Attention-Deficit/Hyperactivity Disorder Dimensions and Sluggish Cognitive Tempo Symptoms in Relation to College Students’ Sleep Functioning

  title={Attention-Deficit/Hyperactivity Disorder Dimensions and Sluggish Cognitive Tempo Symptoms in Relation to College Students’ Sleep Functioning},
  author={Stephen P. Becker and Aaron M. Luebbe and Joshua M. Langberg},
  journal={Child Psychiatry \& Human Development},
This study examined separate inattentive, hyperactive, and impulsive dimensions of attention-deficit/hyperactivity disorder (ADHD), as well as sluggish cognitive tempo (SCT) symptoms, in relation to college students’ sleep functioning. Participants were 288 college students (ages 17–24; 65 % female; 90 % non-Hispanic White; 12 % self-reported having an ADHD diagnoses) who completed measures of ADHD/SCT symptoms and sleep functioning. Participants reported obtaining an average of 6.8 h of sleep… 
Sleep Difficulties are Associated with Parent Report of Sluggish Cognitive Tempo
Some elements of sluggishness and lethargy inherent to the SCT construct may be associated with sleep difficulties, even after accounting for ADHD and mood symptoms; however, these associations are not consistent across SCT subscales and sleep problem domains.
Associations among sleep problems, executive dysfunctions, and attention-deficit/hyperactivity disorder symptom domains in college students
Examination of whether executive functions (EFs) and sleep problems operate together to predict four attention-deficit/hyperactivity disorder (ADHD) symptom domains found ADHD symptoms are associated with all EF facets even after controlling for sleep quality.
ADHD Dimensions and Sluggish Cognitive Tempo Symptoms in Relation to Self-Report and Laboratory Measures of Neuropsychological Functioning in College Students
Self-reported ADHD and SCT symptoms are strongly associated with college students’ self-reported EF, but relationships with laboratory task measures of neuropsychological functioning are limited.
Correlates of Poor Sleep and Subsequent Risk of Misdiagnosis in College Students Presenting with Cognitive Complaints.
  • E. Gloger, J. Suhr
  • Psychology
    Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
  • 2020
Poor sleepers reported more functional impairment and subjective cognitive concerns, including more Diagnostic and Statistical Manual of Mental Disorders (DSM) inattentive and hyperactive/impulsive symptoms, more SCT symptoms, and more executive dysfunction, even when controlling for depressive symptoms.
Sluggish Cognitive Tempo and ADHD Symptoms in a Nationally Representative Sample of U.S. Children: Differentiation Using Categorical and Dimensional Approaches
  • G. Burns, S. Becker
  • Psychology
    Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
  • 2019
This is only the second study to examine the distinction of clinically-elevated SCT from ADHD in a national sample of children and extends previous findings to a broader array of functional outcomes.
Prevalence, Patterns, and Predictors of Sleep Problems and Daytime Sleepiness in Young Adolescents With ADHD
Time spent in bed, bedtime resistance, ADHD inattentive symptoms, and Sluggish Cognitive Tempo symptoms were significant in the final model predicting daytime sleepiness.
Sleep quality, ADHD symptomatology, and executive functioning in college students
Previous research has suggested that college students often experience poor quality of sleep (Lund, Reider, Whiting, & Prichard, 2010), and self-reported poor quality of sleep is associated with


Association between sleep problems and symptoms of attention-deficit/hyperactivity disorder in young adults.
Examination of sleep-related problems and symptoms of attention-deficit/hyperactivity disorder in a community sample of young adults in Taiwan showed ADHD symptoms in young adults are related to sleep problems.
Sleep problems in children with attention-deficit/hyperactivity disorder: impact of subtype, comorbidity, and stimulant medication.
The results suggest that the relationship between sleep problems and ADHD is complex and depends on the type of sleep problem assessed as well as confounding factors such as comorbid clinical disorders and treatment with stimulant medication.
Parental and self-report of sleep in children with attention-deficit/hyperactivity disorder.
Sleep disturbances, particularly at bedtime, are frequently reported by both parents and children with ADHD, and children undergoing evaluation for ADHD should be routinely screened for sleep disturbances, especially symptoms of sleep-disordered breathing.
Distinguishing sluggish cognitive tempo from attention-deficit/hyperactivity disorder in adults.
  • R. Barkley
  • Psychology
    Journal of abnormal psychology
  • 2012
It is concluded that SCT may be a separate disorder from ADHD yet with comorbidity occurring in approximately half of all cases of each, and contributed unique variance to EF deficits and psychosocial impairment apart from ADHD inattention and hyperactive-impulsive symptoms.
Snoring, sleep quality, and sleepiness across attention-deficit/hyperactivity disorder subtypes.
Only the ADHD-HI diagnosis was associated with an increased likelihood of chronic snoring, and sleep quality was poorer among children with ADHD than controls; however, there were no differences in sleep quality across ADHD subtypes.
Sleep problems and disorders among adolescents with persistent and subthreshold attention-deficit/hyperactivity disorders.
The results showed that adolescents with a childhood diagnosis of ADHD according to DSM-IV criteria, regardless of persistent ADHD, were more likely to have current and lifetime sleep problems and sleep disorders according to diagnosis, includinginsomnia, sleep terrors, nightmares, bruxism, and snoring.
Sluggish Cognitive Tempo in Psychiatrically Hospitalized Children: Factor Structure and Relations to Internalizing Symptoms, Social Problems, and Observed Behavioral Dysregulation
Results of the CFA analyses demonstrated that SCT is distinct from these other dimensions of child psychopathology, including ADHD inattention, depression, and anxiety.
Sleep disturbance, circadian preference and symptoms of adult attention deficit hyperactivity disorder (ADHD)
Findings highlight the reciprocal links between ADHD symptoms, sleep and diurnal preference and suggest individuals likely to suffer from ADHD and/or insomnia disorder were significantly more evening oriented than controls.
Parental Report of Sleep Problems in Children with Attentional and Learning Disorders
It is suggested that sleep‐related problems need to be routinely reviewed as part of the clinical evaluation of neurodevelopmental problems, because they may contribute to and/or exacerbate the behavioral manifestation of these disorders.
Sleep disturbances associated with attention deficit hyperactivity disorder: the impact of psychiatric comorbidity and pharmacotherapy.
Although subjective sleep difficulties are common in ADHD youths, they are frequently accounted for by comorbidity and pharmacotherapy, and the lack of an association between a positive family history of ADHD and sleep difficulties suggests that ADHD is not a mis diagnosis of the consequences of disruption of normal sleep.