Cognitive disengagement syndrome (CDS), formerly termed sluggish cognitive tempo, is a set of symptoms characterized by excessive daydreaming, mental confusion, and slowed behavior/thinking. CDS is distinct from symptoms of attention-deficit/hyperactivity disorder (ADHD) and other psychopathologies and uniquely associated with functional impairment. However, despite significant progress in developing and evaluating rating scale measures of CDS, no clinical interview of CDS exists with established psychometric properties that can facilitate a multimethod approach assessing CDS. Accordingly, the present study evaluated the psychometric properties of the semistructured Cognitive Disengagement Syndrome-Clinical Interview (CDS-CI). The CDS-CI and the ADHD inattention (ADHD-IN) and hyperactive-impulsivity (ADHD-HI) modules from the Kiddie Schedule of Affective Disorders and Schizophrenia for School-Age Children (K-SADS) were administered to a sample of early adolescents (N = 341, ages 10-12 years) and their caregivers. Adolescents and caregivers also completed rating scale measures of CDS and ADHD symptoms. The CDS-CI demonstrated high internal consistency and interrater reliability. CDS-CI scores showed excellent same-source discriminant validity from K-SADS, ADHD-IN, and ADHD-HI scores and encouraging convergent and discriminant validity with rating scale measures, especially for caregivers. Above and beyond K-SADS, ADHD-IN, and ADHD-HI scores, higher parent and adolescent CDS-CI scores were both significantly associated with greater functional impairment. A threshold of ≥ 6 out of 15 symptoms was selected as an initial threshold for determining clinically elevated CDS using the CDS-CI. Findings provide psychometric support for the CDS-CI as a tool in the multimethod assessment of CDS. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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认知脱离综合症 - 临床访谈 (CDS-CI)：针对护理人员和青少年版本的心理测量支持。


认知脱离综合症（CDS），以前称为认知节奏迟缓，是一组以过度白日梦、精神混乱和行为/思维迟缓为特征的症状。 CDS 与注意力缺陷/多动障碍 (ADHD) 和其他精神病理学的症状不同，并且与功能障碍独特相关。然而，尽管在开发和评估 CDS 评级量表测量方面取得了重大进展，但尚不存在具有可促进评估 CDS 的多方法方法的既定心理测量特性的 CDS 临床访谈。因此，本研究评估了半结构化认知脱离综合症临床访谈（CDS-CI）的心理测量特性。对早期青少年样本进行了学龄儿童情感障碍和精神分裂症儿童时间表 (K-SADS) 中的 CDS-CI 和 ADHD 注意力不集中 (ADHD-IN) 和多动冲动 (ADHD-HI) 模块（N = 341，年龄 10-12 岁）及其照顾者。青少年和护理人员还完成了 CDS 和 ADHD 症状的评级量表测量。 CDS-CI 表现出高度的内部一致性和评估者间的可靠性。 CDS-CI 分数与 K-SADS、ADHD-IN 和 ADHD-HI 分数显示出出色的同源区分效度，并鼓励评级量表测量的收敛和区分效度，特别是对于护理人员而言。除了 K-SADS、ADHD-IN 和 ADHD-HI 评分之外，较高的父母和青少年 CDS-CI 评分均与较大的功能障碍显着相关。选择 15 种症状中≥ 6 种的阈值作为使用 CDS-CI 确定临床升高的 CDS 的初始阈值。 研究结果为 CDS-CI 作为 CDS 多方法评估工具提供了心理测量支持。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。