Uncovering a clinical portrait of sluggish cognitive tempo within an evaluation for attention-deficit/hyperactivity disorder: A case study.
Uncovering a clinical portrait of sluggish cognitive tempo within an evaluation for attention-deficit/hyperactivity disorder: A case study.
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DOI：
10.1177/1359104514554312
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发表时间：
2016-01
影响因子：
1.8
通讯作者：
Epstein JN
中科院分区：
文献类型：
--
作者：
Becker SP;Ciesielski HA;Rood JE;Froehlich TE;Garner AA;Tamm L;Epstein JN
尽管研究认知节奏缓慢 (SCT) 结构的科学文献不断涌现，但人们对 SCT 的临床表现知之甚少。在怀疑 SCT 的临床病例中，不仅要仔细评估注意力缺陷/多动障碍 (ADHD)，还要仔细评估可能导致 SCT 相关行为的其他合并症，尤其是内化症状和睡眠问题。当前的案例研究提供了一名 7 岁女孩 SCT 的临床描述，提供了 SCT 的现实生活肖像，同时也提供了定性区分 SCT 和注意力缺陷/多动障碍 (ADHD)、其他精神病理学（例如抑郁、焦虑）以及潜在相关功能领域（例如睡眠、执行功能）的机会。尽管标准化测试显示杰西卡的智力和学业成绩高于平均水平，但“杰西卡”自己、父母和老师都形容她完成作业的速度比同龄人慢得多。杰西卡的父母完成的评级量表显示出严重的 SCT 症状和白天嗜睡，以及 EF 赤字轻度升高。需要更多的研究来确定如何最好地概念化、评估和治疗 SCT，杰西卡的案例强调了在这一领域进一步开展工作的重要性。
Despite the burgeoning scientific literature examining the sluggish cognitive tempo (SCT) construct, very little is known about the clinical presentation of SCT. In clinical cases where SCT is suspected, it is critical to carefully assess not only for attention-deficit/hyperactivity disorder (ADHD) but also for other comorbidities that may account for the SCT-related behaviors, especially internalizing symptoms and sleep problems. The current case study provides a clinical description of SCT in a 7-year-old girl, offering a real-life portrait of SCT while also providing an opportunity to qualitatively differentiate between SCT and attention-deficit/hyperactivity disorder (ADHD), other psychopathologies (e.g., depression, anxiety), and potentially related domains of functioning (e.g., sleep, executive functioning). “Jessica” was described by herself, parents, and teacher as being much slower than her peers in completing schoolwork, despite standardized testing showing Jessica to have above average intelligence and academic achievement. Jessica’s parents completed rating scales indicating high levels of SCT symptoms and daytime sleepiness, as well as mildly elevated EF deficits. More research is needed to determine how to best conceptualize, assess, and treat SCT, and Jessica’s case underscores the importance of further work in this area.
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