探索青少年睡眠与认知分离综合征（CDS）之间的联系：整合多动症的作用

IF 2.6 2区医学 Q1 EDUCATION, SPECIAL

Research in Developmental Disabilities Pub Date : 2025-03-29 DOI:10.1016/j.ridd.2025.105000

Hesna Gul , Ahmet Gul , Naci Murat

{"title":"探索青少年睡眠与认知分离综合征（CDS）之间的联系：整合多动症的作用","authors":"Hesna Gul , Ahmet Gul , Naci Murat","doi":"10.1016/j.ridd.2025.105000","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to: (1) compare sleep quality and sleep-related parameters in a Turkish adult population with and without CDS and ADHD symptoms; and (2) re-examine the relationship between CDS and sleep by exploring potential associations between sleep problems and CDS symptoms, while also examining the separate roles of sluggishness and daydreaming, as well as possible gender differences.</div></div><div><h3>Method</h3><div>The study included 274 participants (age:18–35, 70.4 % female). The Adult CDS Ratings Scale, the Adult ADHD Self-Report Scale (ASRS), and the Pittsburgh Sleep Quality Index were used. The data were analyzed using SPSS 22 and AMOS 23. Statistical analyses included ANOVA with post-hoc Tamhane's test, Mann-Whitney U test, Spearman Correlation Analysis, and structural equation modeling with path analysis. Linear regression analysis was conducted to identify factors influencing daydreaming.</div></div><div><h3>Results</h3><div>The study yielded four key findings:<ul><li><span>•</span><span><div>Hyperactivity/Impulsivity and daydreaming were significantly associated with poor sleep quality ( β=.309; t = 4.076, p < 0.001 for hyperactivity/impulsivity and β=.223; t = 2.505, p = 0.013 for daydreaming)</div></span></li></ul></div><div><ul><li><span>•</span><span><div>Poor sleep quality was negatively associated with daydreaming and sluggishness ( β=.147 for daydreaming, β=.166 for sluggishness, p < 0.05), though this association was weaker compared to ADHD symptoms.</div></span></li></ul><ul><li><span>•</span><span><div>Sleep latency and sleep disturbances showed a significant association with increased daydreaming ( β=.387 for sleep latency; β=0.898 for sleep disturbances; p < 0.05).</div></span></li></ul></div><div><ul><li><span>•</span><span><div>Gender differences emerged:</div></span></li></ul><ul><li><span>1.</span><span><div>Poor sleep quality was significantly associated with increased daydreaming and sluggishness in women (β=0.157 for daydreaming and β=0.167 for sluggishness) but showed no notable association in men.</div></span></li></ul></div><div><ul><li><span>2.</span><span><div>Hyperactivity/Impulsivity was significantly associated with daydreaming in men but not in women (β=.222) but not in women.</div></span></li></ul><ul><li><span>3.</span><span><div>CDS symptoms in women showed no significant association with age, whereas sluggishness tended to decrease with age in men (β=-.214).</div></span></li></ul></div></div><div><h3>Conclusions</h3><div>This study is among the first to explore the relationship between CDS symptoms and sleep problems in young adults, accounting for ADHD. Our findings highlight the significant association of hyperactivity/impulsivity and daydreaming with sleep quality, as well as the relationship between poor sleep quality and increased daydreaming and sluggishness, though to a lesser extent than ADHD symptoms. Notably, gender differences emerged, with poor sleep quality affecting CDS symptoms primarily in women, while sluggishness decreased with age in men. These results underscore the importance of considering sleep issues in the context of CDS and ADHD, particularly with attention to gender-specific patterns.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"161 ","pages":"Article 105000"},"PeriodicalIF":2.6000,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the link between sleep and cognitive disengagement syndrome (CDS) in young adults: Integrating the role of ADHD\",\"authors\":\"Hesna Gul , Ahmet Gul , Naci Murat\",\"doi\":\"10.1016/j.ridd.2025.105000\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>This study aimed to: (1) compare sleep quality and sleep-related parameters in a Turkish adult population with and without CDS and ADHD symptoms; and (2) re-examine the relationship between CDS and sleep by exploring potential associations between sleep problems and CDS symptoms, while also examining the separate roles of sluggishness and daydreaming, as well as possible gender differences.</div></div><div><h3>Method</h3><div>The study included 274 participants (age:18–35, 70.4 % female). The Adult CDS Ratings Scale, the Adult ADHD Self-Report Scale (ASRS), and the Pittsburgh Sleep Quality Index were used. The data were analyzed using SPSS 22 and AMOS 23. Statistical analyses included ANOVA with post-hoc Tamhane's test, Mann-Whitney U test, Spearman Correlation Analysis, and structural equation modeling with path analysis. Linear regression analysis was conducted to identify factors influencing daydreaming.</div></div><div><h3>Results</h3><div>The study yielded four key findings:<ul><li><span>•</span><span><div>Hyperactivity/Impulsivity and daydreaming were significantly associated with poor sleep quality ( β=.309; t = 4.076, p < 0.001 for hyperactivity/impulsivity and β=.223; t = 2.505, p = 0.013 for daydreaming)</div></span></li></ul></div><div><ul><li><span>•</span><span><div>Poor sleep quality was negatively associated with daydreaming and sluggishness ( β=.147 for daydreaming, β=.166 for sluggishness, p < 0.05), though this association was weaker compared to ADHD symptoms.</div></span></li></ul><ul><li><span>•</span><span><div>Sleep latency and sleep disturbances showed a significant association with increased daydreaming ( β=.387 for sleep latency; β=0.898 for sleep disturbances; p < 0.05).</div></span></li></ul></div><div><ul><li><span>•</span><span><div>Gender differences emerged:</div></span></li></ul><ul><li><span>1.</span><span><div>Poor sleep quality was significantly associated with increased daydreaming and sluggishness in women (β=0.157 for daydreaming and β=0.167 for sluggishness) but showed no notable association in men.</div></span></li></ul></div><div><ul><li><span>2.</span><span><div>Hyperactivity/Impulsivity was significantly associated with daydreaming in men but not in women (β=.222) but not in women.</div></span></li></ul><ul><li><span>3.</span><span><div>CDS symptoms in women showed no significant association with age, whereas sluggishness tended to decrease with age in men (β=-.214).</div></span></li></ul></div></div><div><h3>Conclusions</h3><div>This study is among the first to explore the relationship between CDS symptoms and sleep problems in young adults, accounting for ADHD. Our findings highlight the significant association of hyperactivity/impulsivity and daydreaming with sleep quality, as well as the relationship between poor sleep quality and increased daydreaming and sluggishness, though to a lesser extent than ADHD symptoms. Notably, gender differences emerged, with poor sleep quality affecting CDS symptoms primarily in women, while sluggishness decreased with age in men. These results underscore the importance of considering sleep issues in the context of CDS and ADHD, particularly with attention to gender-specific patterns.</div></div>\",\"PeriodicalId\":51351,\"journal\":{\"name\":\"Research in Developmental Disabilities\",\"volume\":\"161 \",\"pages\":\"Article 105000\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-03-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Research in Developmental Disabilities\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0891422225000848\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SPECIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research in Developmental Disabilities","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0891422225000848","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SPECIAL","Score":null,"Total":0}

引用次数: 0

摘要

目的：本研究旨在：(1)比较有和没有CDS和ADHD症状的土耳其成年人的睡眠质量和睡眠相关参数；(2)通过探索睡眠问题和CDS症状之间的潜在关联，重新审视CDS与睡眠之间的关系，同时也研究了懒惰和白日梦的单独作用，以及可能的性别差异。方法纳入274例受试者，年龄18-35岁，女性70.4 %。采用成人cd评定量表、成人ADHD自我报告量表（ASRS）和匹兹堡睡眠质量指数。采用SPSS 22和AMOS 23对数据进行分析。统计分析包括方差分析与事后Tamhane检验、Mann-Whitney U检验、Spearman相关分析和结构方程模型与通径分析。通过线性回归分析确定影响白日梦的因素。结果该研究得出了四个关键发现：•多动/冲动和白日梦与睡眠质量差显著相关(β= 0.309；T = 4.076,p <； 0.001为多动/冲动，β= 0.223；t = 2.505,p = 0.013)•睡眠质量差与白日梦和懒惰负相关(β=。β=白日梦147。反应迟缓（166），p <； 0.05)，但与ADHD症状相比，这种关联较弱。•睡眠潜伏期和睡眠障碍与白日做梦增加有显著关联(β=。睡眠潜伏期为387；睡眠障碍β=0.898；p & lt; 0.05)。•性别差异出现：在女性中，睡眠质量差与白日做梦和懒散显著相关（白日做梦的β=0.157，懒散的β=0.167），但在男性中没有显著关联。过度活跃/冲动与白日梦在男性中显著相关，但在女性中没有（β= 0.222），而在女性中没有。女性的CDS症状与年龄无显著相关性，而男性的懒散倾向于随着年龄的增长而减少（β=- 0.214）。这项研究首次探索了年轻人的CDS症状和睡眠问题之间的关系，其中包括多动症。我们的研究结果强调了多动/冲动和白日梦与睡眠质量之间的重要联系，以及睡眠质量差与白日梦增加和懒惰之间的关系，尽管其程度低于ADHD症状。值得注意的是，出现了性别差异，睡眠质量差主要影响女性的CDS症状，而男性随着年龄的增长而睡眠迟缓。这些结果强调了在cd和ADHD的背景下考虑睡眠问题的重要性，特别是注意性别特定模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Exploring the link between sleep and cognitive disengagement syndrome (CDS) in young adults: Integrating the role of ADHD

Objective

This study aimed to: (1) compare sleep quality and sleep-related parameters in a Turkish adult population with and without CDS and ADHD symptoms; and (2) re-examine the relationship between CDS and sleep by exploring potential associations between sleep problems and CDS symptoms, while also examining the separate roles of sluggishness and daydreaming, as well as possible gender differences.

Method

The study included 274 participants (age:18–35, 70.4 % female). The Adult CDS Ratings Scale, the Adult ADHD Self-Report Scale (ASRS), and the Pittsburgh Sleep Quality Index were used. The data were analyzed using SPSS 22 and AMOS 23. Statistical analyses included ANOVA with post-hoc Tamhane's test, Mann-Whitney U test, Spearman Correlation Analysis, and structural equation modeling with path analysis. Linear regression analysis was conducted to identify factors influencing daydreaming.

Results

The study yielded four key findings:

•
Hyperactivity/Impulsivity and daydreaming were significantly associated with poor sleep quality ( β=.309; t = 4.076, p < 0.001 for hyperactivity/impulsivity and β=.223; t = 2.505, p = 0.013 for daydreaming)

•
Poor sleep quality was negatively associated with daydreaming and sluggishness ( β=.147 for daydreaming, β=.166 for sluggishness, p < 0.05), though this association was weaker compared to ADHD symptoms.

•
Sleep latency and sleep disturbances showed a significant association with increased daydreaming ( β=.387 for sleep latency; β=0.898 for sleep disturbances; p < 0.05).

•
Gender differences emerged:

1.
Poor sleep quality was significantly associated with increased daydreaming and sluggishness in women (β=0.157 for daydreaming and β=0.167 for sluggishness) but showed no notable association in men.

2.
Hyperactivity/Impulsivity was significantly associated with daydreaming in men but not in women (β=.222) but not in women.

3.
CDS symptoms in women showed no significant association with age, whereas sluggishness tended to decrease with age in men (β=-.214).

Conclusions

This study is among the first to explore the relationship between CDS symptoms and sleep problems in young adults, accounting for ADHD. Our findings highlight the significant association of hyperactivity/impulsivity and daydreaming with sleep quality, as well as the relationship between poor sleep quality and increased daydreaming and sluggishness, though to a lesser extent than ADHD symptoms. Notably, gender differences emerged, with poor sleep quality affecting CDS symptoms primarily in women, while sluggishness decreased with age in men. These results underscore the importance of considering sleep issues in the context of CDS and ADHD, particularly with attention to gender-specific patterns.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.