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The Relation Between Sluggish Cognitive Tempo and DSM-IV ADHD
Abstract
To test the relation between sluggish cognitive tempo (SCT) and DSM-IV ADHD symptoms, parent and teacher ratings of the 18 DSM-IV ADHD items and five potential SCT items were obtained in a community sample of 8-18 year-old twins that was overselected for ADHD and learning disabilities (n = 296). Confirmatory factor analyses revealed that a three-factor model provided the best fit to the data for both parent and teacher ratings. DSM-IV inattention and hyperactivity-impulsivity symptoms loaded on two factors consistent with the DSM-IV model, and five SCT symptoms loaded primarily on a third factor. The SCT and inattention factors were highly correlated, whereas SCT and hyperactivity-impulsivity were weakly related. Both raters indicated that children meeting symptom criteria for the combined and inattentive subtypes exhibited significantly more SCT symptoms than those meeting symptom criteria for hyperactive-impulsive type and the comparison group without ADHD. Children meeting symptom criteria for the inattentive type exhibited significantly more SCT symptoms than those meeting criteria for the combined type, based on teacher ratings. These results suggest that SCT is an internally consistent construct that is significantly associated with DSM-IV inattention.
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CDS is now recognized as a separate nosological entity, although it has not yet been included in current diagnostic classification systems.
“CDS is now recognized as a separate nosological entity, although it has not yet been included in current diagnostic classification systems [6].”
From Emotional Dysregulation and Cognitive Disengagement Syndrome: Exploring Their Relationship Through the Lens of Twin Studies (2025) · cites this paper as [6]
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Metadata
- Authors
- Hartman, C. A., Willcutt, E. G., Rhee, S. H., & Pennington, B. F.
- Affiliations
- University of Colorado Boulder (US)
- University of Denver (US)
- Corresponding author
- Hartman, Christie A.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2004-10
- Volume
- 32
- Issue
- 5
- Pages
- 491-503
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- OpenAlex
- W2159634493
- Cited by
- 222
- References
- 52
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 11 · 2022: 14 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 10 · 2017: 7 · 2016: 10 · 2015: 9 · 2014: 13 · 2013: 25 · 2012: 12
- FWCI
- 4.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (T31 MH 16880, MH 04024, R01MH063941, R01MH062120, F32MH012100, MH 38820)
- National Institute on Drug Abuse (K01DA013956)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD 27802, P50HD027802)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- sluggish cognitive tempo, attention deficit hyperactivity disorder, inattention, hyperactivity/impulsivity, ADHD subtypes, factor structure, parent and teacher ratings, children and adolescents, learning disabilities, twins
- MeSH terms
- Attention, Attention Deficit Disorder with Hyperactivity, Cognition Disorders, Diseases in Twins, Factor Analysis, Statistical, Humans, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders
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