Does Sluggish Cognitive Tempo Fit Within a Bi-Factor Model of ADHD?

Journal of Attention Disorders - Tập 21 Số 8 - Trang 642-654 - 2017
Annie A. Garner1, James Peugh1, Stephen P. Becker2,1, Kathleen M. Kingery1,3, Leanne Tamm1, Aaron J. Vaughn1, Heather A. Ciesielski1, Jay Simon1, Richard E. A. Loren1, Jeffery N. Epstein4,1
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
2Department of Psychology, Miami University, Oxford, OH, USA
3Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
4Department of Psychology, University of Cincinnati, Cincinnati, OH USA

Tóm tắt

Objective: Studies demonstrate sluggish cognitive tempo (SCT) symptoms to be distinct from inattentive and hyperactive-impulsive dimensions of ADHD. No study has examined SCT within a bi-factor model of ADHD, whereby SCT may form a specific factor distinct from inattention and hyperactivity/impulsivity while still fitting within a general ADHD factor, which was the purpose of the current study. Method: A total of 168 children were recruited from an ADHD clinic. Most (92%) met diagnostic criteria for ADHD. Parents and teachers completed measures of ADHD and SCT. Results: Although SCT symptoms were strongly associated with inattention, they loaded onto a factor independent of ADHD g. Results were consistent across parent and teacher ratings. Conclusion: SCT is structurally distinct from inattention as well as from the general ADHD latent symptom structure. Findings support a growing body of research suggesting SCT to be distinct and separate from ADHD.

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