Normal Executive Attention but Abnormal Orienting Attention in Individuals with Sluggish Cognitive Tempo

Overview

Journal Int J Clin Health Psychol

Specialty Psychology

Date 2020 Dec 28

PMID 33363582

Citations 8

Authors

Kiho Kim

Hyo-Jeong Kim

Affiliations

Soon will be listed here.

Abstract

: Sluggish Cognitive Tempo (SCT) is an attentional disorder characterized by the symptoms of slowness in behavior or thinking, a lack of en.ergy, difficulty initiating and sustaining effort, daydreaming, and drowsiness. The aim of the present study was to investigate the distinctive attentional characteristics of SCT as compared to Attention-Deficit/Hyperactivity Disorder (ADHD). : A total of 110 adults were recruited and divided into four groups: SCT+ADHD, SCT, ADHD, and healthy controls. The Revised version of Attention Networks Test was used to investigate each group's attentional profile. : The results revealed that the two SCT groups (SCT+ADHD and SCT) showed a significantly weaker orienting network due to the problems of engaging and disengaging attention than the other two groups. Additionally, the two ADHD groups (SCT+ADHD and ADHD) showed a significantly weaker executive control network than the other two groups. : The findings demonstrate an attentional distinction between the SCT and the ADHD groups with a greater dysfunction in the orienting network in the SCT group as compared to the ADHD group. Furthermore, a greater executive control dysfunction was observed in the ADHD group as compared to the SCT group.

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References

Bauermeister J, Barkley R, Bauermeister J, Martinez J, McBurnett K . Validity of the sluggish cognitive tempo, inattention, and hyperactivity symptom dimensions: neuropsychological and psychosocial correlates. J Abnorm Child Psychol. 2011; 40(5):683-97. DOI: 10.1007/s10802-011-9602-7. View

Castellanos F, Proal E . Large-scale brain systems in ADHD: beyond the prefrontal-striatal model. Trends Cogn Sci. 2011; 16(1):17-26. PMC: 3272832. DOI: 10.1016/j.tics.2011.11.007. View

Tamm L, Epstein J, Peugh J, Nakonezny P, Hughes C . Preliminary data suggesting the efficacy of attention training for school-aged children with ADHD. Dev Cogn Neurosci. 2012; 4:16-28. PMC: 3617931. DOI: 10.1016/j.dcn.2012.11.004. View

Fassbender C, Krafft C, Schweitzer J . Differentiating SCT and inattentive symptoms in ADHD using fMRI measures of cognitive control. Neuroimage Clin. 2015; 8:390-7. PMC: 4474281. DOI: 10.1016/j.nicl.2015.05.007. View

Jacobson L, Geist M, Mahone E . Sluggish Cognitive Tempo, Processing Speed, and Internalizing Symptoms: the Moderating Effect of Age. J Abnorm Child Psychol. 2017; 46(1):127-135. PMC: 5562538. DOI: 10.1007/s10802-017-0281-x. View

Jarrett M, Gable P, Rondon A, Neal L, Price H, Hilton D . An EEG Study of Children With and Without ADHD Symptoms: Between-Group Differences and Associations With Sluggish Cognitive Tempo Symptoms. J Atten Disord. 2017; 24(7):1002-1010. DOI: 10.1177/1087054717723986. View

Barkley R . The relevance of the still lectures to attention-deficit/hyperactivity disorder: a commentary. J Atten Disord. 2006; 10(2):137-40. DOI: 10.1177/1087054706288111. View

Fan J, Gu X, Guise K, Liu X, Fossella J, Wang H . Testing the behavioral interaction and integration of attentional networks. Brain Cogn. 2009; 70(2):209-20. PMC: 2674119. DOI: 10.1016/j.bandc.2009.02.002. View

Baytunca M, Inci S, Ipci M, Kardas B, Unsel Bolat G, Ercan E . The neurocognitive nature of children with ADHD comorbid sluggish cognitive tempo: Might SCT be a disorder of vigilance?. Psychiatry Res. 2018; 270:967-973. DOI: 10.1016/j.psychres.2018.03.038. View

10.

Lundervold A, Posserud M, Ullebo A, Sorensen L, Gillberg C . Teacher reports of hypoactivity symptoms reflect slow cognitive processing speed in primary school children. Eur Child Adolesc Psychiatry. 2010; 20(3):121-6. PMC: 3046358. DOI: 10.1007/s00787-010-0153-1. View

11.

Becker S, Leopold D, Burns G, Jarrett M, Langberg J, Marshall S . The Internal, External, and Diagnostic Validity of Sluggish Cognitive Tempo: A Meta-Analysis and Critical Review. J Am Acad Child Adolesc Psychiatry. 2016; 55(3):163-78. PMC: 4764798. DOI: 10.1016/j.jaac.2015.12.006. View

12.

Barkley R . Sluggish Cognitive Tempo: A (Misnamed) Second Attention Disorder?. J Am Acad Child Adolesc Psychiatry. 2016; 55(3):157-8. DOI: 10.1016/j.jaac.2015.12.007. View

13.

Becker S, Willcutt E . Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology. Eur Child Adolesc Psychiatry. 2018; 28(5):603-613. PMC: 6131087. DOI: 10.1007/s00787-018-1136-x. View

14.

Huang-Pollock C, Nigg J, Carr T . Deficient attention is hard to find: applying the perceptual load model of selective attention to attention deficit hyperactivity disorder subtypes. J Child Psychol Psychiatry. 2005; 46(11):1211-8. DOI: 10.1111/j.1469-7610.2005.00410.x. View

15.

Willcutt E, Chhabildas N, Kinnear M, DeFries J, Olson R, Leopold D . The internal and external validity of sluggish cognitive tempo and its relation with DSM-IV ADHD. J Abnorm Child Psychol. 2013; 42(1):21-35. PMC: 3947432. DOI: 10.1007/s10802-013-9800-6. View

16.

Becker S . "For Some Reason I Find it Hard to Work Quickly": Introduction to the Special Issue on Sluggish Cognitive Tempo. J Atten Disord. 2017; 21(8):615-622. PMC: 6045926. DOI: 10.1177/1087054717692882. View

17.

Neely K, Wang P, Chennavasin A, Samimy S, Tucker J, Merida A . Deficits in inhibitory force control in young adults with ADHD. Neuropsychologia. 2017; 99:172-178. PMC: 5416939. DOI: 10.1016/j.neuropsychologia.2017.03.012. View

18.

Rodriguez C, Areces D, Garcia T, Cueli M, Gonzalez-Castro P . Comparison between two continuous performance tests for identifying ADHD: Traditional vs. virtual reality. Int J Clin Health Psychol. 2018; 18(3):254-263. PMC: 6225036. DOI: 10.1016/j.ijchp.2018.06.003. View

19.

Kofler M, Rapport M, Sarver D, Raiker J, Orban S, Friedman L . Reaction time variability in ADHD: a meta-analytic review of 319 studies. Clin Psychol Rev. 2013; 33(6):795-811. DOI: 10.1016/j.cpr.2013.06.001. View

20.

Oberlin B, Alford J, Marrocco R . Normal attention orienting but abnormal stimulus alerting and conflict effect in combined subtype of ADHD. Behav Brain Res. 2005; 165(1):1-11. DOI: 10.1016/j.bbr.2005.06.041. View