Abstract
Sluggish cognitive tempo (SCT) is characterized by a passive form of inattention that may not overtly disrupt classroom goals. Due to the nature of these symptoms, children with SCT may be “falling through the cracks” in schools. The current study examined pre-service teachers’ perceptions of SCT in the classroom. Undergraduate education majors (n = 161) read vignettes describing fictitious fourth-grade boys presenting with symptoms of SCT, attention-deficit/hyperactivity disorder (ADHD), or a non-ADHD-related control: social anxiety disorder (SA), and rated each of the vignettes in terms of their perceptions of the boy described. Results were analyzed using repeated measures ANOVAs and paired-sample t tests. Pre-service teachers viewed all three sets of symptoms as concerning, but viewed ADHD behaviors as the most problematic. These results are promising, as they suggest that pre-service teachers are concerned about both hyperactive (i.e., ADHD) and non-hyperactive behavioral problems (i.e., SCT and SA). Implications and future directions are discussed.
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References
Abramowitz AJ, O’Leary SG (1991) Behavioral interventions for the classroom: implications for students with ADHD. Sch Psychol Rev 20:220–234. Retrieved from http://eds.a.ebscohost.com/eds/detail/detail?sid=a754026b-da76-49da-8fa5-1d1da41ab6a3%40sessionmgr4003&vid=7&hid=4108&bdata=JnNpdGU9ZWRzLWxpdmU%3d#db=afh&AN=9604173869
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Association, Arlington
Anderson DL, Watt SE, Noble W, Shanley DC (2012) Knowledge of attention deficit hyperactivity disorder (ADHD) and attitudes toward teaching children with ADHD: the role of teaching experience. Psychol Sch 49:511–525. doi:10.1001/pits.21617
Armstrong D, Price D, Crowley T (2015) Thinking it through: a study of how pre-service teachers respond to children who present with possible mental health difficulties. Emot Behav Diffic 20(4):381–397. doi:10.1080/13632752.2015.1019248
Barkley RA (2013a) Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: executive functioning, impairment, and comorbidity. J Clin Child Adolesc Psychol 42:161–173. doi:10.1080/15374416.2012.734259
Barkley RA (2013b) The other inattention disorder: sluggish cognitive tempo vs ADHD. In: Attention-deficit/hyperactivity disorder special interest group meeting. Special interest group meeting conducted at the meeting of Association for behavioral and cognitive therapies, Nashville
Barkley RA (2014) Sluggish cognitive tempo (concentration deficit disorder?): current status, future directions, and a plea to change the name. J Abnorm Child Psychol 42:117–125. doi:10.1007/s10802-013-9824-y
Bauermeister JJ, Barkley RA, Bauermeister JA, Martinez JV, McBurnett K (2012) Validity of the sluggish cognitive tempo, inattention, and hyperactivity symptom dimensions: neuropsychological and psychosocial correlates. J Abnorm Child Psychol 40:683–697. doi:10.1007/s10802-011-9602-7
Becker SP (2014) Sluggish cognitive tempo and peer functioning in school-aged children: a six-month longitudinal study. Psychiatry Res 217:72–78. doi:10.1016/j.psychres.2014.02.007
Becker SP, Langberg JM (2013) Sluggish cognitive tempo among young adolescents with ADHD: relations to mental health, academic, and social functioning. J Atten Disord 17:681–689. doi:10.1177/1087054711435411
Becker SP, Langberg JM (2014) Attention-deficit/hyperactivity disorder and sluggish cognitive tempo dimensions in relation to executive functioning in adolescents with ADHD. Child Psychiatry Hum Dev 45:1–11. doi:10.1007/s10578-013-0372-z
Becker SP, Ciesielski HA, Rood JE, Froehlich TE, Garner AA, Tamm L, Epstein JN (2014a) Uncovering a clinical portrait of sluggish cognitive tempo within an evaluation for attention-deficit/hyperactivity disorder: a case study. Clin Child Psychol Psychiatry. doi:10.1177/1359104514554312
Becker SP, Luebbe AM, Fite PJ, Stoppelbein L, Greening L (2014b) Sluggish cognitive tempo in psychiatrically hospitalized children: factor structure and relations to internalizing symptoms, social problems, and observed behavioral dysregulation. J Abnorm Child Psychol 42:49–62. doi:10.1007/s10802-013-9719-y
Becker SP, Marshall SA, McBurnett K (2014c) Sluggish cognitive tempo in abnormal child psychology: an historical overview and introduction to the special section. J Abnorm Child Psychol 42:1–6. doi:10.1007/s10802-013-9825-x
Becker SP, Leopold DR, Burns GL, Jarrett MA, Langberg JM, Marshall SA, McBurnett K, Waschbusch DA, Willcutt EG (2016) The internal, external, and diagnostic validity of sluggish cognitive tempo: a meta-analysis and critical review. J Am Acad Child Adolesc Psychiatry 55:163–178. doi:10.1016/j.jaac.2015.12.006
Beidel DC, Turner SM, Morris TL (1999) Psychopathology of childhood social phobia. J Am Acad Child Adolesc Psychiatry 38:643–650. doi:10.1097/00004583-199906000-00010
Beidel DC, Turner SM, Morris TL (2000) Behavioral treatment of childhood social phobia. J Consult Clin Psychol 68:1072–1080. doi:10.1037//0022-006X.68.6.1072
Bekle B (2004) Knowledge and attitudes about attention-deficit hyperactivity disorder (ADHD): a comparison between practicing teachers and undergraduate education students. J Atten Disord 7:151–161. doi:10.1177/108705470400700303
Bernad MM, Servera M, Becker SP, Burns GL (2016) Sluggish cognitive tempo and ADHD inattention as predictors of externalizing, internalizing, and impairment domains: a 2-year longitudinal study. J Abnorm Child Psychol 44:771–785. doi:10.1007/s10802-015-0066-z
Burns GL, Becker SP, Mateu S, Bernad MM, Garcia-Banda G (2016) Sluggish cognitive tempo and attention-deficit/hyperactivity disorder (ADHD) inattention in the home and school contexts: parent and teacher invariance and cross-setting validity. Psychol Assess. doi:10.1037/pas0000325
Carlson CL (1986) Attention deficit disorder without hyperactivity: a review of preliminary experimental evidence. In: BB Lahey, AE Kazdin (eds) Advances in clinical child psychology, vol 9, pp 153–175. doi:10.1007/978-1-4613-3_5
Carlson CL, Mann M (2002) Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type. J Clin Child Adolesc Psychol 31:123–129. doi:10.1207/S15374424JCCP3101_14
Carter AS, Briggs-Gowan MJ, Davis NO (2004) Assessment of young children’s social-emotional development and psychopathology: recent advances and recommendations for practice. J Child Psychol Psychiatry 45:109–134. doi:10.1046/j.0021-9631.2003.00316.x
Clarke BL, Sheridan SM, Woods KE (2014) Conjoint behavioral consultation: implementing a tiered home-school partnership to promote school readiness. J Prev Interv Commun 42:300–314. doi:10.1080/10852352.2014.943636
Cohen J (1969) Statistical power analysis for the behavioral sciences. Academic Press, New York
Committee on School Health (2004) School-based mental health services. Am Acad Pediatr 113:1839–1845. Retrieved from: http://pediatrics.aappublications.org/content/113/6/1839.full?sid=f049b524-f902-47e9-82d2-b16c3e36bec8
Curtis DF, Pisecco S, Hamilton RJ, Moore DW (2006) Teacher perceptions of classroom interventions for children with ADHD: a cross-cultural comparison of teachers in the United States and New Zealand. Sch Psychol Q 21:171–196. doi:10.1521/scpq.2006.21.2.171
DeStefano MA, Gesten EL, Cowen EL (1977) Teachers’ views of the treatability of children’s school adjustment problems. J Spec Educ 11:275–280. doi:10.1177/002246697701100303
Field A (2013) Discovering statistics using IBM SPSS statistics. In: Carmichael M (ed) 4th edn. Sage Publications Ltd.
Forness SR, Serna LA, Nielson E, Lambros K, Hale MJ, Kavale KA (2000) A model for early detection and primary prevention of emotional or behavioral disorders. Educ Treat Child 23:325–345
Garner AA, Marceaux JC, Mrug S, Patterson C, Hodgens B (2010) Dimensions and correlates of attention deficit/hyperactivity disorder and sluggish cognitive tempo. J Abnorm Child Psychol 38:1097–1107. doi:10.1007/s10802-010-9436-8
Glascoe FP (2005) Screening for developmental and behavioral problems. Ment Retard Dev Disabil Res Rev 11:173–179. doi:10.1002/mrdd.20068
Glass GV, Peckham PD, Sanders JR (1972) Consequences of failure to meet assumptions underling the fixed effects and analyses of variance and covariance. Rev Educ Res 42:237–288
Goldring R, Gray L, Bitterman A (2013) Characteristics of public and private elementary and secondary school teachers in the United States: Results from the 2011-12 schools and staffing survey (NCES 2013-314). National Center for Education Statistics, Washington, DC. Retrieved from http://files.eric.ed.gov/fulltext/ED544178.pdf
Graham JW (2009) Missing data analysis: making it work in the real world. Annu Rev Psychol 60:549–576. doi:10.1146/annurev.psych.58.110405.085530
Graham A, Phelps R, Maddison C, Fitzgerald R (2011) Supporting children’s mental health in schools: teacher views. Teach Teach 17:479–496. doi:10.1080/13540602.2011.580525
Herbert JD, Crittenden K, Dalrymple KL (2004) Knowledge of social anxiety disorder relative to attention deficit hyperactivity disorder among educational professionals. J Clin Child Adolesc Psychol 33:366–372. doi:10.1207/s15374424jccp3302_18
Huffman LC, Nichols M (2004) Early detection of young children’s mental health problems in primary care settings handbook of infant, toddler, and Preschool Mental Health Assessment. Oxford Press, New York, pp 467–489
Jacobson LA, Murphy-Bowman SC, Pritchard AE, Tart-Zelvin A, Zabel TA, Mahone EM (2012) Factor structure of a sluggish cognitive tempo scale in clinically-referred children. J Abnorm Child Psychol 40:1327–1337. doi:10.1007/s10802-012-9643-6
Jerome L, Gordon M, Hustler P (1994) A comparison of American and Canadian teachers’ knowledge and attitudes towards attention deficit hyperactivity disorder (ADHD). Can J Psychiatry 39:563–567. http://www.ncbi.nlm.nih.gov/pubmed/7874659#
Kauffman JM, Lloyd JW, McGee KA (1989) Adaptive and maladaptive behavior: teachers’ attitudes and their technical assistance needs. J Spec Educ 23:185–200. doi:10.1177/002246698902300205
Koller JR, Osterlind SJ, Paris K, Weston KJ (2004) Differences between novice and expert teachers’ undergraduate preparation and ratings of importance in the area of children’s mental health. Int J Ment Health Promot 6(2):40–45. doi:10.1080/14623730.2004.9721930
Kos JM, Richdale AL, Jackson MS (2004) Knowledge about attention-deficit/hyperactivity disorder: a comparison of in-service and preservice teachers. Psychol Sch 41I:517–526. doi:10.1002/pits.10178
Kos JM, Richdale AL, Hay DA (2006) Children with attention deficit hyperactivity disorder and their teachers: a review of the literature. Int J Disabil Dev Educ 53:147–160. doi:10.1080/10349120600716125
Lahey BB, Schaughency EA, Strauss CC, Frame CL (1984) Are attention deficit disorders with and without hyperactivity similar or dissimilar disorders? J Am Acad Child Psychiatry 23:302–309. doi:10.1016/S0002-7138(09)605080-2
Langberg JM, Becker SP, Dvorsky MR (2014a) The association between sluggish cognitive tempo and academic functioning in youth with attention-deficit/hyperactivity disorder (ADHD). J Abnorm Child Psychol 42:91–103. doi:10.1007/s10802-013-9722-3
Langberg JM, Becker SP, Dvorsky MR, Luebbe AM (2014b) Are sluggish cognitive tempo and daytime sleepiness distinct constructs? Psychol Assess 26:586–597. doi:10.1037/a0036276
Lee S, Burns GL, Snell J, McBurnett K (2014) Validity of the sluggish cognitive tempo symptom dimension in children: sluggish cognitive tempo and ADHD-inattention as distinct symptom dimensions. J Abnorm Child Psychol 42:7–19. doi:10.1007/s10802-013-9714-3
Levitt JM, Saka N, Romanelli LH, Hoagwood K (2007) Early identification of mental health problems in schools: the status of instrumentation. J Sch Psychol 45:163–191. doi:10.1016/j.jsp.2006.11.005
Loe IM, Feldman HM (2007) Academic and educational outcomes of children with ADHD. J Pediatr Psychol 32:643–654. doi:10.1093/jpepsy/jsl054
Lundervold AJ, Posserud M, Ullebo A, Sorensen L, Gillberg C (2011) Teacher reports of hypoactivity symptoms reflect slow cognitive processing speed in primary school children. Eur Child Adolesc Psychiatry 20:121–126. doi:10.1007/s00787-010-0153-1
Marshall SA, Evans SW, Eiraldi RB, Becker SP, Power TJ (2014) Social and academic impairment in youth with ADHD, predominately inattentive type and sluggish cognitive tempo. J Abnorm Child Psychol 42:91–103. doi:10.1007/s10802-013-9758-4
McBurnett K, Pfiffner LJ, Frick PJ (2001) Symptom properties as a function of ADHD type: an argument for the continued study of sluggish cognitive tempo. J Abnorm Child Psychol 29:207–213. doi:10.1023/A:1010377530749
Mikami AY, Huang-Pollock CL, Pfiffner LJ, McBurnett K, Hangai D (2007) Social skills differences among attention-deficit/hyperactivity disorder types in a chat room assessment task. J Abnorm Child Psychol 35:509–521. doi:10.1007/s10802-007-9108-5
Moruzzi S, Rijsdijk F, Battaglia M (2014) A twin study of the relationships among inattention, hyperactivity/impulsivity, and sluggish cognitive tempo problems. J Abnorm Child Psychol 42:63–75. doi:10.1007/s10802-013-9725-0
National Education Association (2013) Rankings and estimates: rankings of the states 2012 and estimates of school statistics 2013. Retrieved from the National Education Association website: http://www.nea.org/assets/img/content/NEA_Rankings_And_Estimates-2013_%282%29.pdf
Penny AM, Waschbusch DA, Klein RM, Corkum P, Eskes G (2009) Developing a measure of sluggish cognitive tempo for children: content validity, factor structure, and reliability. Psychol Assess 21:380–389. doi:10.1037/a0016600
Pfiffner LJ, Barkley RA, DuPaul GJ (1998) Treatment of ADHD in school settings. Atten Deficit Hyperact Disord: Handb Diagn Treat 2:458–490
Pilling BA (2000) Teacher competency in identifying ADHD and other childhood mental health disorders: Some possible explanations for ADHD misdiagnosis. Brigham Young University, Provo, UT
Schmider E, Ziegler M, Danay E, Beyer L, Buhner M (2010) Is it really robust? Reinvestigating the robustness of ANOVA against violations of the normal distribution assumption. Methodology 6:147–151. doi:10.1027/1614-2241/a000016
Servera M, del Mar Bernad M, Carrillo JM, Collado S, Burns GL (2015) Longitudinal correlates of Sluggish Cognitive Tempo and ADHD-Inattention symptom dimensions with Spanish children. J Clin Child Adolesc Psychol. doi:10.1080/15374416.2015.1004680
Sheridan SM, Kratochwill TR (2008) Conjoint behavioral consultation: promoting family-school connections and interventions, 2nd edn. Springer, New York
Skirbekk B, Hansen BH, Oerbeck B, Kristensen H (2011) The relationship between sluggish cognitive tempo, subtypes of attention-deficit/hyperactivity disorder, and anxiety disorders. J Abnorm Child Psychol 39:513–525. doi:10.1007/s10802-011-9488-4
Snider VE, Busch T, Arrowood L (2003) Teacher knowledge of stimulant medication and ADHD. Remedial Spec Educ 24:46–56. doi:10.1177/074193250302400105
Spence SH, Donovan C, Brechman-Toussaint M (2000) The treatment of childhood social phobia: the effectiveness of a social skills training-based, cognitive-behavioral intervention, with and without parent involvement. J Child Psychol Psychiatry 41:713–726. doi:10.1111/1469-7610.00659
Tamm L, Garner AA, Loren REA, Epstein JN, Vaughn AJ, Ciesielski HA, Becker SP (2016) Slow sluggish cognitive tempo symptoms are associated with poorer academic performance in children with ADHD. Psychiatry Res 242:251–259. doi:10.1016/j.psychres.2016.05.054
Vereb RL, DiPerna JC (2004) Teachers’ knowledge of ADHD, treatments for ADHD, and treatment acceptability: An initial investigation. Sch Psychol Rev 33:421–428. http://web.b.ebscohost.com/ehost/detail/detail?sid=47d4aac9-c267-4b6c-a69a-fb2e07350c41%40sessionmgr112&vid=3&hid=124&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=afh&AN=14694573
Watabe Y, Owens JS, Evans SW, Brandt NE (2014) The relationship between sluggish cognitive tempo and impairment in children with and without ADHD. J Abnorm Child Psychol 42:105–115. doi:10.1007/s10802-013-9767-3
Willcutt EG, Chhabildas N, Kinnear M, DeFries JC, Olson RK, Leopold DR, Keenan JM, Pennington BF (2014) The internal and external validity of sluggish cognitive tempo and its relation with DSM-IV ADHD. J Abnorm Psychol 42:21–35. doi:10.1007/s10802-013-9800-6
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This study was funded by two grants from the University of Northern Iowa: an Internal Seed Grant and an award from Intercollegiate Academics Fund.
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Meisinger, R.E., Lefler, E.K. Pre-service teachers’ perceptions of sluggish cognitive tempo. ADHD Atten Def Hyp Disord 9, 89–100 (2017). https://doi.org/10.1007/s12402-016-0207-4
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DOI: https://doi.org/10.1007/s12402-016-0207-4