External Validity of ADHD Inattention and Sluggish Cognitive Tempo Dimensions in Spanish Children With ADHD

J Atten Disord. 2017 Jun;21(8):655-666. doi: 10.1177/1087054714548033. Epub 2014 Sep 4.

Abstract

Objective: Few studies have examined whether separate dimensions of Sluggish Cognitive Tempo (SCT)-inconsistent alertness and slowness-have different external correlates from each other as well as symptoms of ADHD inattention (ADHD-IN).

Method: Participants were 131 Spanish children (ages 6-16; 72% boys) diagnosed with ADHD.

Results: In regression analyses, ADHD-IN was positively associated with hyperactivity/impulsivity, conduct problems, defiance/aggression, anxiety, peer relations problems, and learning problems. SCT-inconsistent alertness was positively associated with hyperactivity/impulsivity and peer relations problems. In contrast, SCT-slowness was negatively associated with hyperactivity/impulsivity and conduct problems and positively associated with depression and learning problems. Results were consistent after controlling for depression, medication status, and sex.

Conclusion: The findings support SCT to be a construct with two dimensions that have unique correlates relative to each other as well as ADHD-IN. Future research on SCT should separate these dimensions of SCT to provide a better understanding of the construct.

Keywords: ADHD; academic functioning; comorbidity; sluggish cognitive tempo; social performance.

MeSH terms

  • Adolescent
  • Aggression / psychology
  • Anxiety Disorders / ethnology
  • Anxiety Disorders / psychology
  • Attention
  • Attention Deficit Disorder with Hyperactivity / ethnology
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Child
  • Cognition Disorders / ethnology
  • Cognition Disorders / psychology*
  • Depressive Disorder / ethnology
  • Depressive Disorder / psychology
  • Female
  • Hispanic or Latino / psychology
  • Humans
  • Hyperkinesis / ethnology
  • Hyperkinesis / psychology
  • Impulsive Behavior
  • Interpersonal Relations
  • Male
  • Regression Analysis
  • Social Behavior