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Objective: Sluggish cognitive tempo refers to a constellation of symptoms that include slowed behavior/thinking, reduced alertness, and getting lost in one's thoughts. Despite the moniker "sluggish cognitive tempo," the evidence is mixed regarding the extent to which it is associated globally with slowed (sluggish) mental (cognitive) information processing speed (tempo).
Method: A well-characterized clinical sample of 132 children ages 8-13 years (M = 10.34, SD = 1.51; 47 girls; 67% White/non-Hispanic) were administered multiple, counterbalanced neurocognitive tests and assessed for sluggish cognitive tempo symptoms via multiple-informant reports.
Results: Bayesian linear regressions revealed significant evidence against associations between sluggish cognitive tempo and computationally modeled processing speed (BF01 > 3.70), and significant evidence for associations with slower working memory manipulation speed. These findings were consistent across parent and teacher models, with and without control for attention-deficit/hyperactivity disorder inattentive symptoms and IQ. There was also significant evidence linking faster inhibition speed with higher parent-reported sluggish cognitive tempo symptoms.
Conclusions: These findings provide strong evidence against characterizing children with sluggish cognitive tempo symptoms as possessing a globally sluggish cognitive tempo. Instead, these symptoms appear to be related, to a significant extent, to executive dysfunction characterized by working memory systems that are too slow and inhibition systems that are too fast. Behaviorally, these findings suggest that requiring extra time to rearrange the active contents of working memory delays responding, whereas an overactive inhibition system likely terminates thoughts too quickly and therefore prevents intended behaviors from starting or completing, thereby giving the appearance that children are absent-minded or failing to act when expected. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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http://dx.doi.org/10.1037/ccp0000446 | DOI Listing |
JAACAP Open
September 2025
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Objective: Despite rapid advancements in understanding of cognitive disengagement syndrome (CDS) in children, less is known about the neural correlates of CDS. The aim of this study was to examine associations between CDS symptom severity and connectivity within and between specific brain networks.
Method: The study recruited 65 right-handed children (ages 8-13 years; 36 boys) with the full continuum of CDS symptom severity from the community.
Cureus
August 2025
Service of Neurology, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BRA.
Transcranial sonography (TCS) is widely acknowledged as a frontline imaging tool in movement disorder practice, particularly for separating idiopathic Parkinson's disease from its many mimics. In recent years, however, investigators have extended its reach, showing that the same portable probe can also capture structural and hemodynamic signatures of neuropsychiatric disorders and the major dementia syndromes. Across neuropsychiatry, a dim ("hypoechoic") median raphe emerges as the sonographic hallmark of serotonergic imbalance: it recurs in major depressive disorder, bipolar depression, and panic disorder, predicts better response to selective serotonin reuptake inhibitors, and even foreshadows post-stroke depression.
View Article and Find Full Text PDFMethods Protoc
August 2025
Center for Behavioural Sciences and Mental Health, Italian Twin Registry, Istituto Superiore di Sanità, 00161 Rome, Italy.
Data on the genetic and environmental factors underlying the co-occurrence of Cognitive Disengagement Syndrome (CDS), Attention Deficit Hyperactivity Disorder (ADHD), and Emotional Dysregulation (ED) are limited. This study aimed to explore the nature of the associations between CDS, ADHD with ED, and to assess the role of shared etiological factors in explaining their comorbidity. We analyzed a sample of 400 Italian twin pairs aged 8-18, from Northern Italy and enrolled in the Italian Twin Registry.
View Article and Find Full Text PDFSci Rep
August 2025
Cognitive Science Department, Rensselaer Polytechnic Institute, Troy, NY, 12180, USA.
Effective locomotion often requires the ability to navigate within complex environments at speed, moving smoothly through multiple waypoints while avoiding obstacles. If actors consider only one waypoint at a time, they may be forced to make jerky steering adjustments, collide with obstacles, or miss waypoints altogether. Findings from previous studies suggest that humans do use information from beyond the most immediate waypoint but leave open questions about how such information is used to control steering and speed of self-motion.
View Article and Find Full Text PDFJ Sch Psychol
August 2025
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Students' social behaviors are associated with academic enablers and academic outcomes. However, social withdrawal, a key correlate of youth with cognitive disengagement syndrome (CDS), has not been examined in relation to academic enablers. In this cross-sectional study, we examined associations between teacher-reported social withdrawal and academic enablers, and also whether associations differed for students with or without teacher-reported elevations in CDS.
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