The Role of Cognitive Disengagement Syndrome Symptoms in the Association Between ADHD Symptoms and Sleep Problems: Findings from An Epidemiological Survey

Akın Tahıllıoğlu; Burcu Kardaş; Ömer Kardaş; Nagihan Saday Duman; Emel Sarı Gökten; Merve Çıkılı Uytun; Özlem Kahraman; Esra Özdemir; Ayşe Irmak Taşdemir; Zeyneb Şan; Funda Dönder Şen; Elif Kurt Yılmaz; Gamze Yilmaz Türkel; Merve Ergüven Demirtaş; Eyüp Sabri Ercan

Makale detayları

The Role of Cognitive Disengagement Syndrome Symptoms in the Association Between ADHD Symptoms and Sleep Problems: Findings from An Epidemiological Survey

Yazarlar:

Akın Tahıllıoğlu | Burcu Kardaş | Ömer Kardaş | Nagihan Saday Duman | Emel Sarı Gökten | Merve Çıkılı Uytun | Özlem Kahraman | Esra Özdemir | Ayşe Irmak Taşdemir | Zeyneb Şan | Funda Dönder Şen | Elif Kurt Yılmaz | Gamze Yilmaz Türkel | Merve Ergüven Demirtaş | Eyüp Sabri Ercan

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.83-90

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357181

pISSN:

2148-8118

Anahtar kelimeler:

Özet:

 Cognitive Disengagement Syndrome CDS, a transdiagnostic construct characterized by sluggishness and daydreaming, was associated with Attention-Deficit Hyperactivity Disorder ADHD. Our study investigated the mediating role of CDS in the relationship between ADHD and sleep disturbances in a Turkish epidemiological sample. The sample consisted of 268 children aged 7-11 from four Turkish cities. Parents completed inattention IN and hyperactivityimpulsivity HI subscales of Turgays ADHD Rating Scale IV for ADHD symptoms, Barkleys Child Attention Scale BCAS for CDS symptoms, and Childrens Sleep Habits Questionnaire CSHQ for sleep problems. Correlation analyses revealed significant associations between IN and CSHQ scores r0.406, p0.001, HI and CSHQ scores r0.381, p0.001, and BCAS and CSHQ scores r0.404, p0.001. Regression models demonstrated that CDS fully mediated the relationship between IN symptoms and sleep disturbances. When CDS was included in the model, the direct effect of IN on sleep problems became non-significant β0.094, p0.284, whereas CDS remained a significant predictor β0.249, p0.001. HI symptoms, however, retained a direct association with sleep disturbances β0.304, p0.001, independent of CDS. Maternal age was inversely correlated with CSHQ scores r0.148, p0.033, but the relationship was not significant in regression analysis β0.092, p0.144. These findings emphasize that CDS may serve as a critical mechanism through which IN symptoms influence sleep disturbances. The mediating role of CDS provides a transdiagnostic framework for understanding how attentional difficulties contribute to sleep disturbances and underlines the importance of addressing CDS symptoms as a critical target for interventions aimed at improving sleep quality in children with ADHD.

 Cognitive Disengagement Syndrome CDS, a transdiagnostic construct characterized by sluggishness and daydreaming, was associated with Attention-Deficit Hyperactivity Disorder ADHD. Our study investigated the mediating role of CDS in the relationship between ADHD and sleep disturbances in a Turkish epidemiological sample. The sample consisted of 268 children aged 7-11 from four Turkish cities. Parents completed inattention IN and hyperactivityimpulsivity HI subscales of Turgays ADHD Rating Scale IV for ADHD symptoms, Barkleys Child Attention Scale BCAS for CDS symptoms, and Childrens Sleep Habits Questionnaire CSHQ for sleep problems. Correlation analyses revealed significant associations between IN and CSHQ scores r0.406, p0.001, HI and CSHQ scores r0.381, p0.001, and BCAS and CSHQ scores r0.404, p0.001. Regression models demonstrated that CDS fully mediated the relationship between IN symptoms and sleep disturbances. When CDS was included in the model, the direct effect of IN on sleep problems became non-significant β0.094, p0.284, whereas CDS remained a significant predictor β0.249, p0.001. HI symptoms, however, retained a direct association with sleep disturbances β0.304, p0.001, independent of CDS. Maternal age was inversely correlated with CSHQ scores r0.148, p0.033, but the relationship was not significant in regression analysis β0.092, p0.144. These findings emphasize that CDS may serve as a critical mechanism through which IN symptoms influence sleep disturbances. The mediating role of CDS provides a transdiagnostic framework for understanding how attentional difficulties contribute to sleep disturbances and underlines the importance of addressing CDS symptoms as a critical target for interventions aimed at improving sleep quality in children with ADHD.

 Cognitive Disengagement Syndrome CDS, a transdiagnostic construct characterized by sluggishness and daydreaming, was associated with Attention-Deficit Hyperactivity Disorder ADHD. Our study investigated the mediating role of CDS in the relationship between ADHD and sleep disturbances in a Turkish epidemiological sample. The sample consisted of 268 children aged 7-11 from four Turkish cities. Parents completed inattention IN and hyperactivityimpulsivity HI subscales of Turgays ADHD Rating Scale IV for ADHD symptoms, Barkleys Child Attention Scale BCAS for CDS symptoms, and Childrens Sleep Habits Questionnaire CSHQ for sleep problems. Correlation analyses revealed significant associations between IN and CSHQ scores r0.406, p0.001, HI and CSHQ scores r0.381, p0.001, and BCAS and CSHQ scores r0.404, p0.001. Regression models demonstrated that CDS fully mediated the relationship between IN symptoms and sleep disturbances. When CDS was included in the model, the direct effect of IN on sleep problems became non-significant β0.094, p0.284, whereas CDS remained a significant predictor β0.249, p0.001. HI symptoms, however, retained a direct association with sleep disturbances β0.304, p0.001, independent of CDS. Maternal age was inversely correlated with CSHQ scores r0.148, p0.033, but the relationship was not significant in regression analysis β0.092, p0.144. These findings emphasize that CDS may serve as a critical mechanism through which IN symptoms influence sleep disturbances. The mediating role of CDS provides a transdiagnostic framework for understanding how attentional difficulties contribute to sleep disturbances and underlines the importance of addressing CDS symptoms as a critical target for interventions aimed at improving sleep quality in children with ADHD.

 Yavaşlık ve gündüz düşleriyle karakterize bir tanılararası yapı olan Bilişsel Kopma Sendromu BKS Dikkat Eksikliği Hiperaktivite Bozukluğu DEHB ile ilişkilidir. Çalışmamızda bir Türkiye epidemiyoloji örnekleminde DEHB ve uyku bozuklukları arasındaki ilişkide BKSnin aracı rolünün araştırılması amaçlanmıştır. Örneklemi Türkiyedeki dört şehirden 7-11 yaşları arasındaki 268 olgu oluşturmuştur. Ebeveynler DEHB bulguları için Turgay DEHB Ölçeğinin dikkat eksikliği DE ve hiperaktiviteimpulsivite HI alt ölçeklerini, BKS bulguları için Barkley Çocuk Dikkat Anketini BÇDA ve uyku problemleri için Çocuk Uyku Alışkanlıkları Anketini ÇUAA doldurmuşlardır. Korelasyon analizlerinde DE ve ÇUAA skorları arasında r0.406, p0.001, HI ve ÇUAA skorları arasında r0.381, p0.001 ve BÇDA ve ÇUAA skorları arasında r0.404, p0.001 anlamlı ilişkiler saptandı. Regresyon modelleri BKSnin DE bulguları ve uyku sorunları arasındaki ilişkiye tümüyle aracılık ettiğini ortaya koydu. BKS modele dahil edildiğinde DEnin uyku problemleri üzerindeki etkisi anlamsızlaştı β0.094, p0.284; ancak BKS anlamlı bir yordayıcı olarak kalmaya devam etti β0.249, p0.001. Ancak HI bulguları uyku bozukluklarıyla doğrudan ilişkisini BKSden bağımsız olarak sürdürdü β0.304, p0.001. Anne yaşı ise ÇUAA skorlarıyla ters ilişkiyle koreleydi r0.148, p0.033; ancak bu ilişki regresyon analizinde anlamlı düzeyde değildi β0.092, p0.144. Bu bulgular, BKSnin DE bulgularının uyku bozukluklarını nasıl etkilediği konusunda kritik bir mekanizma olarak işlev görebileceğini vurgulamaktadır. BKSnin aracı rolü, dikkat güçlüklerinin uyku bozukluklarına nasıl katkıda bulunduğunu anlamak için tanı ötesi bir çerçeve sağlamakta ve DEHBli çocuklarda uyku kalitesini iyileştirmeyi amaçlayan müdahalelerde BKS belirtilerini ele almanın kritik bir hedef olduğunu ortaya koymaktadır.

Makale detayları

The Role of Cognitive Disengagement Syndrome Symptoms in the Association Between ADHD Symptoms and Sleep Problems: Findings from An Epidemiological Survey

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.83-90

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357181

pISSN:

2148-8118

Cognitive Disengagement Syndrome

Attention-Deficit/Hyperactivity Disorder

Epidemiology

Sleep Disorders

Sluggish Cognitive TempoBilişsel Kopma Sendromu

Dikkat Eksikliği/ Hiperaktivite Bozukluğu

Epidemiyoloji

Uyku Bozuklukları

Yavaş Bilişsel Tempo

Sayı

Makale detayları

Yayıncı: Mugla Sitki Kocman University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.83-90

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357181

pISSN: 2148-8118

Sayı

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.83-90

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357181

pISSN:

2148-8118