Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type
Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type
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DOI：
10.1207/s15374424jccp3101_14
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发表时间：
2002-03-01
影响因子：
4.2
通讯作者：
Mann, M
中科院分区：
文献类型：
--
作者：
Carlson, CL;Mann, M
比较了两组患有注意力缺陷多动障碍（主要是注意力不集中型）（ADHD/IA）的儿童，即在认知节奏迟缓（SCT）综合测量中得分较高的儿童，以及没有使用大量基于学校的儿童样本，之前已报告过 ADHD 亚型之间的比较。尽管两组在注意力或学习问题上没有差异，但高 SCT ADHD/IA 儿童被老师评为表现出较少的外化行为和较高水平的不快乐、焦虑/抑郁、孤僻行为和社交功能障碍。因此，SCT 确定了一个更同质的 ADHD/IA 儿童亚组，相对于整个《精神疾病诊断和统计手册》（第 4 版 [DSM-IV]；美国精神病学协会 [APA]，1994）诊断的 ADHD/IA 组，这些亚组更类似于先前研究中分类为“不伴有多动的注意力缺陷障碍”的儿童。这些结果支持重新考虑将 SCT 症状作为一类非多动性注意力缺陷障碍诊断标准的组成部分。
Compared 2 groups of children with attention deficit hyperactivity disorder predominantly inattentive type (ADHD/IA)-those with high scores on a composite measure of sluggish cognitive tempo (SCT) and those without-using a large, school-based sample of children for which previous comparisons between ADHD subtypes have been reported. Although the 2 groups did not differ on level of attention or learning problems, high-SCT ADHD/IA children were rated by teachers as showing less externalizing behavior and higher levels of unhappiness, anxiety/depression, withdrawn behavior and social dysfunction. Thus, SCT identifies a more homogeneous subgroup of ADHD/IA children who are, relative to the entire Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association [APA], 1994) diagnosed ADHD/IA group, more similar to those classified in previous research as "attention deficit disorder without hyperactivity." These results support a reconsideration of SCT symptoms as a component of diagnostic criteria for a category of nonhyperactive attention deficit disorder.