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The Associations Between Sluggish Cognitive Tempo, Internalizing Symptoms, and Academic Performance in Children With
Bushra Hossain1, Stephen Bent1, China Parenteau1
1University of California, San Francisco, CA, USA.
Journal of Attention Disorders
|April 4, 2022
Summary
Sluggish cognitive tempo (SCT) in children with reading disorder is linked to increased anxiety and lower academic performance (AP), especially when ADHD-Inattention is low. Teacher reports were key to these findings.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Educational Psychology
Background:
- Reading disorder (RD) often co-occurs with other neurodevelopmental and emotional challenges.
- Sluggish cognitive tempo (SCT) is a pattern of symptoms characterized by slow thinking, processing speed, and attention difficulties.
- The interplay between SCT, ADHD-Inattention (ADHD-IN), anxiety, depression, and academic performance (AP) in children with RD requires further investigation.
Purpose of the Study:
- To examine the associations between SCT and anxiety, depression, and AP in children with RD.
- To determine if ADHD-Inattention (ADHD-IN) moderates the relationship between SCT and these outcomes.
- To differentiate between parent and teacher-reported effects.
Main Methods:
- Longitudinal study of 147 children (ages 6-18) with RD over 18 months.
- Parents and teachers completed regular evaluations of SCT, ADHD, anxiety, depression, and AP.
- Statistical analyses assessed cross-sectional and longitudinal associations and moderation effects of ADHD-IN.
Main Results:
- Teacher-rated SCT was significantly associated with higher anxiety and lower AP, both cross-sectionally and longitudinally.
- ADHD-Inattention significantly moderated these associations, with effects more pronounced in children with lower ADHD-IN.
- No significant associations were found between SCT and depression, nor for any parent-reported measures.
Conclusions:
- Teacher-reported SCT negatively impacts anxiety and academic performance in children with RD, particularly those with low ADHD-Inattention.
- These findings suggest that interventions targeting SCT may improve outcomes for children with RD.
- The discrepancy between teacher and parent reports highlights the importance of multi-informant assessments.
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