Examining cognitive disengagement syndrome in a psychiatric outpatient sample: Psychometric support and associations with internalizing symptoms and sleep problems

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Bengu Yucens, Omer Basay, Ahmet Buber, Selim Tumkaya, Burge Kabukcu Basay, Busra Erdem, Stephen P. Becker, G. Leonard Burns
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Abstract

Objective

The internal (structural) and external validity of a self-report measure of cognitive disengagement syndrome (CDS, formerly sluggish cognitive tempo) relative to a self-report measure of attention-deficit/hyperactivity disorder-inattention (ADHD-IN) was evaluated with adults from university outpatient psychiatric clinics in Turkey.

Methods

A total of 274 outpatients (75.9% women; ages 18–64 years; Mage = 31.06; SDage = 10.84; 50.4% anxiety disorders; 41.6% depressive disorders; 2.9% ADHD; 1.5% sleep disorders; 0.7% eating disorders; 2.9% no mental disorder) completed self-report measures of CDS, ADHD-IN, ADHD-hyperactivity/impulsivity (HI), sleep problems, depression, and stress.

Results

All 15 CDS symptoms measured by the Adult Concentration Inventory (ACI) showed convergent (moderate to high loadings on the CDS factor) and discriminant (loading close to zero on the ADHD-IN factor) validity. CDS also showed stronger first-order and unique associations than ADHD-IN with sleep problems, depression, anxiety, and stress, whereas ADHD-IN showed stronger first-order and unique associations than CDS with ADHD-HI.

Conclusion

This is the first study to provide support for the scores from this 15 item self-report measure of CDS by the ACI in a clinical sample of adults, with findings consistent with previous studies examining parent and teacher rating scale measures with the same 15 CDS symptoms. These findings provide additional support for usefulness of these 15 CDS symptoms as measured by the ACI to study CDS across various cultures.

在精神病门诊病人样本中研究认知脱离综合征:心理计量学支持以及与内化症状和睡眠问题的关联。
目的以土耳其大学精神科门诊的成年人为研究对象,评估了认知脱离综合征(CDS,原认知节奏迟缓)自我报告测量法与注意力缺陷/多动障碍-注意力(ADHD-IN)自我报告测量法的内部(结构)和外部有效性:共有 274 名门诊患者(75.9% 为女性;年龄 18-64 岁;Mage = 31.06;SDage = 10.84;50.4% 患有焦虑症;41.6% 患有抑郁症;2.9% 患有多动症;1.5% 患有睡眠障碍;0.7% 患有饮食障碍;2.9% 无精神障碍)完成了 CDS、ADHD-IN、ADHD-多动/冲动(HI)、睡眠问题、抑郁和压力的自我报告测量:通过成人注意力集中量表(ACI)测量的所有 15 个 CDS 症状均显示出收敛性(在 CDS 因子上有中等至较高的负荷)和判别性(在 ADHD-IN 因子上的负荷接近零)。CDS还比ADHD-IN与睡眠问题、抑郁、焦虑和压力表现出更强的一阶和独特关联,而ADHD-IN则比CDS与ADHD-HI表现出更强的一阶和独特关联:这是第一项支持 ACI 在临床成人样本中对 15 项 CDS 症状进行自我报告测量的研究,其结果与之前对家长和教师对同样 15 项 CDS 症状进行评分的研究结果一致。这些研究结果为 ACI 测量的这 15 项 CDS 症状在研究不同文化背景下的 CDS 方面的实用性提供了更多支持。
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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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