Executive Dysfunction and Functional Impairment Associated With Sluggish Cognitive Tempo in Emerging Adulthood

Executive Dysfunction and Functional Impairment Associated With Sluggish Cognitive Tempo in Emerging Adulthood
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DOI:
10.1177/1087054714560822
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发表时间:
2017-06-01
影响因子:
3
通讯作者:
Antshel, Kevin M.
Antshel, Kevin M.
中科院分区:
医学2区
文献类型:
--
作者:
Wood, Whitney L. M.;Lewandowski, Lawrence J.;Antshel, Kevin M.

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目的:研究已经确定了缓慢的认知克里思(SCT)症状与ADHD,焦虑和抑郁症状之间的关系;然而,当检查与SCT症状相关的障碍时,没有研究控制ADHD,焦虑和抑郁的症状。本研究旨在检查(a)在控制ADHD、焦虑和抑郁症状时,SCT症状对功能障碍和执行功能(EF)问题的影响程度,以及(B)哪种类型的症状与最大程度的功能障碍相关。方法:大学生(N = 458)完成了ADHD,SCT,焦虑和抑郁症状,以及功能障碍和EF问题的自我报告量表。结果:13%的样本被发现有高水平的SCT症状。SCT症状显示出与其他症状集的中度至强相关性;然而,高水平的SCT症状通常与高水平的ADHD、焦虑或抑郁症状分开发生。SCT症状是EF问题和功能障碍的最独特的变量。与对照组相比,患有高水平SCT症状的学生,无论是否患有高水平ADHD症状,都表现出更多的障碍和EF问题。结论:螺旋CT是一种值得进一步研究的临床结构,特别是在大学生中。
Objective: Research has identified a relationship between sluggish cognitive tempo (SCT) symptoms and symptoms of ADHD, anxiety, and depression; however, no study has controlled for symptoms of ADHD, anxiety, and depression when examining impairment related to SCT symptoms. This study aimed to examine (a) the extent to which functional impairment and executive function (EF) problems were accounted for by SCT symptoms when controlling for ADHD, anxiety, and depression symptoms, and (b) which type of symptoms were associated with the greatest amount of impairment. Method: College students (N = 458) completed self-report scales of ADHD, SCT, anxiety, and depression symptoms, as well as functional impairment and EF problems. Results: Thirteen percent of the sample was found to have high levels of SCT symptoms. SCT symptoms showed a moderate to strong correlation with the other symptom sets; however, high levels of SCT symptoms often occurred separate from high levels of ADHD, anxiety, or depression symptoms. SCT symptoms accounted for the most unique variance for both EF problems and functional impairment. Students with high levels of SCT symptoms, with or without high levels of ADHD symptoms, exhibited more impairment and EF problems than the controls. Conclusion: SCT is a clinical construct worthy of additional study, particularly among college students.