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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 3/2022

15-02-2022

Sluggish Cognitive Tempo as a Transdiagnostic Link Between Adult ADHD and Internalizing Symptoms

Auteurs: Jaclyn M. Kamradt, Hana-May Eadeh, Molly A. Nikolas

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 3/2022

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Abstract

Although absent from traditional diagnostic nosologies, Sluggish Cognitive Tempo (SCT) may have transdiagnostic utility given its robust associations with ADHD and internalizing symptoms as well as with cognitive impairments common to these conditions. Within-person variation in SCT symptoms may also serve to link ADHD, cognitive deficits, and internalizing psychopathology, however, few studies have utilized intensive longitudinal designs to probe within-person variation in SCT and its links to cognitive deficits and psychopathology. Ecological Momentary Assessment was used to measure between and within-person variance in SCT 4 times per day across 7 days (28 time-points) in 158 college students (approximately 51% with elevated ADHD and/or internalizing symptoms). Participants also completed ratings of current and childhood ADHD symptoms, cognitive function and internalizing psychopathology. Parameters derived from longitudinal multilevel models indexing between and within person variation in SCT were examined as mediators of the associations between (1) ADHD and internalizing symptoms and (2) self-reported cognitive functioning and internalizing symptoms. Results indicated that between-person differences in SCT, but not within-person variability, linked current and childhood ADHD and internalizing symptoms. Similarly, problems in time-management and organization influenced internalizing psychopathology via between-person differences in SCT. Results found that SCT may be a transdiagnostic link bridging mental health comorbidities, cognitive dysfunction, and internalizing psychopathology.
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Literatuur
go back to reference Achenbach, T., & Rescorla, L. A. (2001). Manual for the Achenbach system of empirically based assessment (ASEBA). Research Center for Children, Youth, & Families, University of Vermont. Achenbach, T., & Rescorla, L. A. (2001). Manual for the Achenbach system of empirically based assessment (ASEBA). Research Center for Children, Youth, & Families, University of Vermont.
go back to reference Barkley, R. A. (2011). Barkley deficits in executive functioning scale (BDEFS for adults). Guilford Press. Barkley, R. A. (2011). Barkley deficits in executive functioning scale (BDEFS for adults). Guilford Press.
go back to reference Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation.
go back to reference Becker, S. P., Burns, G. L., & Willcutt, E. G. (2015). Adult Concentration Inventory (ACI). Author. Becker, S. P., Burns, G. L., & Willcutt, E. G. (2015). Adult Concentration Inventory (ACI). Author.
go back to reference Becker, S. P., Langberg, J. M., Luebbe, A. M., Dvorsky, M. R., & Flannery, A. J. (2014). Sluggish cognitive tempo is associated with academic functioning and internalizing symptoms in college students with and without attention-deficit/hyperactivity disorder. Journal of Clinical Psychology, 70(4), 388–403. https://doi.org/10.1002/jclp.22046CrossRefPubMed Becker, S. P., Langberg, J. M., Luebbe, A. M., Dvorsky, M. R., & Flannery, A. J. (2014). Sluggish cognitive tempo is associated with academic functioning and internalizing symptoms in college students with and without attention-deficit/hyperactivity disorder. Journal of Clinical Psychology, 70(4), 388–403. https://​doi.​org/​10.​1002/​jclp.​22046CrossRefPubMed
go back to reference Becker, S. P., Leopold, D. R., Burns, G. L., Jarrett, M. A., Langberg, J. M., Marshall, S. A., McBurnett, K., Waschbusch, D. A., & Willcutt, E. G. (2016a). The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 55(3), 163−178. https://doi.org/10.1016/j.jaac.2015.12.006 Becker, S. P., Leopold, D. R., Burns, G. L., Jarrett, M. A., Langberg, J. M., Marshall, S. A., McBurnett, K., Waschbusch, D. A., & Willcutt, E. G. (2016a). The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 55(3), 163−178. https://​doi.​org/​10.​1016/​j.​jaac.​2015.​12.​006
go back to reference Becker, S. P., Withrow, A. R., Stoppelbein, L., Luebbe, A. M., Fite, P. J., & Greening, L. (2016b). Sluggish cognitive tempo is associated with suicide risk in psychiatrically hospitalized children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 57(12), 1390–1399. https://doi.org/10.1111/jcpp.12580CrossRefPubMed Becker, S. P., Withrow, A. R., Stoppelbein, L., Luebbe, A. M., Fite, P. J., & Greening, L. (2016b). Sluggish cognitive tempo is associated with suicide risk in psychiatrically hospitalized children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 57(12), 1390–1399. https://​doi.​org/​10.​1111/​jcpp.​12580CrossRefPubMed
go back to reference Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). London, England: Sage. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). London, England: Sage.
go back to reference de Graaf, R., Kessler, R. C., Fayyad, J., ten Have, M., Alonso, J., Angermeyer, M., Borges, G., Demyttenaere, K., Gasquet, I., de Girolamo, G., Haro, J. M., Jin, R., Karam, E. G., Ormel, J., & Posada-Villa, J. (2008). The prevalence and effects of adult attention-deficit/hyperactivity disorder (ADHD) on the performance of workers: Results from the WHO World Mental Health Survey Initiative. Occupational and Environmental Medicine, 65(12), 835–842. https://doi.org/10.1136/oem.2007.038448CrossRefPubMed de Graaf, R., Kessler, R. C., Fayyad, J., ten Have, M., Alonso, J., Angermeyer, M., Borges, G., Demyttenaere, K., Gasquet, I., de Girolamo, G., Haro, J. M., Jin, R., Karam, E. G., Ormel, J., & Posada-Villa, J. (2008). The prevalence and effects of adult attention-deficit/hyperactivity disorder (ADHD) on the performance of workers: Results from the WHO World Mental Health Survey Initiative. Occupational and Environmental Medicine, 65(12), 835–842. https://​doi.​org/​10.​1136/​oem.​2007.​038448CrossRefPubMed
go back to reference Dehili, V. M., Prevatt, F., & Coffman, T. P. (2017). An analysis of the Barkley deficits in executive functioning scale in a college population: Does it predict symptoms of ADHD better than a visual-search task? Journal of Attention Disorders, 21(7), 567–574.CrossRef Dehili, V. M., Prevatt, F., & Coffman, T. P. (2017). An analysis of the Barkley deficits in executive functioning scale in a college population: Does it predict symptoms of ADHD better than a visual-search task? Journal of Attention Disorders, 21(7), 567–574.CrossRef
go back to reference Flannery, A. J., Luebbe, A. M., & Becker, S. P. (2017). Sluggish cognitive tempo is associated with poorer study skills, more executive functioning deficits, and greater impairment in college students. Journal of Clinical Psychology, 73(9), 1091–1113.CrossRef Flannery, A. J., Luebbe, A. M., & Becker, S. P. (2017). Sluggish cognitive tempo is associated with poorer study skills, more executive functioning deficits, and greater impairment in college students. Journal of Clinical Psychology, 73(9), 1091–1113.CrossRef
go back to reference Franke, B., Michelini, G., Asherson, P., Banaschewski, T., Bilbow, A., Buitelaar, J. K., Cormand, B., Faraone, S. V., Ginsberg, Y., Haavik, J., Kuntsi, J., Larsson, H., Lesch, K. P., Ramos-Quiroga, J. A., Rethelyi, J. M., Ribases, M., & Reif, A. (2018). Live fast, die young? A review on the developmental trajectories of ADHD across the lifespan. European Neuropsychopharmacology, 28(10), 1059–1088. https://doi.org/10.1016/j.euroneuro.2018.08.001CrossRefPubMedPubMedCentral Franke, B., Michelini, G., Asherson, P., Banaschewski, T., Bilbow, A., Buitelaar, J. K., Cormand, B., Faraone, S. V., Ginsberg, Y., Haavik, J., Kuntsi, J., Larsson, H., Lesch, K. P., Ramos-Quiroga, J. A., Rethelyi, J. M., Ribases, M., & Reif, A. (2018). Live fast, die young? A review on the developmental trajectories of ADHD across the lifespan. European Neuropsychopharmacology, 28(10), 1059–1088. https://​doi.​org/​10.​1016/​j.​euroneuro.​2018.​08.​001CrossRefPubMedPubMedCentral
go back to reference Froehlich, T. E., Becker, S. P., Nick, T. G., Brinkman, W. B., Stein, M. A., Peugh, J., & Epstein, J. N. (2018). Sluggish cognitive tempo as a possible predictor of methylphenidate response in children with ADHD: A randomized controlled trial. Journal of Clinical Psychiatry, 79(2). https://doi.org/10.4088/JCP.17m11553 Froehlich, T. E., Becker, S. P., Nick, T. G., Brinkman, W. B., Stein, M. A., Peugh, J., & Epstein, J. N. (2018). Sluggish cognitive tempo as a possible predictor of methylphenidate response in children with ADHD: A randomized controlled trial. Journal of Clinical Psychiatry, 79(2). https://​doi.​org/​10.​4088/​JCP.​17m11553
go back to reference Hoffman, L. (2015). Longitudinal analysis: Modeling within-person fluctuation and change. Routledge. Hoffman, L. (2015). Longitudinal analysis: Modeling within-person fluctuation and change. Routledge.
go back to reference Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424.CrossRef Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3(4), 424.CrossRef
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.CrossRef
go back to reference Kamradt, J. M., Momany, A. M., & Nikolas, M. A. (2017). Sluggish cognitive tempo symptoms contribute to heterogeneity in adult attention-deficit hyperactivity disorder. Kamradt, J. M., Momany, A. M., & Nikolas, M. A. (2017). Sluggish cognitive tempo symptoms contribute to heterogeneity in adult attention-deficit hyperactivity disorder.
go back to reference Kessler, R. C., Adler, L., Barkley, R., Biederman, J., Conners, C. K., Demler, O., Faraone, S. V., Greenhill, L. L., Howes, M. J., Secnik, K., Spencer, T., Ustun, T. B., Walters, E. E., & Zaslavsky, A. M. (2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. American Journal of Psychiatry, 163(4), 716–723. https://doi.org/10.1176/ajp.2006.163.4.716CrossRefPubMed Kessler, R. C., Adler, L., Barkley, R., Biederman, J., Conners, C. K., Demler, O., Faraone, S. V., Greenhill, L. L., Howes, M. J., Secnik, K., Spencer, T., Ustun, T. B., Walters, E. E., & Zaslavsky, A. M. (2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. American Journal of Psychiatry, 163(4), 716–723. https://​doi.​org/​10.​1176/​ajp.​2006.​163.​4.​716CrossRefPubMed
go back to reference Leopold, D. R., Christopher, M. E., Burns, G. L., Becker, S. P., Olson, R. K., & Willcutt, E. G. (2016). Attention-deficit/hyperactivity disorder and sluggish cognitive tempo throughout childhood: Temporal invariance and stability from preschool through ninth grade. Journal of Child Psychology and Psychiatry and Allied Disciplines, 57(9), 1066–1074. https://doi.org/10.1111/jcpp.12505CrossRefPubMed Leopold, D. R., Christopher, M. E., Burns, G. L., Becker, S. P., Olson, R. K., & Willcutt, E. G. (2016). Attention-deficit/hyperactivity disorder and sluggish cognitive tempo throughout childhood: Temporal invariance and stability from preschool through ninth grade. Journal of Child Psychology and Psychiatry and Allied Disciplines, 57(9), 1066–1074. https://​doi.​org/​10.​1111/​jcpp.​12505CrossRefPubMed
go back to reference Muthén, L. K., & Muthén, B. O. (1998–2017). Mplus. Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (1998–2017). Mplus. Los Angeles, CA: Muthén & Muthén.
go back to reference Preacher, K. J., & Kelly, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 2011. Preacher, K. J., & Kelly, K. (2011). Effect size measures for mediation models: Quantitative strategies for communicating indirect effects. Psychological Methods, 2011.
go back to reference Sandra Kooij, J. J., Marije Boonstra, A., Swinkels, S. H., Bekker, E. M., de Noord, I., & Buitelaar, J. K. (2008). Reliability, validity, and utility of instruments for self-report and informant report concerning symptoms of ADHD in adult patients. Journal of Attention Disorders, 11(4), 445–458. https://doi.org/10.1177/1087054707299367CrossRefPubMed Sandra Kooij, J. J., Marije Boonstra, A., Swinkels, S. H., Bekker, E. M., de Noord, I., & Buitelaar, J. K. (2008). Reliability, validity, and utility of instruments for self-report and informant report concerning symptoms of ADHD in adult patients. Journal of Attention Disorders, 11(4), 445–458. https://​doi.​org/​10.​1177/​1087054707299367​CrossRefPubMed
go back to reference Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio, TX: The Psychological Corporation. Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio, TX: The Psychological Corporation.
go back to reference Willcutt, E. G., Nigg, J. T., Pennington, B. F., Solanto, M. V., Rohde, L. A., Tannock, R., Loo, S. K., Carlson, C. L., McBurnett, K., & Lahey, B. B. (2012). Validity of DSM-IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology, 121(4), 991–1010. https://doi.org/10.1037/a0027347CrossRefPubMedPubMedCentral Willcutt, E. G., Nigg, J. T., Pennington, B. F., Solanto, M. V., Rohde, L. A., Tannock, R., Loo, S. K., Carlson, C. L., McBurnett, K., & Lahey, B. B. (2012). Validity of DSM-IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology, 121(4), 991–1010. https://​doi.​org/​10.​1037/​a0027347CrossRefPubMedPubMedCentral
go back to reference Wood, W. L. M., Lewandowski, L. J., Lovett, B. J., & Antshel, K. M. (2017). Executive dysfunction and functional impairment associated with sluggish cognitive tempo in emerging adulthood. Journal of Attention Disorders, 21(8), 691–700.CrossRefPubMed Wood, W. L. M., Lewandowski, L. J., Lovett, B. J., & Antshel, K. M. (2017). Executive dysfunction and functional impairment associated with sluggish cognitive tempo in emerging adulthood. Journal of Attention Disorders, 21(8), 691–700.CrossRefPubMed
Metagegevens
Titel
Sluggish Cognitive Tempo as a Transdiagnostic Link Between Adult ADHD and Internalizing Symptoms
Auteurs
Jaclyn M. Kamradt
Hana-May Eadeh
Molly A. Nikolas
Publicatiedatum
15-02-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 3/2022
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-021-09926-8

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