Evidence map›Paper›PMID 36007816›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2023

Report of a Work Group on Sluggish Cognitive Tempo: Key Research Directions and a Consensus Change in Terminology to Cognitive Disengagement Syndrome.

Stephen P Becker, Erik G Willcutt, Daniel R Leopold, Joseph W Fredrick, Zoe R Smith, Lisa A Jacobson, G Leonard Burns, Susan D Mayes, Daniel A Waschbusch, Tanya E Froehlich and 3 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 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

74 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Cognitive disengagement syndrome (sluggish cognitive tempo) and medical conditions: a systematic review and call for future research.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2024
    Pooled it
  5. Article
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  12. 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
    Article
  13. Review
  14. Investigating the Shared and Divergent Neuroanatomical Features of Attentional Deficits in Adolescents.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
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14 more citing papers are in PubMed but not listed here.

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

13 authors.

Stephen P BeckerCincinnati Children's Hospital Medical Center, Ohio, and the University of Cincinnati College of Medicine, Ohio. Electronic address: stephen.becker@cchmc.org.
Erik G WillcuttUniversity of Colorado Boulder, Boulder, Colorado.
Daniel R LeopoldUniversity of Colorado School of Medicine, Aurora.
Joseph W FredrickCincinnati Children's Hospital Medical Center, Ohio, and the University of Cincinnati College of Medicine, Ohio.
Zoe R SmithLoyola University Chicago, Illinois.
Lisa A JacobsonKennedy Krieger Institute, Johns Hopkins School of Medicine, Baltimore, Maryland.
G Leonard BurnsWashington State University, Pullman.
Susan D MayesWaschbusch are with Penn State College of Medicine, Hershey, Pennsylvania.
Daniel A WaschbuschWaschbusch are with Penn State College of Medicine, Hershey, Pennsylvania.
Tanya E FroehlichCincinnati Children's Hospital Medical Center, Ohio, and the University of Cincinnati College of Medicine, Ohio.
Keith McBurnettUniversity of California San Francisco, San Francisco, California.
Mateu ServeraIDISBA Institute, University of the Balearic Islands, Palma, Spain.
Russell A BarkleyVirginia Commonwealth University, School of Medicine, Richmond, Virginia.

Funding

VALIDITY OF SUBTYPES OF ADHDP50HD027802 · NICHD · UNIVERSITY OF COLORADO AT BOULDER · PI ERIK G WILLCUTT · 1990 to 2026
$44.9M
Development of Psychopathology, Psychobiology, & BehaviorT32MH015442 · NIMH · UNIVERSITY OF COLORADO DENVER · PI JASON R TREGELLAS · 1985 to 2026
$10.2M
Sleep and Circadian Dysfunction, Brain and Neurobehavioral Development in AutismP50HD103538 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI S. Ali Fatemi, Bradley L Schlaggar · 2020 to 2026
$9.9M
Longitudinal Examination of Sluggish Cognitive Tempo and Internalizing Psychopathology in AdolescenceR01MH122415 · NIMH · CINCINNATI CHILDRENS HOSP MED CTR · PI BECKER, STEPHEN P · 2021 to 2025
$3.8M
NICHD NIH HHS P50 HD027802NICHD NIH HHS P50 HD103538NIMH NIH HHS R01 MH122415NIMH NIH HHS T32 MH015442
6 · The paper itself

Abstract

objectiveThe aim of this work was 2-fold: (1) to evaluate current knowledge and identify key directions in the study of sluggish cognitive tempo (SCT); and (2) to arrive at a consensus change in terminology for the construct that reflects the current science and may be more acceptable to researchers, clinicians, caregivers, and patients.

methodAn international Work Group was convened that, in early 2021, compiled an online archive of all research studies on SCT and summarized the current state of knowledge, noted methodological issues, and highlighted future directions, and met virtually on 10 occasions in 2021 to discuss these topics and terminology.

resultsMajor progress has been made over the last decade in advancing our understanding of SCT across the following domains of inquiry: construct measurement and stability; genetic, environmental, pathophysiologic, and neuropsychological correlates; comorbid conditions; functional impairments; and psychosocial and medication interventions. Findings across these domains are summarized, and potential avenues to pursue in the next generation of SCT-related research are proposed. Following repeated discussions on terminology, the Work Group selected "cognitive disengagement syndrome" (CDS) to replace "SCT" as the name for this construct. This term was deemed to best satisfy considerations that should apply when selecting terms for a condition or syndrome, as it does not overlap with established terms for other constructs, is not offensive, and reflects the current state of the science.

conclusionIt is evident that CDS (SCT) has reached the threshold of recognition as a distinct syndrome. Much work remains to further clarify its nature (eg, transdiagnostic factor, separate disorder, diagnostic specifier), etiologies, demographic factors, relations to other psychopathologies, and linkages to specific domains of functional impairment. Investigators are needed with interests and expertise spanning basic, clinical, and translational research to advance our understanding and to improve the lives of individuals with this unique syndrome.

Indexed as

Attention Deficit Disorder with HyperactivitySluggish Cognitive TempoCognitionHumansPsychopathologyattention-deficit/hyperactivity disorderCDScognitive disengagement syndromeSCTsluggish cognitive tempo

Identifiers

PMID36007816
PMCPMC9943858

What OpenQuestion holds

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Registered trials

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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.