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Setting a research agenda for examining early risk for elevated cognitive disengagement syndrome symptoms using data from the ABCD cohort.

作者信息

Wiggs Kelsey K, Cook Taryn E, Lodhawala Isha, Cleary Emma N, Yolton Kimberly, Becker Stephen P

机构信息

Department of Psychiatry, School of Medicine, Indiana University, 410 W 10th St, Indianapolis, IN, 46202, USA.

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

出版信息

Eur Child Adolesc Psychiatry. 2025 Mar 10. doi: 10.1007/s00787-025-02667-z.


DOI:10.1007/s00787-025-02667-z
PMID:40063275
Abstract

Little research has examined early life risk for symptoms of cognitive disengagement syndrome (CDS) despite a well-established literature regarding co-occurring outcomes (e.g., attention-deficit/hyperactivity disorder). The current study estimated bivariate associations between early life risk factors and CDS in a large and representative sample of U.S. children. We conducted secondary analyses of baseline data from the Adolescent Brain Cognitive Development (ABCD) study (N = 8,096 children, 9-10 years old). Birthing parents reported early life risk factors on a developmental history questionnaire, including parental, prenatal, delivery and birth, and developmental milestone information. They also completed the Child Behavior Checklist, which includes a CDS subscale that was dichotomized to estimate the odds of elevated CDS symptoms (i.e., T-score > 70) in children related to risk indices. We observed significantly elevated odds of CDS related to parental risk factors (i.e., unplanned pregnancy, pregnancy awareness after 6 weeks, teenage parenthood), birthing parent illnesses in pregnancy (i.e., severe nausea, proteinuria, pre-eclampsia/toxemia, severe anemia, urinary tract infection), pregnancy complications (i.e., bleeding), prenatal substance exposures (i.e., prescription medication, tobacco, illicit drugs), delivery and birth risk factors (i.e., child blue at delivery, child not breathing, jaundice, incubation after delivery), and late motor and speech milestones in children. Several early-life risk factors were associated with elevated odds of CDS at ages 9-10 years; study design prevents the determination of causality. Further investigation is warranted regarding early life origins of CDS with priority given to risk indices that have upstream commonalities (i.e., that restrict fetal growth, nutrients, and oxygen).

摘要

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引用本文的文献

[1]
Cognitive disengagement syndrome: A construct at the crossroads.

Am Psychol. 2025

本文引用的文献

[1]
Maternal age at birth and child attention-deficit hyperactivity disorder: causal association or familial confounding?

J Child Psychol Psychiatry. 2023-2

[2]
Developmental Milestones of Infancy and Associations with Later Childhood Neurodevelopmental Outcomes in the Adolescent Brain Cognitive Development (ABCD) Study.

Children (Basel). 2022-9-20

[3]
Explaining the Association Between Fetal Growth and Childhood ADHD Symptoms: Cross-cohort Replication.

Res Child Adolesc Psychopathol. 2023-2

[4]
Report of a Work Group on Sluggish Cognitive Tempo: Key Research Directions and a Consensus Change in Terminology to Cognitive Disengagement Syndrome.

J Am Acad Child Adolesc Psychiatry. 2023-6

[5]
Effect of advanced parental age on pregnancy outcome and offspring health.

J Assist Reprod Genet. 2022-9

[6]
Maternal Serotonergic Antidepressant Use in Pregnancy and Risk of Seizures in Children.

Neurology. 2022-6-6

[7]
Birth Weight and Childhood Psychopathology in the ABCD Cohort: Association is Strongest for Attention Problems and is Moderated by Sex.

Res Child Adolesc Psychopathol. 2022-5

[8]
Association between parental age, brain structure, and behavioral and cognitive problems in children.

Mol Psychiatry. 2022-2

[9]
Iron Deficiency in Infancy and Sluggish Cognitive Tempo and ADHD Symptoms in Childhood and Adolescence.

J Clin Child Adolesc Psychol. 2023

[10]
Parental Age and the Risk of ADHD in Offspring: A Systematic Review and Meta-Analysis.

Int J Environ Res Public Health. 2021-5-6

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