Journal of Abnormal Child Psychology

, Volume 38, Issue 8, pp 1097–1107 | Cite as

Dimensions and Correlates of Attention Deficit/Hyperactivity Disorder and Sluggish Cognitive Tempo

  • Annie A. GarnerEmail author
  • Janice C. Marceaux
  • Sylvie Mrug
  • Cryshelle Patterson
  • Bart Hodgens


The present study examined Sluggish Cognitive Tempo (SCT) in relation to ADHD symptoms, clinical diagnosis, and multiple aspects of adjustment in a clinical sample. Parent and teacher reports were gathered for 322 children and adolescents evaluated for behavioral, emotional, and/or learning problems at a university clinic. Confirmatory factor analyses (CFA) supported the presence of three separate, but correlated factors (SCT, inattention, and hyperactivity/impulsivity) in both parent and teacher ratings. As expected, SCT symptoms were greatest in youth with ADHD Inattentive type, but were also found in non-ADHD clinical groups. SCT symptoms were related to inattention, internalizing, and social problems across both parent and teacher informants; for parent reports, SCT was also related to more externalizing problems. Findings support the statistical validity of the SCT construct, but its clinical utility is still unclear.


Sluggish cognitive tempo Factor analysis Attention deficit/hyperactivity disorder Clinical population 


  1. Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. text revision.Google Scholar
  3. Bauermeister, J. J., Bird, H. R., Canino, G., Rubio-Stipec, M., Bravo, M., & Alegria, M. (1995). Dimensions of attention deficit hyperactivity disorder: findings from teacher and parent reports in a community sample. Journal of Clinical Child Psychology, 24, 264–271.CrossRefGoogle Scholar
  4. Bernstein, I. H., & Teng, G. (1989). Factoring items and factoring scales are different: Spurious evidence for multidimensionality due to item categorization. Psychological Bulletin, 105, 467–477.CrossRefGoogle Scholar
  5. Biderman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. The American Journal of Psychiatry, 148, 564–577.Google Scholar
  6. Brito, G. N. O., Pinto, R. C. A., & Lins, M. F. C. (1995). A behavioral assessment scale for attention deficit disorder in Brazilian children based on DSM-III-R criteria. Journal of Abnormal Child Psychology, 23, 509–520.CrossRefPubMedGoogle Scholar
  7. Carlson, C. L., & Mann, M. (2002). Sluggish cognitive tempo predicts a different pattern of impairment in ADHD, predominantly inattentive type. Journal of Clinical Child and Adolescent Psychology, 31, 123–129.PubMedGoogle Scholar
  8. Cohen, N. J., Vallance, D. D., Barwick, M., Im, N., Menna, R.,Horodezky, N. B., et al. (2000). The interface between ADHD and language impairment: An examination of language, achievement, and cognitive processing. Journal of Child Psychology and Psychiatry, 41, 353–362.CrossRefPubMedGoogle Scholar
  9. DuPaul, G. J., Power, T. P., Anastopoulos, A. D., & Reid, R. (1998). ADHD rating scale-IV. New York: Guilford.Google Scholar
  10. Hartman, C. A., Willcutt, E. G., Rhee, S. H., & Pennington, B. F. (2004). The relation between sluggish cognitive tempo and DSM-IV ADHD. Journal of Abnormal Child Psychology, 32, 491–503.CrossRefPubMedGoogle Scholar
  11. Hoza, B., Mrug, S., Gerdes, A. C., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., et al. (2005). What aspects of peer relationships are impaired in children with ADHD? Journal of Consulting and Clinical Psychology, 73, 411–423.CrossRefPubMedGoogle Scholar
  12. Kline, T. J. B. (2005). Psychological testing: A practical approach to design and evaluation (p. 35). Thousand Oaks: Sage.Google Scholar
  13. Lahey, B. B., Pelham, W. E., Schaughency, E. A., Atkins, M. S., Murphy, H. A., Hynd, G. W., et al. (1988). Dimensions and types of attention deficit disorder with hyperactivity in children: a factor and cluster analytic approach. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 330–335.CrossRefPubMedGoogle Scholar
  14. Lahey, B. B., Applegate, B., McBurnett, K., Biederman, J., Greenhill, L., Hynd, G. W., et al. (1994). DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. The American Journal of Psychiatry, 151, 1673–1685.PubMedGoogle Scholar
  15. McBurnett, K., Pfiffner, L. J., & Frick, P. J. (2001). Symptom properties as a function of ADHD type: an argument for continued study of sluggish cognitive tempo. Journal of Abnormal Child Psychology, 29, 207–213.CrossRefPubMedGoogle Scholar
  16. Milich, R., Loney, J., & Landu, S. (1982). The independent dimensions of hyperactivity and aggression: a validation with playroom observation data. Journal of Abnormal Psychology, 91, 183–189.CrossRefPubMedGoogle Scholar
  17. Milich, R., Balentine, A. C., & Lynam, D. R. (2001). ADHD combined type and ADHD predominantly inattentive type are distinct and unrelated disorders. Clinical Psychology: Science and Practice, 8, 463–488.CrossRefGoogle Scholar
  18. Muthén, L. K., & Muthén, B. O. (1998–2006). Mplus version 4.2 [Computer program]. Los Angeles: Muthén & Muthén.Google Scholar
  19. Muthén, B., du Toit, S. H. C., & Spisic, D. (1997). Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes. Los Angeles: University of California, Unpublished manuscript.Google Scholar
  20. Panter, A. T., Swygert, K. A., Dahlstrom, W. G., & Tanaka, J. S. (1997). Factor analytic approaches to personality item-level data. Journal of Personality Assessment, 68, 561–589.CrossRefPubMedGoogle Scholar
  21. Penny, A. M., Waschbusch, D. A., Klein, R. M., Corkum, P., & Eskes, G. (2009). Developing a measure of sluggish cognitive tempo for children: content validity, factor structure, and reliability. Psychological Assessment, 21, 380–389.CrossRefPubMedGoogle Scholar
  22. Reeves, C., Palmer, S., Gross, A., Simonian, S., Taylor, L., Willingham, E., et al. (2007). Brief report: sluggish cognitive tempo among pediatric survivors of acute lymphoblastic leukemia. Journal of Pediatric Psychology, 32(9), 1050–1054.CrossRefPubMedGoogle Scholar
  23. Todd, R. D., Rasmussen, E. R., Wood, C., Levy, F., & Hay, D. A. (2004). Should sluggish cognitive tempo symptoms be included in the diagnosis of attention-deficit/hyperactivity disorder? Journal of the American Academy of Child and Adolescent Psychiatry, 43(5), 491–503.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Annie A. Garner
    • 1
    • 3
    Email author
  • Janice C. Marceaux
    • 1
  • Sylvie Mrug
    • 1
  • Cryshelle Patterson
    • 2
  • Bart Hodgens
    • 1
    • 2
  1. 1.Department of PsychologyUniversity of Alabama at BirminghamBirminghamUSA
  2. 2.Civitan International Research Center Sparks ClinicsUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.UAB Department of PsychologyBirminghamUSA

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