Do attention deficits influence IQ assessment in children and adolescents with ADHD?

J Atten Disord. 2009 May;12(6):551-62. doi: 10.1177/1087054708322996. Epub 2008 Sep 24.

Abstract

Objective: To characterize the relationship between IQ and attention deficits in children with ADHD and to estimate the inattention-related mean influence on IQ when children are tested before stimulant drug treatment has been initiated.

Method: Studies of various methodologies are reviewed.

Results: Correlation studies show mostly weak associations between IQ scores and attention deficits. Meta-analyses report the average short-term stimulant treatment effect on IQ in children with ADHD to be 2 to 7 IQ points.

Conclusion: The associations between IQ and attention deficits in ADHD are generally modest, with the mean influence on IQ probably amounting to 2 to 5 IQ points. This may serve as a benchmark when clinicians interpret the validity of IQ in this clinical population.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Attention* / physiology
  • Central Nervous System Stimulants / therapeutic use
  • Child
  • Cognition Disorders / diagnosis*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Male
  • Meta-Analysis as Topic
  • Neuropsychological Tests / statistics & numerical data*
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Wechsler Scales / statistics & numerical data*

Substances

  • Central Nervous System Stimulants