Evidence map›Paper›PMID 28287826›Full record

ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53

Honing in on the Social Difficulties Associated With Sluggish Cognitive Tempo in Children: Withdrawal, Peer Ignoring, and Low Engagement.

Stephen P Becker, Annie A Garner, Leanne Tamm, Tanya N Antonini, Jeffery N Epstein

Abstract read
In one paragraph

Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Optimal Items for Assessing Sluggish Cognitive Tempo in Children Across Mother, Father, and Teacher Ratings.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
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  4. Is It Cognitive Disengagement Syndrome Symptoms or Family Context? The Relationship Between Cognitive Disengagement Syndrome Symptoms in Children and Maternal Social Avoidance.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2026
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  6. Cognitive disengagement syndrome and peer relationships of youth with critical congenital heart defects.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Stephen P Beckera Division of Behavioral Medicine and Clinical Psychology , Cincinnati Children's Hospital Medical Center.
Annie A Garnerc Department of Psychology , Saint Louis University.
Leanne Tamma Division of Behavioral Medicine and Clinical Psychology , Cincinnati Children's Hospital Medical Center.
Tanya N Antoninid Department of Rehabilitation Psychology/Neuropsychology, TIRR Memorial Hermann and Department of Physical Medicine and Rehabilitation , Baylor College of Medicine.
Jeffery N Epsteina Division of Behavioral Medicine and Clinical Psychology , Cincinnati Children's Hospital Medical Center.
Cincinnati Children's Hospital Medical Center · USBaylor College of Medicine · USSaint Louis University · ESUniversity of Cincinnati Medical Center · US

Funding

A Multi-Method Investigation to Distinguish Sluggish Cognitive Tempo from ADHDK23MH108603 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI BECKER, STEPHEN P · 2015 to 2019
$675k
NIMH NIH HHS K23 MH108603
6 · The paper itself

Abstract

Sluggish cognitive tempo (SCT) symptoms are associated with social difficulties in children, though findings are mixed and many studies have used global measures of social impairment. The present study tested the hypothesis that SCT would be uniquely associated with aspects of social functioning characterized by withdrawal and isolation, whereas attention deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms would be uniquely associated with aspects of social functioning characterized by inappropriate responding in social situations and active peer exclusion. Participants were 158 children (70% boys) between 7-12 years of age being evaluated for possible ADHD. Both parents and teachers completed measures of SCT, ADHD, ODD, and internalizing (anxiety/depression) symptoms. Parents also completed ratings of social engagement and self-control. Teachers also completed measures assessing asociality and exclusion, as well as peer ignoring and dislike. In regression analyses controlling for demographic characteristics and other psychopathology symptoms, parent-reported SCT symptoms were significantly associated with lower social engagement (e.g., starting conversations, joining activities). Teacher-reported SCT symptoms were significantly associated with greater asociality/withdrawal and ratings of more frequent ignoring by peers, as well as greater exclusion. ODD symptoms and ADHD hyperactive-impulsive symptoms were more consistently associated with other aspects of social behavior, including peer exclusion, being disliked by peers, and poorer self-control during social situations. Findings provide the clearest evidence to date that the social difficulties associated with SCT are primarily due to withdrawal, isolation, and low initiative in social situations. Social skills training interventions may be effective for children displaying elevated SCT symptomatology.

Indexed as

Social BehaviorAttention Deficit and Disruptive Behavior DisordersAttention Deficit Disorder with HyperactivityChildCognition DisordersFemaleHumansMalePeer GroupSubstance Withdrawal Syndrome

Identifiers

PMID28287826
PMCPMC6047915
OpenAlexW2596933757

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.