Differences between WISC‐R and WISC‐III performance scale among children with ADHD

Reviews involving the Wechsler Scales for children suggest that Full Scale IQ scores on the Wechsler Intelligence Scale for Children, Third Edition, average 5 to 6 points lower than scores on the second edition of the scale [WISC‐R, Wechsler, D. (1974). Zimmerman & Woo‐Sam, 1997], with the differences distributed disproportionately over subtests, i.e., with larger discrepancies found within the Performance Scale (Wechsler, 1991). Changes on the revised subtests of the WISC‐III Performance Scale may place children with ADHD at a disadvantage compared to their performance on analogous WISC‐R subtests. We examined IQ test performance in 122 unmedicated children with ADHD (61 given the WISC‐R, 61 given the WISC‐III), and 46 children from a healthy, comparison group (23 given the WISC‐R, 23 given the WISC‐III). The ADHD and comparison group samples were matched for sex and for Verbal IQ between WISC‐R and WISC‐III. Children with ADHD had significantly lower Performance IQ on WISC‐III compared to the WISC‐R, with the Picture Arrangement subtest showing the most significant difference. In contrast, there were no significant differences between the WISC‐R and WISC‐III cohorts on Performance IQ or any Performance subtests among the comparison group. These findings highlight the importance of examining the comparability of ability test revisions among clinical and non‐clinical populations, and will be especially salient when the WISC‐III is revised. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 331–340, 2003.     

Do high scores on the Adolescent‐School Problems and Immaturity Scales of the MMPI‐A have implications for cognitive performance as measured by the WISC‐III?

High scores on the Adolescent‐School Problems (A‐Sch) content scale and the Immaturity (IMM) supplementary scale of the MMPI‐A have been associated with poor school performance and possible learning disabilities (Archer, 1997). The aim of the present study was to determine whether these scales were associated with cognitive performance as measured by the WISC‐III. Subjects completed the Wechsler Intelligence Scale for Children, Third Edition (WISC‐III) and the MMPI‐A. Their scores for the WISC‐III sub‐tests and SCAD were calculated. The A‐Sch content and the IMM supplementary scales were extracted from the MMPI‐A. The results indicated that A‐Sch was associated with lower WISC‐III scores in males and predicted poorer performance in Full Scale IQ (FIQ), Verbal IQ (VIQ), Information, and Arithmetic. For females however, there was little evidence to suggest a relationship between A‐Sch and cognitive performance. The association between IMM and the WISC‐III sub‐tests was found to be a result of its correlation with A‐Sch. The implications of these findings, in particular, those involving gender differences, were discussed. © 1999 John Wiley & Sons, Inc.     

Processing speed in children with clinical disorders

The Processing Speed Index (PSI) was first introduced on the Wechsler Intelligence Scale, Third Edition (WISC‐III; D. Wechsler, 1991), and little is known about its clinical significance. In a referred sample (N = 980), children with neurological disorders (ADHD, autism, bipolar disorder, and LD) had mean PSI and Freedom from Distractibility Index (FDI) scores that were below the group mean IQ and lower than Verbal Comprehension (VCI) and Perceptual Organization (POI). For these groups, Coding was lower than Symbol Search. The majority of these children had learning, attention, writing, and processing speed weaknesses. This pattern was not found in the other clinical groups. For children with depression, only PSI was low. Children with anxiety disorders, oppositional‐defiant disorder, and mental retardation had no PSI weakness. PSI and POI were both low in children with traumatic brain injury and spina bifida. Implications for a revision of the WISC‐III (WISC‐IV; D. Wechsler, 2003) are discussed. © 2005 Wiley Periodicals, Inc. Psychol Schs 42: 333–343, 2005.     

The Long-Term Follow-up of Severely Malnourished Children Who Participated in an Intervention Program

18 severely malnourished children (IM) who participated in a 3-year home-visiting program were compared with 2 other comparison groups comprising 17 severely malnourished (NIM) and 19 adequately nourished children (controls). On enrollment, all the groups were in the same hospital, and both malnourished groups had lower developmental levels than the controls. The IM group received intervention for 3 years after hospitalization, consisting of weekly or 2 weekly home visits with toy demonstrations. At 7, 8, 9, and 14 years after leaving the hospital, the 3 groups were compared on tests of school achievement and IQ. The NIM group showed no sign of reducing their deficits, and at the 14-year follow-up they had markedly lower scores on the WISC verbal and performance scales, the Wide Range Achievement Test (WRAT), and the Peabody Picture Vocabulary Test (PPVT), than the controls. Throughout the follow-up the IM group's scores were intermediate between the NIM and the controls in every test. At the 14-year follow-up, their scores were significantly higher than those of the NIM group in the WISC verbal scale, and the difference approached significance in the WRAT. We conclude that psychosocial intervention should be an integral part of treatment for severely malnourished children.     

Correlation study between WISC‐III scores and TOVA performance

The Continuous Performance Test (CPT), such as the Test of Variable Attention (TOVA), is widely used in the assessment of ADHD with other behavioral ratings and observations. Since some clinicians argue that CPTs measure psychomotor speed function rather than sustained attention, a correlation study between PIQ of WISC‐III and TOVA was conducted to find out if a significant relationship of any kind existed. Forty children with ADHD were studied, and the results indicated that there was no correlation between TOVA and PIQ of WISC‐III. © 1999 John Wiley & Sons, Inc.     

Northwestern Ontario Indian children and the WISC

100 Cree and Ojibwa children, ages 6–15, were administered the WISC. The mean Performance IQ (PIQ) was in the normal range at all ages; the verbal IQ (VIQ) was in the mentally deficient or dull-normal range. The PIQ-VIQ difference diminished with age. Familiarity with the English language increased VIQs but had little effect on PIQs. A significant correlation between IQs and school grades was found only for 9–10-year-olds. A comparison of Indian IQ norms with original WISC normative data is given.     

Assessing giftedness with the WISC‐III and the SB‐IV

The Wechsler Intelligence Scale for Children–Third Edition (WISC‐III) and the Stanford‐Binet Intelligence Scale–Fourth Edition (SB‐IV), were administered to 20 gifted children and 20 non‐gifted children to examine the extent of the difference in IQ scores obtained on the two tests and whether order effects were present. Results show that the SB‐IV Composite Score was significantly higher than the WISC‐III Full Scale IQ for both groups. However, for the gifted group, unlike the non‐gifted group, this difference achieved significance only when the SB‐IV was administered first. When either IQ test was administered to the gifted students for the first time, without the confound of a learning influence, there was no significant difference in mean scores. However, when both tests were administered, it was found that the SB‐IV influenced the WISC‐III Full Scale IQ in a downward direction whereas the WISC‐III influenced the SB‐IV Composite Score in an upward direction. © 2002 Wiley Periodicals, Inc.     

Relationships between cognitive variables,memory and phonological awareness in children with a specific reading difficulty

Abstract

The aim of this study was to examine the relationships between verbal short‐term memory, phonemic awareness, and reading ability, in children with a specific reading difficulty. The results confirmed the frequently reported finding that most, if not all children with a specific reading difficulty have poor phonological awareness. In addition, poor phonological awareness in the reading‐difficulty group was associated with significantly poorer nonword reading ability, and with poorer phonological memory. When the reading‐difficulty group was further subdivided with respect to Digit Span performance there was no difference in nonword reading with respect to this overall verbal short‐term memory measure. However, poor short‐term memory, regardless of phonological awareness level, was significantly associated with a lower WISC III Verbal IQ, in particular, significantly poorer performance on the WISC III Vocabulary, Comprehension and Similarities subtests, as well as with significantly poorer reading comprehension. In addition, poor short‐term memory regardless of phonological awareness ability was associated with poorer spelling and arithmetic performance.     

Relationship between psychopathology,learning disabilities,or both and WISC‐III subtest scatter in adolescents

The aim of this study was to determine whether subtest scatter might be an indicator of learning disabilities (LDs), psychopathology, or of both, in a sample of normal adolescents. Subjects completed the WISC‐III and the MMPI‐A and then their scores for the WISC‐III subtests, verbal scatter (VScatter), performance scatter (PScatter), full scale scatter (FScatter) scores, perceptual organisation factor (PO), and the SCAD profiles were calculated. The MMPI‐A was scored and the clinical scales were extracted. The hypothesis that subtest scatter is associated with LDs was generally not supported. There was a relationship between subtest scatter and psychological disturbance in adolescent males, however the results for females were less clear. Further, high PScatter in adolescent males was associated with an MMPI‐A codetype 4‐2/2‐4, indicating tendencies toward depressive features, delinquent behavior, and possibly substance abuse, tendencies which are likely to lead to school failure. © 1999 John Wiley & Sons, Inc.     

Language problems in children with learning disabilities: do they interfere with maternal communication?

In this study, parent-child interaction in two carefully matched subgroups-school-age boys with learning disabilities (LD) who showed a discrepancy between their verbal IQ and performance IQ and had more extensive difficulties in higher-level language abilities (VIQ < PIQ, n = 8) and boys with LD who did not manifest a discrepancy between verbal IQ and performance IQ (VIQ = PIQ, n = 8), were investigated. The effects of the child's language problems on child task performance and on the quality of maternal communication were analyzed in a mother-child problem solving task. Children in the VIQ < PIQ group were found to be less successful on the task than children in the VIQ = PIQ group, and their mothers exhibited lower communication clarity in their instructions than the mothers of the children in the VIQ = PIQ group. An interesting interaction effect was found for communication deviances. For mothers in the VIQ < PIQ group the extent of deficient communication increased from the monologue to the dialogue situation, whereas communication deviances decreased for mothers in the VIQ = PIQ group. Three possible models are discussed in light of the differences between the subgroups.     

Concurrent validity of the Slosson full‐range intelligence test: Comparison with the Wechsler intelligence scale for children–third edition and the Woodcock Johnson tests of achievement–revised

This study examined the concurrent validity of the Slosson Full‐Range Intelligence Test (S‐FRIT) by comparing S‐FRIT scores to the scores of the Wechsler Intelligence Scale for Children–Third Edition (WISC‐III) and the Woodcock‐Johnson Tests of Achievement–Revised (WJ‐R). Data from 123 elementary students' screening and psychological testing results were examined. Results revealed that the S‐FRIT scores were more related to overall intelligence, verbal, and math abilities than nonverbal intelligence, reading, or written language abilities. Further, it was found that 89% of the participants' S‐FRIT Full‐Range IQ scores fell within one standard deviation of their WISC‐III FSIQ scores, with an average discrepancy of 7.6 points. Discrepancies between S‐FRIT and WISC‐III scores were also examined by educational diagnostic categories and ability levels. Limitations and suggestions for future research are provided. © 2002 John Wiley & Sons, Inc.     

Patterns of performance on the Stroop Color and Word Test in children with learning,attentional, and psychiatric disabilities

The study presented here investigated the performance of children with learning, psychiatric, and attentional disabilities on the Stroop Color and Word Test. Forty‐three children diagnosed with a full battery of tests as learning disabled (LD [reading]) in grades K through 6 were matched on age, gender, ethnicity, and grade with 43 normal controls. They were also matched with groups of 43 children with psychiatric disorders and 43 children with attentional problems. All subjects were given the Stroop test, which took about 4 minutes per subject. The results indicated clear differences between the groups, with the LD and the psychiatric/attention deficit/hyperactivity disorder (ADHD) groups generating unique profiles different from the normal controls. The children with LD showed slower reading speed and less interference, while the subjects with ADHD and diagnoses showed impairment only on the Color‐Word score. A discriminant analysis using the three basic Stroop scales was able to significantly differentiate the LD group from the non–learning‐disabled (NLD) group (89%) and the LD group from a joint Psychiatric/ADHD group (86%). However, results were poorer for differentiating a joint LD/ADHD group from the NLD group (68%) and the LD from the ADHD group (59%). © 2002 Wiley Periodicals, Inc.     

Testing: Exploring the WISC‐III as a measure of giftedness∗

This study investigated patterns of WISC‐III IQ subtest scores for gifted children. Subtest scatter of WISC‐III scores occurred with greater frequency in a gifted sample than for subjects reported in the test manual's normative sample. Variability from the subtest mean of the gifted was most evident on Similarities, Comprehension, Coding, and Symbol Search. The extent of subtest scatter and its pattern on the WISC‐III was similar to typical patterns of highs and lows found for gifted children on the WISC‐R with one notable exception. There was a marked lack of strength in Block Design, previously seen as a peak subtest for gifted students when assessed with the WISC‐R.     

A Four Year Follow‐up Study of Low Socioeconomic Status,Latin American Children with Reading Difficulties

This paper presents the results of a follow‐up study of reading difficulties among Spanish‐speaking Latin American children of low socioeconomic background (SES) over four school years. The research started with a group of 93 children with reading difficulties (RD) by 2nd and 3rd grade teachers in four schools and a control group of 63 children without reading difficulties (ND), belonging to the same schools. Both groups were equivalent in age, grade, gender and SES. All children were tested on reading decoding and comprehension, reading and writing pseudo‐words, verbal abilities, visual perception, phonological processing, and the WISC‐R. Neither SES nor IQ accounted significantly for the reading difficulties in the RD group. The most predictive variables of the final reading level in the RD group were phonological processing, verbal abilities, and the initial level of decoding. After four years, 17% of the initial RD children had reached an average level of reading, but 11% of this group remained with severe reading difficulties and may be considered as dyslexic children. The RD children who became average readers were not significantly different from the control group in verbal abilities, nor in phonological processing. Nevertheless, they were significantly different in terms of IQ scores. The neuropsychological characteristics of the children with severe reading difficulties appear similar to those found in children with dyslexia in more developed countries.     

Diagnostic Utility of the Bannatyne WISC‐III Pattern

Regrouping Wechsler Intelligence Scale for Children‐Third Edition (WISC‐III) subtests into Bannatyne's spatial, conceptual, and sequential patterns has been thought by many to identify children with learning disabilities (LD). This study investigated the prevalence and diagnostic utility of WISC‐III Bannatyne patterns by comparing 1,302 children with LD to 2,158 children in the WISC‐III normative sample. Further analysis was conducted on a subsample of students with specific reading disabilities. Results indicated that the presence of the Bannatyne WISC‐III pattern would not lead to decisions that are useful in differentiating children with LD from children without LD. For example, receiver operating characteristic (ROC) analysis, measured by the area under the curve (AUC), indicated that the Bannatyne WISC‐III pattern exhibited low diagnostic utility (AUC = 0.54–0.55). Due to its inaccuracy, use of the Bannatyne WISC‐III pattern is not recommended.     

Evidence for unexpected weaknesses in learning in children with attention-deficit/hyperactivity disorder without reading disabilities

This study examined the mechanisms underlying verbal learning in children with and without attention-deficit/hyperactivity disorder (ADHD), none of whom had reading disabilities. Children with ADHD were compared to typically developing children on both process and product scores from the California Verbal Learning Test for Children. The findings indicated that children with ADHD initially learned the same number of words as controls but showed weaknesses recalling the words after delays, suggesting that children with ADHD are less efficient learners. Regardless of ADHD status, boys and girls performed differently. Boys used semantic clustering less frequently and recalled fewer words from the middle region of the list than girls; girls also outperformed boys in terms of overall performance, despite lower verbal IQ scores. These findings show that children with ADHD can exhibit unexpected weaknesses in learning even without a formal learning disability. Gender differences in verbal learning are also illustrated.     

Sensitivity of Four Subtests of the Test of Everyday Attention for Children (TEA‐Ch) to Stimulant Medication in Children with ADHD

Children with attention deficit hyperactivity disorder (ADHD) were examined on four subtests of the Test of Everyday Attention for Children (TEA‐Ch) when on and off stimulant medication. Performance was assessed relative to 18 individually age‐matched controls. Children with ADHD performed significantly worse on TEA‐Ch measures when off compared to when on stimulant medication. This was found in both predominantly inattentive (n = 6) and combined inattentive and hyperactive‐impulsive (n = 12) subtypes. The age‐matched controls significantly improved with repeated testing on most TEA‐Ch measures. Significant differences were found between the unmedicated children with ADHD and age‐matched controls on sustained attention (Score! and Walk Don’t Walk) and attention control measures (Same and Opposite Worlds). When the ADHD group was on stimulant medication, with the exception of the Walk Don’t Walk subtest, no significant differences were found between them and the age‐matched controls. Unlike the TEA‐Ch subtests, the significant differences between the two groups on the Test of Word Reading Efficiency (TOWRE) subtests remained when attentional status was altered in the children with ADHD. The study supports further investigations of the TEA‐Ch as a measure sensitive to changes in stimulant medication in children with ADHD.     

Styles of parenting among parents of young gifted children

Elementary students in programs for gifted and highly gifted students were tested using the Stanford‐Binet Intelligence Scales, Fifth Edition (SB5). Students’ scores on the SB5 were significantly lower than their scores on the Wechsler Intelligence Scale for Children— Third Edition (WISC‐III). In addition, rank order was not well preserved between the SB5, WISC‐III scores, and determination of giftedness. While the cause of these findings is unclear, caution should be used when utilizing the SB5 for determinations of gifted status.     

WISC‐IV and low IQ: review and comparison with the WAIS‐III

The WISC‐IV is likely to be in common use for the assessment of children with low intellectual ability for the next 10–12 years. There are several concerns about its uses with these children. Some children may not understand the instructions on some subtests, notably for letter‐number sequencing. There may be an unacknowledged floor effect that will result in an overestimate of intellectual ability. The percentile ratings given in the manual are inaccurate for percentiles below 1%. Evidence is presented that the WISC‐IV may systematically give lower IQ scores than the WAIS‐III when assessing low IQ.     

The intellectual profile of abused and neglected children in the Philippines: An analysis of SB5 IQ scores of sexually abused,physically abused and neglected children

Child abuse and neglect have been associated with cognitive deficits, among other effects on child development. This study explores the prediction that child abuse and neglect has an impact on Stanford-Binet Intelligence Scales 5th Edition (SB5) IQ scores, in relation to gender, age and type of abuse experienced. 300 children with experiences of abuse and neglect were included in the study, comprising 100 sexually abused, 100 physically abused and 100 neglected children. Overall, all scores on the SB5 were found to be significantly lower than the minimum average scores on the test. Verbal IQ (VIQ) scores were likewise found to be significantly lower than Nonverbal IQ (NVIQ) scores. Full Scale IQ (FSIQ) scores did not reveal heterogeneity when gender was factored in. Age and type of abuse (with a moderate effect size) on the other hand, showed significant differences among groups. Statistical analyses of SB5 Factor Index Scores revealed that abused children, in general, have significantly higher Visual-Spatial Processing (VS) and Quantitative Reasoning (QR) scores and lower scores in Knowledge (KN). There was a large effect size found in such an analysis. Age (with a large effect size), gender and type of abuse (with moderate effect sizes) give significant variations to this obtained profile.