Insecure Attachment, Temperament, and Character Traits Associated With Cognitive Disengagement Syndrome and Attention Deficit Hyperactivity Disorder Symptoms in Children

• 발행기관: 대한신경정신의학회
• 저자명: Hasan Can Özbay Dog˘ a Sevinçok Muhammed Mutlu Özbek Hatice Aksu
• 간행물 정보: 『Psychiatry Investigation』제22권 제6호, 632~640쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2025.06.17

국문 초록

Objective Based on the view that cognitive disengagement syndrome (CDS) and attention-deficit/hyperactivity disorder (ADHD) are distinct clinical conditions, we aimed to investigate differences between CDS and ADHD symptoms in terms of insecure attachment, temperament, and character traits in children. Methods We assessed 80 children with ADHD (24 girls and 56 boys, aged 9–12 years) through Turgay’s DSM-IV Based ADHD and Disruptive Behavior Disorders Screening Scale, Barkley Child Attention Scale, Kerns Security Scale, and the Junior Temperament and Character Inventory. Exclusion criteria included the presence of other psychiatric disorders or neurological diseases. Results CDS was significantly correlated with age (r=0.280, p=0.012), ADHD-inattention (r=0.435, p<0.001), harm avoidance (HA) (r=0.302, p=0.006), and insecure attachment (r=-0.280, p=0.012). Hierarchical multiple regression analysis indicated that age (beta=1.459, p=0.031), ADHD-inattention (beta=0.528, p=0.001), and HA (beta=0.306, p=0.044) were significant predictors of CDS severity. ADHD-inattention was significantly associated with delayed speech onset (r=-0.252, p=0.024), CDS (r=0.435, p<0.001), and novelty seeking (r=0.250, p=0.025), whereas ADHD-hyperactivity/impulsivity had an inversely significant correlation with self-directedness (r=-0.233, p=0.038). Only CDS significantly predicted the severity of ADHD-inattention (beta=0.252, p<0.001). Conclusion Our findings may suggest that examining CDS and ADHD in terms of attachment styles, temperament and character traits may improve our understanding of the distinctions between these two constructs.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

REFERENCES

키워드

Children Attention deficit hyperactivity disorder Cognitive disengagement syndrome Temperament Attachment