UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062805
Receipt number R000071900
Scientific Title Efficacy of group intervention for Cognitive Disengagement Syndrome
Date of disclosure of the study information 2026/09/10
Last modified on 2026/09/03 15:35:17

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Basic information

Public title

Efficacy of group intervention for Cognitive Disengagement Syndrome

Acronym

CDS group

Scientific Title

Efficacy of group intervention for Cognitive Disengagement Syndrome

Scientific Title:Acronym

CDS group

Region

Japan


Condition

Condition

cognitive disengagement syndrome

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Cognitive Disengagement Syndrome is a newly conceptualized clinical syndrome characterized by daydreaming, mental confusion, and slowed behavior and speech, with a prevalence of approximately 5%. Although it resembles the predominantly inattentive presentation of ADHD, it is symptomatologically distinct: individuals with CDS tend to disengage easily from external stimuli and become absorbed in their internal world, which delays task processing and makes it difficult to keep pace with conversation--often leading others to misinterpret this as laziness or indifference. CDS also shows high comorbidity with depression and anxiety disorders, and tends to respond poorly to ADHD pharmacotherapy and existing psychosocial interventions. To date, most research has focused on demonstrating symptomatological differences from ADHD, while studies in other domains remain sporadic. Recently, under the view that CDS constitutes an "independent diagnostic entity," it was concluded that "further research is needed to inform intervention" (Becker et al., 2023). Accordingly, this study aims to optimize intervention by conducting a group for individuals with CDS. As a pilot group, this iteration will center on an existing psychosocial treatment program originally developed for ADHD. Given that CDS is closely related to ADHD, some degree of effectiveness is anticipated; however, aspects of insufficient efficacy are also expected to remain. Through post-group interviews and questionnaires, this study will clarify both the effective aspects and limitations of the existing approach, as well as the difficulties CDS presents in adult daily life, in order to inform the design of subsequent group interventions.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

K-6, WFIRS, WRADDS, ASRS, DERS, DDFS, MWQ, Epworth Sleepiness Scale

Key secondary outcomes

interview


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

The content of the group generally follows a six-month protocol (held once a month) designed for adults with ADHD. Specifically, it consists of components such as "psychoeducation," "organization skills," "money management," "cognitive behavioral therapy," "time management," and "peer discussion among participants."

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Inclusion criteria were adults aged 18 years or older who had previously been suspected of having CDS, and who were able to converse, read, and write in Japanese.

Key exclusion criteria

Exclusion criteria were set as follows: (1) having a psychiatric disorder such as moderate or greater depression, (2) having a diagnosis of epilepsy or intellectual/developmental disorder, and (3) not having obtained the attending physician's permission to participate in the study.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Toshinobu
Middle name
Last name TakedaTakeda

Organization

Ryukoku University

Division name

fuculty of psychology

Zip code

600-8268

Address

125-1 Daiku-cho 7jyou-dori Shimogyo Kyoto

TEL

07043314138

Email

toshinobu_takeda@yahoo.co.jp


Public contact

Name of contact person

1st name Toshinobu
Middle name
Last name Takeda

Organization

Ryukoku University

Division name

faculty of psychology

Zip code

167

Address

125-1 Daiku-cho Shimogyo Kyoto

TEL

075-343-3311

Homepage URL


Email

a10001@mail.ryukoku.ac.jp


Sponsor or person

Institute

Ryukoku University

Institute

Department

Personal name



Funding Source

Organization

Ryukoku University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Seiwa Hospital

Address

91 Benten-cho Shinjyuku Tokyo

Tel

03-5579-8691

Email

c.inoue@ionp.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

晴和病院


Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 09 Month 10 Day

Date of IRB

2026 Year 08 Month 17 Day

Anticipated trial start date

2026 Year 09 Month 19 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 09 Month 03 Day

Last modified on

2026 Year 09 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071900