굼뜬 인지적 템포(SCT): 임상적 의의와 유용성에 대한 개관 = A Review of Sluggish Cognitive Tempo (SCT)

국문 초록 (Abstract)

본 연구는 굼뜬 인지적 템포(SCT)에 대한 이해를 촉진하기 위해 기존의 SCT에 대한 연구들을 전반적으로 개관하였다. SCT 연구의 필요성을 역사적 배경에 기초하여 소개하고, 측정도구와 요인구조를 여러 연구를 통해 살펴보았다. SCT 측정도구의 타당성을 높이기 위해 신뢰롭고 타당한 측정도구의 검증이 필요하며, 이와 동시에 SCT를 단일차원으로 보는 것이 적절할지, 다차원으로 보는 것이 적절한지에 대해 탐색할 필요가 있음을 제안하였다. 또한, SCT와 DSM-IV 주의력 결핍 및 과잉행동장애(ADHD) 그리고 다른 정신병리와의 관계 뿐 아니라 SCT와 뇌신경학적 기능, 학업적․사회적 기능과의 관계를 탐색함으로써, SCT가 ADHD와는 독립된 차원임을 밝혔다. 이는 이전에 SCT를 ADHD 주의력 결핍 요인의 핵심증상으로 간주하여 연구해 왔던 것에서 벗어나 새로운 시각에서 SCT를 탐색해야 하는 필요성을 제기한 것이다. 또한, SCT에 대한 우리의 이해를 넓히기 위해 관련연구가 부족한 SCT의 병인, 유병률, 치료 등에 대한 연구의 필요성과 향후 연구방향에 대해 논의하였다.

다국어 초록 (Multilingual Abstract)

This study reviewed recent studies on sluggish cognitive tempo (SCT) and empathized the importance of future follow up studies on SCT. Recent empirical evidence showed SCT symptoms were distinct from Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) Attention- Deficit/Hyperactivity Disorder (ADHD) and could be considered multidimensional. SCT is associated with academic impairment and psychological functioning including internalizing symptoms, social withdrawal, and academic impairment, and, possibly, neuropsychological difficulties, even after ADHD inattention problems were controlled. The recent findings suggested that SCT was an important symptom in understanding attentional problems, distinct from ADHD, and, in turn, suggested the need for future studies.

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