Neuropsychiatric Investigation
Original Article

The Prevalence, Sociodemographic, and Comorbidity Characteristics of Turkish Children with Cognitive Disengagement Syndrome

1.

Department of Child and Adolescent Psychiatry, Çiğli Training and Research Hospital İzmir, Turkey

2.

Department of Child and Adolescent Psychiatry, Celal Bayar University Faculty of Medicine, Manisa, Turkey

3.

Department of Child and Adolescent Psychiatry, Kocaeli University Faculty of Medicine, Kocaeli, Turkey

4.

Department of Child and Adolescent Psychiatry, Balıkesir University, Balıkesir Turkey

5.

Department of Child and Adolescent Psychiatry, Private Outpatient Clinic, Ankara, Turkey

6.

Department of Child and Adolescent Psychiatry, Private Outpatient Clinic, İstanbul, Turkey

7.

Department of Child and Adolescent Psychiatry, Ankara University, Facultyof Medicine, Ankara, Turkey

8.

Department of Child and Adolescent Psychiatry, Kayseri Education and Research Hospital, Kayseri, Turkey

9.

Department of Child and Adolescent Psychiatry, Erciyes University Medical School, Kayseri, Turkey

10.

Department of Child and Adolescent Psychiatry, Karamanoğlu Mehmetbey University, Faculty of Medicine, Karaman, Turkey

11.

Department of Child and Adolescent Psychiatry, Sivas State Hospital, Sivas, Turkey

12.

Department of Child and Adolescent Psychiatry, Malatya Research and Education Hospital, Malatya, Turkey

13.

Department of Child and Adolescent Psychiatry, Private Outpatient Clinic, Kocaeli, Turkey

14.

Department of Child and Adolescent Psychiatry, Gülhane Education and Research Hospital, Ankara, Turkey

15.

Department of Child and Adolescent Psychiatry, Ankara City Hospital, Ankara, Turkey

16.

Department of Child and Adolescent Psychiatry, Uşak Research and Education Hospital, Uşak, Turkey

17.

Department of Child and Adolescent Psychiatry, Faculty of Medicine, Ege University, İzmir, Turkey

Neuropsychiatric Investigation 2024; 62: 22-31
DOI: 10.5152/NeuropsychiatricInvest.2024.23021
Read: 199 Downloads: 108 Published: 06 March 2024

Objective: Cognitive disengagement syndrome, formerly known as sluggish cognitive tempo, is defined as mental fogginess, daydreaming, and sluggishness. This study aimed to determine the prevalence and sociodemographic characteristics of children with cognitive disengagement syndrome and to examine the relationship between cognitive disengagement syndrome and psychiatric disorders.

Methods: About 268 randomly chosen Turkish primary school children aged 7-11 years from 4 different cities were included in this study. Both teachers and parents completed the cognitive disengagement syndrome scanning scale of the Child Behavior Checklist and the Barkley Child Attention Survey. Psychiatric diagnoses in children were assessed using a semi-structured clinical interview. Four separate cognitive disengagement syndrome measurements were performed, matching informants with scales.

Results: The prevalence of cognitive disengagement syndrome was estimated with a range of 4.9%-10.9%, depending on the way of measurement. Logistic regression analyses revealed that paternal psychopathology (odds ratio=6.7) and low maternal education (odds ratio=3.1) increased while advanced maternal age (odds ratio=0.7) decreased the risk of cognitive disengagement syndrome. Although cognitive disengagement syndrome was found to be more prevalent in children with chronic diseases, this association no longer remained in the full logistic regression model. Attention-defic it/hyperactivity disorder was the most observed disorder and accompanied 42.9%-75% of the cases with higher cognitive disengagement syndrome. However, there was no strong support in favor of associations between cognitive disengagement syndrome and depression and anxiety as a whole.

Conclusion: This study provides the first estimates regarding the prevalence and the sociodemographic characteristics of Turkish children with cognitive disengagement syndrome. Cognitive disengagement syndrome seems to be relatively more prevalent in Turkey than in Western cultures. Children whose fathers had a psychiatric disorder, whose mothers had low education, and who were at younger ages should be scrutinized for cognitive disengagement syndrome.

Cite this article as: Tahıllıoğlu A, Bilaç Ö, Kardaş B, et al. The prevalence, sociodemographic, and comorbidity characteristics of turkish children with cognitive disengagement syndrome. Neuropsychiatr Invest. 2024;62(1):22-31.

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