Objective: The purpose of this study was to test the relation between sluggish cognitive tempo (SCT) symptoms and self-reported mind-wandering in a sample of adolescents with ADHD. Method: Adolescents (N = 79; aged 13–17 years; 70% male) diagnosed with ADHD completed measures of SCT, ADHD, anxiety, and depression symptoms, in addition to mind-wandering. Parents also provided ratings of adolescents’ ADHD symptoms. Results: All adolescent-reported psychopathology dimensions, including ADHD, internalizing, and SCT, were significantly bivariately correlated with greater mind-wandering. However, in regression analysis that considered psychopathologies simultaneously, SCT was the only dimension uniquely associated with greater mind-wandering. This finding was unchanged when parent-reported ADHD symptoms were included in the model. Conclusion: These findings are the first to show that SCT symptoms are uniquely related with self-reported mind-wandering in adolescents with ADHD and underscore the importance of considering co-occurring SCT symptoms when testing the interrelations between ADHD and mind-wandering. Replication is needed in larger samples and with other measures of mind-wandering.
AdamsZ. W.MilichR.FillmoreM. T. (2010). A case for the return of attention-deficit disorder in DSM-5. The ADHD Report, 18(3), 1–6.
2.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
3.
BarkleyR. A. (2013). Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: Executive functioning, impairment, and comorbidity. Journal of Clinical Child and Adolescent Psychology, 42(2), 161–173. https://doi.org/10.1080/15374416.2012.734259
4.
BarkleyR. A. (2014). Sluggish cognitive tempo (concentration deficit disorder?): Current status, future directions, and a plea to change the name. Journal of Abnormal Child Psychology, 42(1), 117–125. https://doi.org/10.1007/s10802-013-9824-y
5.
BeckerS. P. (2015). Child Concentration Inventory: Second edition (CCI-2).
6.
BeckerS. P.BurnsG. L.SmithZ. R.LangbergJ. M. (2020). Sluggish cognitive tempo in adolescents with and without ADHD: Differentiation from adolescent-reported ADHD inattention and unique associations with internalizing domains. Journal of Abnormal Child Psychology, 48(3), 391–406. https://doi.org/10.1007/s10802-019-00603-9
7.
BeckerS. P.EpsteinJ. N.TammL.TilfordA. A.TischnerC. M.IsaacsonP. A.. . . BeebeD. W. (2019a). Shortened sleep duration causes sleepiness, inattention, and oppositionality in adolescents with attention-deficit/hyperactivity disorder: Findings from a crossover sleep restriction/extension study. Journal of the American Academy of Child and Adolescent Psychiatry, 58(4), 433–442. https://doi.org/10.1016/j.jaac.2018.09.439
8.
BeckerS. P.LeopoldD. R.BurnsG. L.JarrettM. A.LangbergJ. M.MarshallS. A.. . . WillcuttE. G. (2016). The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 55(3), 163–178. https://doi.org/10.1016/j.jaac.2015.12.006
9.
BeckerS. P.SchindlerD. N.HoldawayA. S.TammL.EpsteinJ. N.LuebbeA. M. (2019b). The Revised Child Anxiety and Depression Scales (RCADS): Psychometric evaluation in children evaluated for ADHD. Journal of Psychopathology and Behavioral Assessment, 41(1), 93–106. https://doi.org/10.1007/s10862-018-9702-6
10.
BeckerS. P.WillcuttE. G. (2019). Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology. European Child and Adolescent Psychiatry, 28(5), 603–613. https://doi.org/10.1007/s00787-018-1136-x
11.
BiedermanJ.LanierJ.DiSalvoM.NoyesE.FriedR.WoodworthK. Y.. . . FaraoneS. V. (2019). Clinical correlates of mind wandering in adults with ADHD. Journal of Psychiatric Research, 117, 15–23. https://doi.org/10.1016/j.jpsychires.2019.06.012
12.
BozhilovaN. S.MicheliniG.KuntsiJ.AshersonP. (2018). Mind wandering perspective on attention-deficit/hyperactivity disorder. Neuroscience & Biobehavioral Reviews, 92, 464–476. https://doi.org/10.1016/j.neubiorev.2018.07.010
13.
ChorpitaB. F.MoffittC. E.GrayJ. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43(3), 309–322. https://doi.org/10.1016/j.brat.2004.02.004
14.
ChorpitaB. F.YimL.MoffittC.UmemotoL. A.FrancisS. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A Revised Child Anxiety and Depression Scale. Behaviour Research and Therapy, 38(8), 835–855. https://doi.org/10.1016/s0005-7967(99)00130-8
FigueiredoT.LimaG.ErthalP.MartinsR.CorçãoP.LeonelM.. . . MattosP. (2020). Mind-wandering, depression, anxiety and ADHD: Disentangling the relationship. Psychiatry Research, 285, Article 112798. https://doi.org/10.1016/j.psychres.2020.112798
17.
FredrickJ. W.KoflerM. J.JarrettM. A.BurnsG. L.LuebbeA. M.GarnerA. A.. . . BeckerS. P. (2020). Sluggish cognitive tempo and ADHD symptoms in relation to task-unrelated thought: Examining unique links with mind-wandering and rumination. Journal of Psychiatric Research, 123, 95–101.
18.
JonkmanL. M.MarkusC. R.FranklinM. S.Van DalfsenJ. H. (2017). Mind wandering during attention performance: Effects of ADHD-inattention symptomatology, negative mood, ruminative response style and working memory capacity. PLOS ONE, 12(7), Article e0181213. https://doi.org/10.1371/journal.pone.0181213
KaufmanJ.BirmaherB.AxelsonD.PerepletchikovaF.BrentD.RyanN. (2013). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL 2013, DSM-5). Western Psychiatric Institute; Yale University.
21.
KaufmanJ.BirmaherB.BrentD.RaoU.FlynnC.MoreciP.. . . RyanN. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 980–988. https://doi.org/10.1097/00004583-199707000-00021
22.
LanierJ.NoyesE.BiedermanJ. (2021). Mind wandering (internal distractibility) in ADHD: A literature review. Journal of Attention Disorders, 25, 885–890. https://doi.org/10.1177/1087054719865781
23.
LeopoldD. R.ChristopherM. E.BurnsG. L.BeckerS. P.OlsonR. K.WillcuttE. G. (2016). Attention-deficit/hyperactivity disorder and sluggish cognitive tempo throughout childhood: Temporal invariance and stability from preschool through ninth grade. Journal of Child Psychology and Psychiatry, 57(9), 1066–1074. https://doi.org/10.1111/jcpp.12505
24.
MarchettiI.KosterE. H. W.KlingerE.AlloyL. B. (2016). Spontaneous thought and vulnerability to mood disorders. Clinical Psychological Science, 4(5), 835–857. https://doi.org/10.1177/2167702615622383
25.
MarshallS. A.EvansS. W.EiraldiR. B.BeckerS. P.PowerT. J. (2014). Social and academic impairment in youth with ADHD, predominately inattentive type and sluggish cognitive tempo. Journal of Abnormal Child Psychology, 42(1), 77–90. https://doi.org/10.1007/s10802-013-9758-4
26.
MowlemF. D.Agnew-BlaisJ.PingaultJ.-B.AshersonP. (2019). Evaluating a scale of excessive mind wandering among males and females with and without attention-deficit/hyperactivity disorder from a population sample. Scientific Reports, 9(1), Article 3071. https://doi.org/10.1038/s41598-019-39227-w
27.
MrazekM. D.SmallwoodJ.SchoolerJ. W. (2012). Mindfulness and mind-wandering: Finding convergence through opposing constructs. Emotion, 12(3), 442–448.
28.
SáezB.ServeraM.BurnsG. L.BeckerS. P. (2019). Advancing the multi-informant assessment of sluggish cognitive tempo: Child self-report in relation to parent and teacher ratings of SCT and impairment. Journal of Abnormal Child Psychology, 47(1), 35–46. https://doi.org/10.1007/s10802-018-0436-4
29.
ServeraM.SáezB.BurnsG. L.BeckerS. P. (2018). Clinical differentiation of sluggish cognitive tempo and attention-deficit/hyperactivity disorder in children. Journal of Abnormal Psychology, 127(8), 818–829. https://doi.org/10.1037/abn0000375
30.
SingerJ. L.AntrobusJ. S. (1966). Imaginal Process Inventory. Center for Research in Cognition and Affect.
31.
StawarczykD.MajerusS.Van Der LindenM.D’ArgembeauA. (2012). Using the daydreaming frequency scale to investigate the relationships between mind-wandering, psychological well-being, and present-moment awareness. Frontiers in Psychology, 3, Article 363. https://doi.org/10.3389/fpsyg.2012.00363
32.
WolraichM. L.LambertW.DoffingM. A.BickmanL.SimmonsT.WorleyK. (2003). Psychometric properties of the Vanderbilt ADHD Diagnostic Parent Rating Scale in a referred population. Journal of Pediatric Psychology, 28(8), 559–568. https://doi.org/10.1093/jpepsy/jsg046
