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大学生认知迟钝症状的鉴别诊断。

Differential Diagnosis of Sluggish Cognitive Tempo Symptoms in College Students.

机构信息

Teachers College, Columbia University, New York, NY, USA.

Le Moyne College, Syracuse, NY, USA.

出版信息

J Atten Disord. 2021 Jul;25(9):1251-1259. doi: 10.1177/1087054719896856. Epub 2020 Jan 6.

DOI:10.1177/1087054719896856
PMID:31904293
Abstract

Sluggish cognitive tempo (SCT) refers to a set of symptoms that prior research has found to be related to several different psychological disorders, especially the predominantly inattentive presentation of ADHD. This study collected evidence relevant to the question of whether SCT is a distinct disorder. College students ( = 910) completed measures of SCT, ADHD, depression, anxiety, sleep quality, and substance misuse. Students reporting clinically high SCT (reporting at least five symptoms often or very often) had significantly higher levels and rates of other types of psychopathology. Moreover, when students reporting clinically significant levels of ADHD, depression, and anxiety symptoms, poor sleep quality, or hazardous levels of alcohol or cannabis use were removed, very few students reporting high SCT remained (only 4.8% of the original high-SCT group). SCT may be best thought of as a symptom set common to many types of psychopathology, and it may be caused by sleep problems or substance misuse as well.

摘要

迟钝的认知节奏(SCT)是一组症状,先前的研究发现与几种不同的心理障碍有关,尤其是 ADHD 的主要注意力不集中表现。本研究收集了与 SCT 是否为一种独特障碍相关问题的证据。大学生(=910)完成了 SCT、ADHD、抑郁、焦虑、睡眠质量和物质滥用的测量。报告临床高 SCT(报告至少有五种症状经常或非常频繁)的学生具有显著更高水平和更高比例的其他类型的精神病理学。此外,当去除报告 ADHD、抑郁和焦虑症状、睡眠质量差或酒精或大麻使用危险水平的学生后,报告高 SCT 的学生人数非常少(仅为原始高 SCT 组的 4.8%)。SCT 可能最好被视为许多精神病理学共有的一组症状,它可能是由睡眠问题或物质滥用引起的。

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引用本文的文献

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Sluggish Cognitive Tempo as a Transdiagnostic Link Between Adult ADHD and Internalizing Symptoms.迟缓认知节奏作为成人注意力缺陷多动障碍与内化症状之间的跨诊断联系
J Psychopathol Behav Assess. 2022 Sep;44(3):699-712. doi: 10.1007/s10862-021-09926-8. Epub 2022 Feb 15.
2
Cognitive Disengagement Syndrome and Child Sleep Problems in ADHD, Anxiety and Depression.注意缺陷多动障碍、焦虑症和抑郁症中的认知脱离综合征与儿童睡眠问题
Healthcare (Basel). 2023 Jul 14;11(14):2022. doi: 10.3390/healthcare11142022.
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Report of a Work Group on Sluggish Cognitive Tempo: Key Research Directions and a Consensus Change in Terminology to Cognitive Disengagement Syndrome.
认知迟钝报告:关键研究方向工作组和认知脱离综合征术语共识的改变。
J Am Acad Child Adolesc Psychiatry. 2023 Jun;62(6):629-645. doi: 10.1016/j.jaac.2022.07.821. Epub 2022 Aug 22.
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The Deficit of Early Selective Attention in Adults With Sluggish Cognitive Tempo: In Comparison With Those With Attention-Deficit/Hyperactivity Disorder.认知节奏迟缓的成年人早期选择性注意缺陷:与注意缺陷/多动障碍患者的比较。
Front Psychol. 2021 Mar 10;12:614213. doi: 10.3389/fpsyg.2021.614213. eCollection 2021.