Can Sluggish Cognitive Tempo Be Distinguished From ADHD Inattention in Very Young Children? Evidence From a Sample of Korean Preschool Children
- PMID: 27887008
- PMCID: PMC6050985
- DOI: 10.1177/1087054716680077
Can Sluggish Cognitive Tempo Be Distinguished From ADHD Inattention in Very Young Children? Evidence From a Sample of Korean Preschool Children
Abstract
Objective: This study evaluated whether sluggish cognitive tempo (SCT) is separable from ADHD-inattention (IN) and uniquely associated with internalizing dimensions in preschool children in South Korea.
Method: Mothers of 172 preschool children (ages 4-6 years; 52% girls) rated children's SCT, ADHD-IN, ADHD-hyperactivity/impulsivity (HI), oppositional defiant disorder (ODD), aggression, emotional reactivity, anxiety/depression, somatic complaints, withdrawal, and sleep problems.
Results: Eight of 10 SCT symptoms showed convergent and discriminant validity with ADHD-IN. ADHD-IN remained significantly positively associated with ADHD-HI, ODD, and aggressive behavior after controlling for SCT, whereas SCT was no longer positively associated with these externalizing behaviors after controlling for ADHD-IN. Both SCT and ADHD-IN were uniquely associated with greater emotionally reactivity, anxiety/depression, and withdrawal. Only SCT was uniquely associated with somatic complaints, and only ADHD-IN was uniquely associated with sleep problems.
Conclusion: Findings replicate results with children and adolescents, thus expanding evidence for the validity of SCT in early development.
Keywords: ADHD; South Korea; attention problems; preschool children; sluggish cognitive tempo.
Conflict of interest statement
Declaration of Conflicting Interests
The authors declare no potential conflicts of interest with respect to research, authorship, and/or publication of this article.
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References
-
- Achenbach TM, & Rescorla L (2000). Child Behavior Checklist. Burlington, VT: University of Vermont.
-
- Bauermeister JJ, Barkley RA, Bauermeister JA, Martinez JV, & McBurnett K (2012). Validity of the sluggish cognitive tempo, inattention, and hyperactivity symptom dimensions: neuropsychological and psychosocial correlates. Journal of Abnormal Child Psychology, 40, 683–697. doi:10.1007/s10802-011-9602-7 - DOI - PubMed
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