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Investigation of phubbing behavior in attention deficit hyperactivity disorder and cognitive disengagement syndrome: a case-control study in adolescent

Erdal Görkem Gavcar, Serdar Avunduk, Sena Aksoy Avunduk, Ahmet Büber

BMC Psychiatry, 2026

48 participants

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity beyond developmental expectations. Problematic technology engagement, including increased smartphone use, is frequently observed among adolescents with ADHD. Phubbing, a term combining ‘phone’ and ‘snubbing,’ refers to ignoring others in a social setting by focusing on one’s smartphone rather than engaging in face-to-face interaction and has been linked to impaired interpersonal communication. Cognitive Disengagement Syndrome (CDS), formerly referred to as sluggish cognitive tempo (SCT), is characterized by excessive daydreaming, mental confusion, low initiative, and slowed responding and is associated with social withdrawal. However, no prior studies have investigated ADHD-phubbing or CDS-phubbing relationships in adolescents. This study examined group differences in phubbing and explored associations among phubbing, ADHD symptoms, and CDS severity. In this case-control study, 48 adolescents diagnosed with ADHD and 38 healthy controls aged 12–17 completed; Sociodemographic Data Form, General Phubbing Scale, and Conners-Wells Adolescent Self-Report Scale Short Form. Parents completed Child and Adolescent Behavior Inventory SCT Scale. ADHD was diagnosed via DSM-5 based clinical interviews. Group comparisons and correlation analyses were conducted using appropriate statistical tests. Phubbing scores were significantly…

How strong is the evidence?

Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 48 participants or records.

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