Cognitive Disengagement Syndrome: When Concentration Becomes Challenging and Daydreaming Impacts Daily Life

  • CDS is a subtype of ADHD that affects concentration and the speed of information processing.

  • It’s estimated that between 80 and 200 million people worldwide live with this condition, yet most remain undiagnosed.

It’s common for people to daydream occasionally, and some studies even suggest that “taking breaks” can help the brain recover. However, certain individuals struggle with maintaining focus to the point where it disrupts their daily lives. This level of distraction can be so severe that it’s considered a syndrome.

Known as cognitive disengagement syndrome (CDS), this condition was first identified by psychologists in the 1960s and 1970s. More recently, researchers from multiple U.S. universities have come to an agreement on the terminology used to describe CDS, recognizing it as a serious issue that affects overall functioning.

CDS involves more than just fleeting moments of distraction. It significantly impacts one’s ability to concentrate and perform in various aspects of life, including work, studies, and personal relationships.

Researchers have clarified that CDS shouldn’t be confused with attention deficit hyperactivity disorder (ADHD) despite both conditions sharing some symptoms, such as difficulty concentrating on tasks for extended periods. In fact, for many years, researchers have categorized CDS as a subtype of ADHD.

However, unlike ADHD, CDS doesn’t involve hyperactivity or impulsivity. Instead, CDS is characterized by a slow cognitive pace, resulting in episodic attention disorders where concentration and responsiveness to external stimuli are significantly impaired.

CDS hasn’t yet been officially recognized as a disorder in the Diagnostic and Statistical Manual of Mental Disorders, a reference book on mental health conditions. This complicates its diagnosis and treatment. Worryingly, the failure to properly diagnose this syndrome can profoundly affect the educational and occupational outcomes of those who experience it.

Identifying CDS: The Less Visible Symptoms

Identifying CDS can be challenging because there are currently no formal criteria for diagnosis. Researchers at the University of Cincinnati, Ohio, have observed specific behavioral patterns in children with the syndrome, including frequent daydreaming, mental confusion, and slow task completion.

A joint study conducted by the University of Washington and the University of the Balearic Islands in Spain revealed that during their school years, parents and teachers find it easier to identify this syndrome, given that it often manifests as a slower pace of learning.

Additionally, the research work indicates that the delay in completing tasks doesn’t stem from a lack of intelligence or effort. Rather, these individuals require more time to process information.

The Impact on Everyday Life: More Than Just “Laziness”

The lack of awareness surrounding CDS often leads to its misinterpretation as laziness or disinterest in tasks. This misconception can hinder individuals from receiving the attention and support they need.

Estimates indicate that around 40% of individuals diagnosed with ADHD may also experience CDS. Given that between 2% and 7% of the global population is affected by some form of ADHD, this suggests that CDS may impact between 80 million and 200 million people worldwide, according to science news site Additude. Many of these individuals don’t have a diagnosis that can explain why they find it hard to concentrate.

For those living with CDS, simply paying attention to a task can be a significant challenge. While ADHD primarily involves problems with maintaining focus, CDS is characterized by an overall inability to concentrate, making everyday activities such as work and study frustrating and exhausting.

Treatments for this syndrome share several similarities with those for ADHD, including cognitive-behavioral therapies that incorporate mindfulness techniques to enhance concentration. Stimulant medications are also used, although the evidence supporting their effectiveness for CDS is inconclusive.

Image | 青 晨

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