Evidence map›Paper›PMID 31613137›Full record

ArticleJournal of consulting and clinical psychology2019

What cognitive processes are "sluggish" in sluggish cognitive tempo?

Michael J Kofler, Lauren N Irwin, Dustin E Sarver, Whitney D Fosco, Caroline E Miller, Jamie A Spiegel, Stephen P Becker

Abstract read
In one paragraph

Article in Journal of consulting and clinical psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic Review: Assessment of Sluggish Cognitive Tempo Over the Past Decade.Journal of the American Academy of Child and Adolescent Psychiatry · 2021
    Pooled it
  2. Investigating the Shared and Divergent Neuroanatomical Features of Attentional Deficits in Adolescents.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
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  9. Review
  10. Neurocognition in children with cognitive disengagement syndrome: accurate but slow.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Article
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  16. The contribution of sluggish cognitive tempo to processing speed in survivors of pediatric brain tumors.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2021
    Article
  17. Article
  18. Sluggish Cognitive Tempo and Neuropsychological Functioning.Research on child and adolescent psychopathology · 2021
    Article
  19. Article
  20. Article
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

7 authors.

Michael J KoflerDepartment of Psychology.ORCID 0000-0002-8604-3647
Lauren N IrwinDepartment of Psychology.
Dustin E SarverDepartment of Pediatrics, Center for Advancement of Youth, University of Mississippi Medical Center.
Whitney D FoscoCenter for Children and Families, Florida International University.
Caroline E MillerDepartment of Psychology, Florida State University.
Jamie A SpiegelDepartment of Psychology, Florida State University.ORCID 0000-0002-5928-9924
Stephen P BeckerDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.

Funding

Evaluating the Efficacy of Central Executive Training (CET) for ADHDR01MH115048 · NIMH · FLORIDA STATE UNIVERSITY · PI KOFLER, MICHAEL J · 2018 to 2022
$1.9M
Evaluating the Feasibility of Central Executive Training for Children with ADHD- Administrative SupplementR34MH102499 · NIMH · FLORIDA STATE UNIVERSITY · PI KOFLER, MICHAEL J · 2014 to 2016
$737k
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
NIH HHSNIMH NIH HHS K23 MH108603NIMH NIH HHS R01 MH115048NIMH NIH HHS R34 MH102499
6 · The paper itself

Abstract

objectiveSluggish 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).

methodA 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.

resultsBayesian 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.

conclusionsThese 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).

Indexed as

Inhibition, PsychologicalMemory, Short-TermAdolescentAttention Deficit Disorder with HyperactivityBayes TheoremChildCognition DisordersFemaleHumansMaleTime Factors

Identifiers

PMID31613137
PMCPMC6814302

What OpenQuestion holds

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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.