Mayes Susan D, Waschbusch Daniel A, Fernandez-Mendoza Julio, Calhoun Susan L
Department of Psychiatry and Behavioral Health, Penn State College of Medicine, 500 University Dr., Hershey, PA, 17033, USA.
Child Psychiatry Hum Dev. 2025 Apr;56(2):369-378. doi: 10.1007/s10578-023-01565-2. Epub 2023 Jun 30.
Our study is the first using multiple variables to compare concurrent with longitudinal predictors of cognitive disengagement syndrome (CDS). The population-based sample comprised 376 youth (mean baseline age 8.7 and follow-up 16.4 years) rated by parents on the Pediatric Behavior Scale. The baseline CDS score was the strongest predictor of follow-up CDS. Baseline autism and insomnia symptoms also predicted follow-up CDS above and beyond baseline CDS. Autism, insomnia, inattention, somatic complaints, and excessive sleep were concurrently related to CDS at baseline and follow-up. Additionally, follow-up depression was associated with follow-up CDS, and baseline hyperactivity/impulsivity was negatively associated with baseline CDS. Oppositional defiant/conduct problems and anxiety were nonsignificant. Age, sex, race, and parent occupation were unrelated to CDS, and correlations between baseline CDS and 15 IQ, achievement, and neuropsychological test scores were nonsignificant. Results indicate childhood CDS is the strongest risk factor for adolescent CDS, followed by autism and insomnia symptoms.
我们的研究首次使用多个变量来比较认知脱离综合征（CDS）的纵向预测因素与同时期预测因素。基于人群的样本包括376名青少年（平均基线年龄8.7岁，随访时16.4岁），由父母根据儿童行为量表进行评分。基线CDS评分是随访CDS的最强预测因素。基线时的自闭症和失眠症状在基线CDS之外也可预测随访CDS。自闭症、失眠、注意力不集中、躯体不适和睡眠过多在基线和随访时均与CDS同时相关。此外，随访时的抑郁与随访CDS相关，而基线时的多动/冲动与基线CDS呈负相关。对立违抗/品行问题和焦虑无显著意义。年龄、性别、种族和父母职业与CDS无关，基线CDS与15项智商、学业成绩和神经心理学测试分数之间的相关性无显著意义。结果表明，儿童期CDS是青少年CDS的最强风险因素，其次是自闭症和失眠症状。
