| 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 |
Efficacy of group intervention for Cognitive Disengagement Syndrome
CDS group
Efficacy of group intervention for Cognitive Disengagement Syndrome
CDS group
| Japan |
cognitive disengagement syndrome
| Psychiatry |
Others
NO
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.
Safety,Efficacy
Confirmatory
Pragmatic
Not applicable
K-6, WFIRS, WRADDS, ASRS, DERS, DDFS, MWQ, Epworth Sleepiness Scale
interview
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
| Other |
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."
| 18 | years-old | <= |
| Not applicable |
Male and Female
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.
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.
10
| 1st name | Toshinobu |
| Middle name | |
| Last name | TakedaTakeda |
Ryukoku University
fuculty of psychology
600-8268
125-1 Daiku-cho 7jyou-dori Shimogyo Kyoto
07043314138
toshinobu_takeda@yahoo.co.jp
| 1st name | Toshinobu |
| Middle name | |
| Last name | Takeda |
Ryukoku University
faculty of psychology
167
125-1 Daiku-cho Shimogyo Kyoto
075-343-3311
a10001@mail.ryukoku.ac.jp
Ryukoku University
Ryukoku University
Other
Seiwa Hospital
91 Benten-cho Shinjyuku Tokyo
03-5579-8691
c.inoue@ionp.or.jp
NO
晴和病院
| 2026 | Year | 09 | Month | 10 | Day |
Unpublished
Preinitiation
| 2026 | Year | 09 | Month | 10 | Day |
| 2026 | Year | 08 | Month | 17 | Day |
| 2026 | Year | 09 | Month | 19 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 09 | Month | 03 | Day |
| 2026 | Year | 09 | Month | 03 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071900