]
VanLandingham, Hannah B [VerfasserIn]
Basurto, Karen S [VerfasserIn]
Nili, Amanda N [VerfasserIn]
Gonzalez, Christopher [VerfasserIn]
Guilfoyle, Janna L [VerfasserIn]
Ovsiew, Gabriel P [VerfasserIn]
Durkin, Nicole M [VerfasserIn]
Ulrich, Devin M [VerfasserIn]
Resch, Zachary J [VerfasserIn]
Pliskin, Neil H [VerfasserIn]
Soble, Jason R [VerfasserIn]
Cerny, Brian M [VerfasserIn]

Links:

Volltext

Themen:

ADHD
Cognitive disengagement syndrome
Journal Article
Neuropsychological functioning
Sluggish cognitive tempo

Anmerkungen:

Date Completed 01.04.2024

Date Revised 01.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/10870547231218945

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366691880