Eveningness diurnal preference: putting the "sluggish" in sluggish cognitive tempo

Lunsford-Avery, Jessica R.; Sweitzer, Maggie M.; Kollins, Scott H.; Mitchell, John T.

doi:10.1177/1087054720959697

Cited by 23Attention Deficit Hyperactivity DisorderSleep and related disordersCircadian rhythm and melatonin

Eveningness diurnal preference: putting the "sluggish" in sluggish cognitive tempo

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Lunsford-Avery, Jessica R., Sweitzer, Maggie M., Kollins, Scott H., Mitchell, John T.·2021·Journal of Attention Disorders

DOI 10.1177/1087054720959697PMC PMC9273285

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Abstract

Objective: Eveningness diurnal preference is common in psychiatric conditions, including attention-deficit/hyperactivity disorder (ADHD) and internalizing disorders. Little is known about how diurnal preference relates to sluggish cognitive tempo (SCT)—a distinct clinical construct associated with functional impairment—in clinical samples. Method: Adult outpatients ( n = 65; 43 with ADHD, 22 with internalizing/adjustment disorders) self-reported on SCT symptoms (total symptoms; slow/daydreamy, sleepy/sluggish, and low initiation/persistence factors) and diurnal preference. Results: Greater eveningness was associated with overall SCT severity and sleepy/sluggish symptoms in the full sample. Relationships between eveningness and overall SCT severity and slow/daydreamy symptoms were stronger for those with internalizing/adjustment disorders compared to ADHD. The relationship between eveningness and sleepy/sluggish symptoms was uniform across groups. Conclusion: Findings suggest a potential role of eveningness preference in adult SCT presentation. Future studies should investigate underlying mechanisms linking these two constructs and the efficacy of circadian interventions in the treatment of SCT among adult outpatients.

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SCT is most strongly associated with shyness, social withdrawal, and loneliness, and these effects remain significant when other psychopathology symptoms are covaried.
“SCT appears most strongly associated with shyness, social withdrawal, and loneliness, and these effects remain significant when other psychopathology symptoms are covaried.80,86,109,119,130–133”
From Report of a Work Group on Sluggish Cognitive Tempo: Key Research Directions and a Consensus Change in Terminology to Cognitive Disengagement Syndrome (2023) · cites this paper as [132]
The Results sections examine eveningness and SCT, including analyses that control for comorbidity, but do not examine shyness, social withdrawal, or loneliness. Searches for those social outcomes and for associations after covarying other psychopathology symptoms found no passage addressing the attributed claim; page numbers were not available in our copy. (LLM, conf=0.76)
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Authors: Lunsford-Avery, J. R., Sweitzer, M. M., Kollins, S. H., & Mitchell, J. T.
Affiliations: Duke University Medical Center, Durham, NC, USA
Duke Medical Center (US)
ORCID: Lunsford-Avery, Jessica R.
Sweitzer, Maggie M.
Kollins, Scott H.
Mitchell, John T.
Venue: Journal of Attention Disorders
Publisher: SAGE Publications
Published: 2020-10-07
Volume: 25
Issue: 14
Pages: 2060-2067
ISSN: 1087-0547 (ISSN-L)
1557-1246
DOI: 10.1177/1087054720959697
PMC: PMC9273285
OpenAlex: W3092488233
Semantic Scholar: dfe8339f4713ce724812ac4b1085188c6d6d4260
Cited by: 23
References: 36
Citations by year: 2026: 6 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 2
FWCI: 1.64
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Attention Disorders (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Drug Abuse (K23DA032577, K23DA039294, K24DA023464)
National Institute of Mental Health (K23MH108704)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords: sluggish cognitive tempo, circadian rhythm, attention deficit hyperactivity disorder, internalizing disorders, adjustment disorder, daytime sleepiness
MeSH terms: Sluggish Cognitive Tempo, Adult, Attention, Attention Deficit Disorder with Hyperactivity, Cognition, Cognition Disorders, Humans, Self Report

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Eveningness diurnal preference: putting the "sluggish" in sluggish cognitive tempo

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