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Assessment of cognitive profile (WISC-IV), autistic symptomatology and pragmatic disorders in high intellectual potential compared with autism spectrum disorder

Published online by Cambridge University Press:  23 March 2020

A. Boschi*
Affiliation:
Paris Descartes University, Sorbonne Paris Cité, Necker–Enfants-Malades University Hospital, Inserm U1178, Child Psychiatry Department, Paris, France
P. Planche
Affiliation:
Bretagne Occidentale University, CREAD EA3875, Psychology Department, Brest, France
A. Philippe
Affiliation:
Necker–Enfants-Malades University Hospital IMAGINE, Inserm U1163, Child Genetic Department, Paris, France La Pitié Salpêtrière University Hospital, Child Psychiatry, Paris, France
L. Vaivre-douret
Affiliation:
Paris Descartes University, Sorbonne Paris Cité, Department of Medicine, Necker–Enfants-Malades University Hospital, Child psychiatry, Imagine affiliation, Inserm Unit 1178 and CESP Paris Sud, UVSQ, Paris-Saclay university, and Department of Pediatrics, Child development, Cochin-Port Royal University Hospitals of Paris Center, Assistance publique–Hôpitaux de Paris, Paris, France
*
* Corresponding author.

Abstract

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Introduction

An overlap between autism spectrum disorder (ASD), in particular Asperger Syndrome (AS), and high intellectual potential (HIP–Total IQ > 2 SD) is often discussed.

Objectives

Explore differences between homogeneous and heterogeneous Wisc-profiles among HIP children, and between HIP and ASD children, on cognitive and clinical assessments.

Methods

Forty-nine participants (mean age 11.2 years) were divided in 4 groups: High Functioning Autism (HFA), AS, Homogenous HIP and Heterogeneous HIP. Data of WISC-IV and questionnaires – Autism Quotient (AQ), Empathy Quotient (EQ), Systemizing Quotient (SQ), Children's Communication Checklist (CCC) – were compared.

(Preliminary) Results

On the WISC-IV, the Z scores curves follow similar trajectories but highlight quantitative differences between AS and heterogeneous HIP: verbal comprehension is the highest index (+1,6 SD in AS; +3,1 SD in heterogeneous HIP) followed by perceptual reasoning, working memory, and processing speed indexes (–1,2 SD in AS; +0,5 SD in heterogeneous HIP), respectively. The questionnaires show that scores of Homogenous HIP children are all in the average. Heterogeneous HIP children score 2,1 SD above average on the AQ (+1,6 SD on “Social Skills” and +1,3 SD on “Local Detail” subscales), whereas ASD children score 4 SD above average on the AQ. In addition, heterogeneous HIP children show pragmatic difficulties (–2,4 SD on the CCC, with a peak on “Area of Interest” subscale), also present in ASD children (–4 SD).

Conclusions

AS and heterogeneous HIP children show similar cognitive profiles on the WISC-IV. Furthermore, heterogeneous HIP children exhibit high scores on the AQ and have pragmatic difficulties.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Information

Type
EW66
Copyright
Copyright © European Psychiatric Association 2016
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