Comparative analysis of the WISC-IV in a clinical setting: ADHD vs. non-ADHD

Abstract

Background: The Wechsler Intelligence Scale for Children, 4th edition (WISC-IV) is a useful tool for revealing differences in cognitive ability. Using the WISC-IV, the study investigated the intelligence profile of Turkish children diagnosed with ADHD and compared their profile with that of a non-ADHD clinical sample. Method: On the basis of the records of 257 drug-naive patients (6-12 years of age), ADHD (n = 154) and non-ADHD (n = 103) clinical groups were compared with respect to sociodemographic variables and WISC-IV scores. Results: The non-ADHD clinical group had higher full scale, index, and subtest scores, except for their scores in the Comprehension subtest. The scores on Working Memory, Processing Speed Indices, Similarities, and Matrix Reasoning subtests were especially lower in the ADHD group than in the non-ADHD group. The Similarities, Matrix Reasoning, and Digit Span subtests classified 83% of the children as having ADHD and identified 43.7% of the non-ADHD clinical controls. Conclusion: In our study, we found differences in the WISC-IV profiles of the Turkish patients with ADHD. Moreover, the WISC-IV profile of the non-ADHD clinical group was different than that of the ADHD group. More prospective studies with larger groups of ADHD patients and further evaluations of executive function deficits can help clinicians better understand the differences in WISC-IV profiles. (C) 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.