Pitfalls of using IQ short forms in neurodevelopmental disorders: a study in patients with congenital heart disease.

Abstract:

BACKGROUND:Short forms of IQ (S-IQ) assessments are time efficient and highly predictive of the full IQ (F-IQ) in healthy individuals. To investigate the validity of S-IQs for patients with neurodevelopmental impairments, this study tested a well-established S-IQ version in patients with congenital heart disease (CHD). METHODS:The Wechsler Intelligence Scale for Children, Fourth Edition was applied in 107 children with complex CHD aged 9-11 years. F-IQ and a well-established S-IQ version were calculated for each patient. The agreement between S-IQ and F-IQ was investigated across the whole spectrum of IQ scores. Finally, we tested a method to adjust IQs to resolve potential bias and validated this method in an independent sample of 55 CHD patients. RESULTS:S-IQ and F-IQ correlated strongly. Nevertheless, the size of the bias correlated with the true IQ, indicating larger error at the tails of the distribution. Estimating a corrected IQ by adjusting the S-IQ with correction parameters substantially improved agreement. CONCLUSION:We here report that substantial bias may underestimate low IQ scores and overestimate high ones. This bias should be considered when at-risk populations are assessed with S-IQs. Importantly, the bias can be minimized by using a correction formula.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Ehrler M,Latal B,Polentarutti S,von Rhein M,Held L,Wehrle FM

doi

10.1038/s41390-019-0667-2

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

917-923

issue

5

eissn

0031-3998

issn

1530-0447

pii

10.1038/s41390-019-0667-2

journal_volume

87

pub_type

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