Evaluation of Children with Attention Deficit Hyperactivity Disorder on the Wechsler Intelligence Scale for Children-IV

Öz

Objective: The aim of this study was to evaluate the cognitive performance and clinical characteristics of children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD) who had attended a tertiary center. Method: Fifty-six children and adolescents aged 7-16 years with ADHD who had been admitted to the Child and Adolescent Psychiatry clinic between June 2020 and March 2021 were retrospectively included in the study. A semi-structured interview form for the Affective Disorders and Schizophrenia Interview Schedule-Present Version for School-Age Children was used to determine mental disorders. The Clinical Global Impression Scale (CGIS) was completed to assess the severity of ADHD symptoms. The Wechsler Intelligence Scale for Children-IV (WISC-IV) was used in the assessment of cognitive skills. Results: The median age of the participants was 13 and 71.4% of them were male. The Working memory index (s=83.3) and Full-Scale IQ (FSIQ) (s=84) were found to be the lowest scores. According to the comparisons between CGIS, the FSIQ score (χ2=0.736; p=0.947), verbal comprehension index (χ2=2.882; p=0.578), perceptual reasoning index (χ2=1.412; p=0.842), working memory index (χ2=1.980; p=0.739), processing speed index (χ2=1.673; p=0.796) were not found to be statistically different between the groups. Conclusion: The WISC-IV scale, which is increasingly preferred in the clinic use, could help to obtain information about cognitive performance in children with ADHD, regardless of the severity of ADHD symptoms.

Anahtar Kelimeler

• Wechsler intelligence scale for children
• fourth edition
• attention deficit hyperactivity disorder
• symptom severity

Dikkat Eksikliği Hiperaktivite Bozukluğu Olan Çocukların Wechsler Çocuklar İçin Zeka Ölçeği-IV ile Değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı, üçüncü basamak bir merkezde değerlendirilerek Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) tanısı almış çocuk ve ergenlerin bilişsel performanslarını ve klinik özelliklerini incelemektir. Yöntem: Haziran 2020-Mart 2021 tarihleri arasında Çocuk ve Ergen Psikiyatrisi kliniğine başvuran 7-16 yaş arası DEHB’li 56 çocuk ve ergen geriye dönük olarak çalışmaya dahil edildi. Ruhsal bozuklukları belirlemek için yarı yapılandırılmış bir görüşme formu olan Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi-Şimdi Versiyonu uygulanmıştır. DEHB semptomlarının şiddetini değerlendirmek için Klinik Global İzlenim Ölçeği (KGİÖ) tamamlandı. Bilişsel becerilerin incelenmesinde Wechsler Çocuklar İçin Zeka Ölçeği-IV (WÇZÖ-IV) kullanılmıştır. Bulgular: Katılımcıların ortanca yaşı 13 idi ve %71,4’ü erkekti. Çalışma belleği indeksi (s=83,3) ve Tüm Ölçek IQ (TÖIQ) (s=84) en düşük puanlar olarak bulundu. TÖIQ puanı (χ2=0,736; p=0,947), sözel kavrama indeksi (χ2=2,882; p=0,578), algısal akıl yürütme indeksi (χ2=1,412; p=0,842), çalışma belleği indeksi (χ2=1,980; p=0,739), işlemleme hızı indeksi (χ2=1,673; p=0,796) açısından KGİÖ grupları arasında istatistiksel olarak farklı bulunmadı. Sonuç: Klinik kullanımda giderek daha fazla tercih edilen WÇZÖ-IV, DEHB semptom şiddetinden bağımsız olarak DEHB’li çocuklarda bilişsel performans hakkında bilgi edinmeye yardımcı olabilir.

Anahtar Kelimeler

• Wechsler çocuklar için zeka ölçeği
• dördüncü sürüm
• dikkat eksikliği hiperaktivite bozukluğu
• belirti şiddeti

Kaynakça

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