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认知脱离综合征:一个处于十字路口的概念。

Cognitive disengagement syndrome: A construct at the crossroads.

作者信息

Becker Stephen P

机构信息

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

出版信息

Am Psychol. 2025 Jul-Aug;80(5):812-834. doi: 10.1037/amp0001517. Epub 2025 Mar 27.


DOI:10.1037/amp0001517
PMID:40146579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12289433/
Abstract

Initially described in the mid-1980s, cognitive disengagement syndrome (CDS; previously termed sluggish cognitive tempo) is a set of symptoms comprising excessive daydreaming, mental confusion, and hypoactivity that is distinct from attention-deficit/hyperactivity disorder and other psychopathology dimensions and independently associated with functional outcomes. This article provides a broad overview of the history of the CDS construct, its terminology, and the current state of the science. Although there has been a marked upsurge in research on CDS, including psychometrically rigorous assessment tools and an emerging pattern of findings across numerous domains of functioning, the existing literature base also points to the importance of marshaling an ambitious research agenda that can guide CDS into its next era. Ten key research domains and open questions are highlighted, including (1) developmental course of CDS across the lifespan, (2) mechanisms linking CDS to functional outcomes and impairment, (3) importance of gathering normative data, (4) clarifying CDS and unidimensional or multidimensional, (5) etiologies of CDS, (6) neurobiology and psychophysiology of CDS, (7) CDS as a transdiagnostic trait, (8) understanding individuals with elevated CDS, (9) promoting participatory approaches and valuing lived experience, and (10) the role of CDS for intervention. Implications of this research for possible conceptualizations of CDS as a distinct disorder, diagnostic specifier, or transdiagnostic dimension are discussed. The road ahead will require increased collaboration, creativity, and rigor to build theory, and, ultimately, support the well-being of individuals with this syndrome. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

认知脱离综合征(CDS;以前称为迟缓认知节奏)最初在20世纪80年代中期被描述,是一组包括过度白日梦、精神混乱和活动减退的症状,它与注意力缺陷/多动障碍及其他精神病理学维度不同,且与功能结果独立相关。本文对CDS概念的历史、其术语以及当前的科学现状进行了广泛概述。尽管对CDS的研究有显著增加,包括心理测量学上严格的评估工具以及在多个功能领域出现的研究结果模式,但现有文献基础也指出了制定一个雄心勃勃的研究议程的重要性,该议程可以引导CDS进入下一个时代。文中突出了十个关键研究领域和开放性问题,包括:(1)CDS在整个生命周期的发展过程;(2)将CDS与功能结果和损害联系起来的机制;(3)收集常模数据的重要性;(4)明确CDS是单维还是多维;(5)CDS的病因;(6)CDS的神经生物学和心理生理学;(7)CDS作为一种跨诊断特征;(8)了解CDS水平升高的个体;(9)促进参与性方法并重视生活经历;(10)CDS在干预中的作用。讨论了这项研究对将CDS概念化为一种独特疾病、诊断说明符或跨诊断维度的可能影响。未来的道路将需要加强合作、创造力和严谨性来构建理论,并最终支持患有这种综合征的个体的福祉。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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本文引用的文献

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Cognitive disengagement syndrome and depressive symptoms in early adolescents: Examining the moderating role of a negative interpretation bias.

J Child Psychol Psychiatry. 2025-3-14

[2]
Setting a research agenda for examining early risk for elevated cognitive disengagement syndrome symptoms using data from the ABCD cohort.

Eur Child Adolesc Psychiatry. 2025-3-10

[3]
Psychometric and Normative Information on the Child and Adolescent Behavior Inventory With Parent Ratings in a Nationally Representative Sample of Spanish Youth.

Assessment. 2025-2-24

[4]
Cognitive Disengagement Syndrome and Autism Traits are Empirically Distinct from each Other and from Other Psychopathology Dimensions.

Res Child Adolesc Psychopathol. 2025-2

[5]
Where does attention-deficit/hyperactivity disorder fit in the psychopathology hierarchy? A symptom-focused analysis.

J Psychopathol Clin Sci. 2024-12-16

[6]
Validity of Cognitive Disengagement Syndrome with Mother and Father Ratings of Brazilian Children: Replication of Northern Hemisphere Findings in South America.

Child Psychiatry Hum Dev. 2024-11-29

[7]
Mindful Awareness Practices (MAPs) in Adolescents With ADHD and Cognitive Disengagement Syndrome (CDS): A Pilot Open Trial.

J Atten Disord. 2025-1

[8]
ADHD in Black Youth: A Content Analysis of Empirical Research from 1972 to 2023.

J Atten Disord. 2024-12

[9]
ADHD and cognitive disengagement syndrome symptoms related to self-injurious thoughts and behaviors in early adolescents.

Eur Child Adolesc Psychiatry. 2025-3

[10]
Psychopathology of cognitive disengagement syndrome (CDS): a network analysis based on CBCL scales in 72,106 Chinese school students.

Eur Child Adolesc Psychiatry. 2025-3

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