• Sonuç bulunamadı

Reply to bianchi et al.

N/A
N/A
Protected

Academic year: 2021

Share "Reply to bianchi et al."

Copied!
2
0
0

Yükleniyor.... (view fulltext now)

Tam metin

(1)

Contents lists available atScienceDirect

Psychiatry Research

journal homepage:www.elsevier.com/locate/psychres

Reply to Bianchi et al. To the Editors:

Bianchi et al. (In this issue)have commented on our recent article addressing the relationship between sluggish cognitive tempo (SCT) and burnout in psychiatrists (Gül et al., 2017). They remarked that the relationship between symptoms will lead to a conceptual confusion. First of all, we thank them for their interest in our article. With this letter, we want to address a few important points.

As known, a primary limitation for thefield of SCT is the lack of a unified set of symptoms, and it was found that previous studies have used 150 different items for assessing SCT (Becker et al., 2017). However, in recent studies from different parts of the world, and in a recent meta-analytic study in which these studies were analyzed, it was found that the internal consistency, test-retest variability and interrater reliability values of the SCT-related measures were very high and strong, and the results support the idea that it is a different diagnosis from attention deficit hyperactivity disorder (ADHD). The same analyses revealed that SCT is more common in older age groups; that it is associated with lower socioeconomic status, lower social function, and lower academic achievement; and that the relationship with ADHD mostly involves attention deficits and internalizing symptoms (Becker et al., 2016). But it is not clear yet if SCT is a condition that begins in childhood and continues over the lifespan, or if it is a condition that occurs later in life with the effect of some other factors. It is still important and necessary to identify other relevant situations, which are common recommendations in studies of SCT.

In addition, Bianchi et al. mentioned that the symptoms of SCT and emotional exhaustion seem to underlie fatigue (particularly cognitive fatigue). Adults with ADHD seem to have greater fatigue symptoms than healthy controls (Rogers et al., 2017), and SCT was supposed to be a resemblance of inattentive type of ADHD. However, the findings about cognition are inconclusive even in burnout patients and multifactorial causation may underlie the cognitive problems (Riedrich et al., 2017). We summarized some common features of cognitive fatigue, emotional exhaustion and SCT, as well as some distinctive ones (seeFig. 1), according to the literature (Borragán et al., 2017; Fassbender et al., 2015).

Andfinally, it is important in a few aspects to investigate the symptoms of SCT in a group with a high academic achievement, such as psy-chiatrists, who have succeeded in the process of medical training, completed the period of specialization examination and followed medical assistant

Fig. 1. The possible relationship between cognitive fatigue, emotional exhaustion and SCT.

http://dx.doi.org/10.1016/j.psychres.2017.06.055 Received 15 June 2017; Accepted 15 June 2017

Psychiatry Research 263 (2018) 285–286

Available online 16 June 2017

0165-1781/ © 2017 Elsevier B.V. All rights reserved.

(2)

process: Firstly, what is the prevalence of SCT in such a group with high cognitive capacity? Secondly, could it be a consequence of risk factors? And, thirdly, could burnout be one of these factors that is often observed in health workers and also in psychiatrists (Kumar, 2007) all over the world? One of our proposals for future studies is to examine individuals with SCT prospectively, whether they have more burnout symptoms or not.

References

Becker, S.P., Leopold, D.R., Burns, G.L., Jarrett, M.A., Langberg, J.M., Marshall, S.A., et al., 2016. The internal, external, and diagnostic validity of sluggish cognitive tempo: a meta-analysis and critical review. J. Am. Acad. Child. Adolesc. Psychiatry 55 (3), 163–178.

Becker, S.P., Burns, G.L., Garner, A.A., Jarrett, M.A., Luebbe, A.M., Epstein, J.N., et al., 2017. Sluggish cognitive tempo in adults: psychometric validation of the adult concentration ınventory. Psychol. Assess..http://dx.doi.org/10.1037/pas0000476.(Advance online publication).

Bianchi, R., Schonfeld, I.S., Laurent, E., 2017. When fatigue symptoms are associated with… fatigue symptoms. Psychiatry Res (In this issue). Borragán, G., Slama, H., Bartolomei, M., Peigneux, P., 2017. Cognitive fatigue: a time-based resource-sharing account. Cortex 89, 71–84.

Fassbender, C., Krafft, C.E., Schweitzer, J.B., 2015. Differentiating SCT and inattentive symptoms in ADHD using fMRI measures of cognitive control. Neuroimage Clin. 21 (8), 390–397. Gül, A., Gül, H., Özkal, U.C., Kıncır, Z., Gültekin, G., Emul, H.M., 2017. The relationship between sluggish cognitive tempo and burnout symptoms in psychiatrists with different

therapeutic approaches. Psychiatry Res. 252, 284–288.

Kumar, S., 2007. Burnout in psychiatrists. World Psychiatry 6 (3), 186–189.

Riedrich, K., Weiss, E.M., Dalkner, N., Reininghaus, E., Papousek, I., Schwerdtfeger, A., Lackner, H.K., Reininghaus, B., 2017. Cognitive impairments accompanying the burnout syndrome – a review. Neuropsychiatrie 31 (1), 24–31.

Rogers, D.C., Dittner, A.J., Rimes, K.A., Chalder, T., 2017. Fatigue in an adult attention deficit hyperactivity disorder population: a trans-diagnostic approach. Br. J. Clin. Psychol. 56 (1), 33–52.

Ahmet Gül Department of Adult Psychiatry, Medical Faculty of Ufuk University, Ankara, Turkey Hesna Gül Department of Child/Adolescent Psychiatry, Gulhane Training and Research Hospital, Ankara, Turkey E-mail address: drhesnagul@gmail.com H. Murat Emul PEDAMED, Private Center for Psychiatry, Istanbul, Turkey

Psychiatry Research 263 (2018) 285–286

Şekil

Fig. 1. The possible relationship between cognitive fatigue, emotional exhaustion and SCT.

Referanslar

Benzer Belgeler

The blood glucose level must be regularly tested in a pregnant women with gestational diabetes, compliance to diet or therapy with OAD agent or insulin must be monitored, and the

The calculation of the velocity field in the flow around cylindrical bodies can be based on the method of expansion of the vector potential of this field.. ( V =

Arch Studio is an application that is made to organize the concept of a house, a convenience provided by this website, where clients simply use the website to order residential

bileĢiminde olduğu XRD çalıĢmaları ile belirlenmiĢtir. 2) Burma testi esnasında filmaĢin yüzeyinden dökülen tozlara yapılan kimyasal analiz sonucunda tozların yaklaĢık

Kolon deneylerinde atık sulardan bakırın geri kazanılması deneyleri için ilk olarak pH’ı 7,45 olan 478,34 ppm bakır içeren çözelti kolonlardan sırasıyla

Ona göre bu yapıyı ortaya çıkarmanın yöntemi, modern dünyanın sahip olduğu araçlarda mevcut olan düşünce tarzıyla mitosta var olan ilkel insanın düşünme

Second, because financial concerns did not predict internalization problems (β = .10, p = .22), indirect roles of negotiation, psychological aggression and physical

As demonstrated in the present study, different altruistic acts may have different motivational roots (helping to reduce the other’s distress versus shar- ing to assure a fair