Sluggish cognitive tempo (SCT) in an adult outpatient sample seeking an attention-deficit/hyperactivity disorder assessment: Age of onset and assessment method impact on SCT rates.
Sluggish cognitive tempo (SCT) in an adult outpatient sample seeking an attention-deficit/hyperactivity disorder assessment: Age of onset and assessment method impact on SCT rates.
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DOI：
10.1016/j.jpsychires.2020.09.013
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发表时间：
2020-12
影响因子：
4.8
通讯作者：
Lunsford-Avery JR
中科院分区：
文献类型：
--
作者：
Mitchell JT;Davis NO;Kollins SH;Lunsford-Avery JR
认知速度缓慢 (SCT) 与注意力缺陷/多动障碍 (ADHD) 相关，但又不同。本研究调查了寻求 ADHD 评估的成人门诊患者的 SCT 率、基于 ADHD 状态的比率差异、评估方法的影响（即报告来源、症状计数和功能障碍）以及 SCT 症状出现的年龄。门诊患者 (n=124) 完成了 SCT 测量（n=120 名其他报告者）。 SCT 基于报告来源（即自我报告、其他报告、任一报告来源[“或”规则]以及两个报告来源[“和”规则]）、症状计数（即基于年龄的标准处于或接近第 93 个百分位数，以及更高的症状计数阈值 5）和功能障碍（即 0、1 和 ≥2 域）。 SCT 率根据完整样本 (26%-82%) 以及患有 (32%-91%) 和不患有 (16%-66%) ADHD 的样本的评估方法而有所不同。随着功能障碍和症状计数标准更严格，发生率下降。根据其他报告者和“或”规则，但根据“和”规则，ADHD 组的 SCT 高于非 ADHD 组。功能障碍和症状计数标准不影响这些比较。对于自我报告的 SCT 率，ADHD/非 ADHD 组的比较在基于年龄的症状计数阈值上没有差异，但在症状计数阈值为 5 的情况下存在差异。自我报告的 SCT 症状发病年龄为 13.36 岁，ADHD 组（11.69 岁）明显比非 ADHD 组（16.36 岁）年轻。 SCT 症状升高和相关损伤在寻求 ADHD 评估的成年人中很常见。这些比率和 ADHD/非 ADHD 组差异根据诊断方法的不同而有很大差异。
Sluggish cognitive tempo (SCT) is associated with—but distinct from—attention-deficit/hyperactivity disorder (ADHD). This study examined SCT rates in adult outpatients seeking an ADHD assessment, differences in rates based on ADHD status, impact of assessment method (i.e., reporting source, symptom count, and functional impairment), and age of SCT symptom onset. Outpatients (n=124) completed an SCT measure (n=120 other-reporters). SCT was based on reporting source (i.e., self-report, other-report, either reporting source [“or” rule], and both reporting sources [“and” rule]), symptom count (i.e., age-based norms at or near the 93rd percentile, and a higher symptom count threshold of five), and functional impairment (i.e., 0, 1, and ≥2 domains). SCT rates varied based on assessment method for the full sample (26%-82%) and among those with (32%-91%) and without (16%-66%) ADHD. Rates decreased with stricter functional impairment and symptom count criteria. SCT was higher in the ADHD group than the non-ADHD group based on other-reporters and the “or” rule, but not the “and” rule. Functional impairment and symptom count criteria did not impact these comparisons. For self-reported SCT rates, ADHD/non-ADHD group comparisons did not differ based on age-based symptom count threshold, but did with a symptom count threshold of five. Self-reported SCT symptom onset was 13.36 years-old and was significantly younger for the ADHD group (11.69 years) than the non-ADHD group (16.36 years). Elevated SCT symptoms and related impairment are common among adults seeking an ADHD evaluation. These rates and ADHD/non-ADHD group differences vary substantially based on diagnostic methods.
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影响因子：
5.9
作者：
Sibley, Margaret H.;Pelham, William E., Jr.;Molina, Brooke S. G.;Gnagy, Elizabeth M.;Waxmonsky, James G.;Waschbusch, Daniel A.;Derefinko, Karen J.;Wymbs, Brian T.;Garefino, Allison C.;Babinski, Dara E.;Kuriyan, Aparajita B.
通讯作者：
Kuriyan, Aparajita B.
影响因子：
3.6
作者：
Becker SP;Burns GL;Garner AA;Jarrett MA;Luebbe AM;Epstein JN;Willcutt EG
通讯作者：
Willcutt EG
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
3
作者：
Flannery, Andrew J.;Luebbe, Aaron M.;Becker, Stephen P.
通讯作者：
Becker, Stephen P.
DOI：
10.1007/s10862-017-9631-9
发表时间：
2018-06
影响因子：
1.6
作者：
Kamradt JM;Momany AM;Nikolas MA
通讯作者：
Nikolas MA