Validity of a short form of the WISC-III in children with traumatic head injury

The concurrent, construct, and criterion validities of Donders' (in press) short form of the Wechsler Intelligence Scale for Children - Third Edition (WISC-III) were evaluated in a sample of 171 children with traumatic head injury (THI). Correlations between the short-form deviation quotients and their full-length counterparts were statistically significant. Confirmatory factor analysis revealed that a four-factor model (composed of Verbal Comprehension, Perceptual Organization, Freedom from Distractibility, and Processing Speed) fit the data relatively well. The short-form deviation quotients also had statistically significant correlations with length of coma. It is concluded that this short form is an accurate and valid alternative to the full-length WISC-III in children with THI.     

A confirmatory factor analysis of the WISC-III in a clinical sample with cross-validation in the standardization sample.

Maximum likelihood confirmatory factor analysis was applied to the Wechsler Intelligence Scale for Children-Third Edition (WISC-III; Wechsler, 1991) data of a mixed clinical sample of 318 children. Analyses were designed to determine which of nine hypothesized oblique factor solutions could best explain intelligence as measured by the WISC-III in the clinical sample. Competing latent variable models were identified in previous studies, and results in the clinical sample were cross-validated by testing all models in the WISC-III standardization sample (n = 2200). Findings in both the clinical and standardization samples supported a five-factor model including Verbal Comprehension, Constructional Praxis, Visual Reasoning, Freedom from Distractibility, and Processing Speed factors. The Visual Reasoning factor was defined primarily by Picture Arrangement, whereas Mazes did not appear to improve model fit. Potential opportunities and pitfalls with regard to the interpretation of the proposed Visual Reasoning factor are discussed.     

Performance of children with epilepsy and normal age-matched controls on the WISC-III.

Research findings regarding the effects of childhood epilepsy on general intelligence have produced variable results. The aim of this study was to investigate the effects of epilepsy, age of seizure onset, and Antiepileptic Drugs (AED) on intellectual ability as assessed by the Wechsler Intelligence Scale for Children, 3rd Edition (WISC-III; Wechsler, 1991). This study included children with epilepsy assessed with the WISC-III who achieved either a Full Scale, Verbal Scale, or Performance Scale IQ score >or= 70. A clinical sample of children diagnosed with epilepsy (n = 32) were age- and gender-matched with subjects from the normative standardization sample for the WISC-III, yielding a total sample of 64 subjects. Comparison using a MANOVA revealed significant differences across WISC-III Index standard scores (p = 0.0005) and subtest scaled scores (p = 0.0013), with control participants performing better than epileptic participants. Secondary analyses were also conducted considering monotherapy (n = 14) versus polytherapy (n = 11), and age of seizure onset (<6 years, n = 12; 6 > years, n = 15). MANOVA comparisons revealed no significant differences between groups across WISC-III Index standard scores.     

Criterion-related bias with the guide to the assessment of test-session behavior for the WISC-III and WIAT: Possible race/ethnicity, gender, and SES effects

Using the Guide to the Assessment of Test-Session Behavior for the WISC-III and WIAT (GATSB), Anglo examiners recorded test observations for 969 children between the ages of 6 and 16 years. The children came from the standardization and validity-study samples of GATSB ratings completed with the Wechsler Intelligence Scale-Third Edition (WISC-III) (Wechsler, 1991). The sample differed by race (Anglo, black, Latino), socioeconomic status (SES) (high, middle, low), and gender. GATSB ratings and WISC-III Verbal, Performance, and Full Scale IQs were compared. Correlations between the GATSB and WISC-III were generally moderate (average R = -.27). Children who exhibited higher levels of avoidance, inattentiveness, and uncooperative behaviors while being tested tended to exhibit lower WISC-III scores. This pattern held true for Anglos, blacks, and Latinos; for girls and boys; and for those from high-, middle-, and low-SES homes. Evidence was generally absent that Anglo examiners display bias in black-Anglo, gender, or SES comparisons. However, consistent differences were noted between Latino and Anglo children. Examiners tended to rate Latinos as displaying better test behaviors than Anglos when children's IQs were below average, but comparable when IQs were average and above. Thus, the GATSB generally displayed similar intrasession validities for children who differ by race/ethnicity, gender, and SES.     

WISC-IV and WISC-III profiles in children with ADHD

Wechsler Intelligence Scale for Children, 3rd and 4th editions (WISC-III n = 586 and WISC-IV n = 118), profiles were compared for children with ADHD and normal intelligence. Mean Verbal Comprehension Index (VCI) and Perceptual Organization/Perceptual Reasoning Index (POI/PRI) scores were significantly higher than Freedom From Distractibility/Working Memory Index (FDI/WMI) and Processing Speed Index (PSI), and Symbol Search was higher than Coding. FDI/WMI and PSI scores were similar on both tests, but VCI and POI/PRI were higher on the WISC-IV than on the WISC-III. Therefore, index discrepancies were greater for the WISC-IV, suggesting that the WISC-IV might be better than the WISC-III in delineating the strengths and weaknesses of children with ADHD. All children in the WISC-IV sample scored lowest on WMI or PSI, whereas only 88% of the WISC-III children scored lowest on FDI or PSI. Thus, the WISC-IV may be more helpful in diagnosing ADHD than the WISC-III.     

An exploration into the creative abilities of children with ADHD

The purpose of this study is to explore whether ADHD is associated with high creative ability. Sixty-seven children, ages 10 to 12 (33 ADHD and 34 controls) completed the Torrance Tests of Creative Thinking (TTCT), Maier's Two-String Problem, and the Block Design and Vocabulary subsets of the Wechsler Intelligence Scale for Children (WISC-III). The results show that there is no significant difference between the ADHD group's and control group's performance on either the TTCT, Maier's Two-String Problem, or WISC-III, suggesting that children diagnosed with ADHD are no more creative than children without the diagnosis.     

Acute Intellectual Effects of Pediatric Head Trauma

The current study compared Wechsler Intelligence Scale for Children-III (WISC-III) performances of 30 children who sustained head injury with the performance of orthopedic controls matched on gender, age, race, and parental education and occupational attainment. Children were followed during initial hospitalization, trauma severity variables were recorded, and duration of posttraumatic amnesia (PTA) was determined by serial testing of mental status. The WISC-III was administered immediately following resolution of amnesia. Although the majority of patients sustained mild injuries, children with head injuries obtained significantly lower IQ and factor scores than nonneurologically injured children. Consistent with past research, performance-based scores including Performance IQ, Perceptual Organization, and Processing Speed were more sensitive to head trauma than their verbal counterparts. Standardized measurement of PTA appeared to be a better predictor of IQ status following injury than Glasgow Coma Scale score on admission or length of unconsciousness.     

Temporal stability of WISC-III subtest composite: strengths and weaknesses

The Wechsler Intelligence Scale for Children--Third Edition (D. Wechsler, 1991; WISC-III) is often used to identify subtest-based cognitive strengths and weaknesses that are subsequently used to generate interventions. Given that intelligence is presumed to be an enduring trait, cognitive strengths and weaknesses identified via subtest analysis should also be stable over time. This was evaluated with 579 students who were twice tested with the WISC-III. Based on 66 subtest composites, 6 or 7 interpretable cognitive strengths and weaknesses were found on each WISC-III administration. However, subtest-based strengths and weaknesses replicated across test-retest occasions at chance levels. Because subtest-based cognitive strengths and weaknesses are unreliable, recommendations based on them will also be unreliable.     

Relationship between intelligence and vocabulary

This study explored the correlations of scores on the Wechsler Intelligence Scale for Children-III in screening language problems and scores on the three Comprehensive Receptive and Expressive Vocabulary Test subscales. Participants were 243 students ages 6 to 17 years in Grades K-11 who were identified as learning disabled, learning disabled with speech impairment, mentally retarded, and speech impaired. Analysis indicated strong correlations between the two measures, particularly between the CREVT General Vocabulary and WISC-III Verbal IQ (r = .80), WISC-III Verbal Comprehension Index (r =.83), and the Vocabulary subtest (r =.76). These results held across the grades. Supporting earlier studies of relationships of Verbal IQ and Receptive Vocabulary, correlations were lower between participants in Grades K through 2 than those in higher grades on the WISC-III Verbal IQ and the Receptive Vocabulary subtest. An analysis of the accuracy of the WISC-III for classifying students with language problems indicated improvement in classification over chance. These findings suggest that the WISC-III may be an effective screen for language problems.     

Predictors of neuropsychological test performance after pediatric traumatic brain injury

The influence of neurological and demographic variables on neuropsychological test performance was examined in 100 9-to 16-year-old children with traumatic brain injury (TBI). Regression analyses were conducted to determine the relative contributions of coma, neuroimaging findings, ethnicity, socioeconomic status, and gender to variance in performance on the Wechsler Intelligence Scale for Children-Third Edition (WISC-III), California Verbal Learning Test--Children's Version (CVLT-C), and the Children's Category Test. Both neurological and demographic variables contributed to performance on various WISC-III factor index scores as well as the CVLT-C. No evidence for a moderating effect of demographic variables was found, but speed of information processing mediated the effect of neurological and demographic variables on CLVT-C performance. It is concluded that demographic variables have an incremental effect on the neuropsychological test performance of children with TBI above and beyond the influence of injury severity.     

Two- and three-factor solutions of the WAIS-III

The third edition of the Wechsler Adult Intelligence Scale manual reports four-factor solutions for the WAIS-III, and subsequent research has validated four-factor solutions for a variety of samples. These four factors consistently correspond to the four Factor Indexes that are yielded by the WAIS-III. However, the WAIS-III still provides Verbal and Performance IQs, in addition to the Indexes, making it desirable to examine two-factor solutions as well. In addition, because the Wechsler literature includes much interpretation of three-factor solutions, these solutions were likewise examined. Principal factor analysis followed by Varimax and Oblimin rotations of two and three factors were performed on data for the total WAIS-III sample ages 16 to 89 years (N=2,450). The two-factor solutions were viewed as a construct validation of Wechsler's two separate IQs, although the Working Memory subtests tended to load higher on the Performance scale than on their intended scale (Verbal); three-factor solutions were interpreted within the context of Horn's expanded fluid-crystallized theory and research on working memory. Both the two- and three-factor Varimax-rotated solutions were related to similar factor analyses conducted previously for the Wechsler Adult Intelligence Scale-Revised and the Wechsler Intelligence Scale for Children-III. Coefficients of congruence between like-named factors consistently exceeded .90, and usually .98, across different Wechsler batteries.     

Using a short form of the WISC-III: sinful or smart?

This article describes an example of making pediatric neuropsychological assessments more time-efficient. Empirical support, including new data, for the utilization of an eight-subtest short form of the Wechsler Intelligence Scale for Children-Third Edition (WISC-III; Wechsler, 1991) is reviewed. It is concluded that this short form of the WISC-III is a valid substitute for the complete version under most clinical circumstances, allowing the practitioner to expand on interview, history or more specific neuropsychological tests without adding financial or time burdens to the evaluation.     

Generalizability of WISC-IV index and subtest score profiles in children with traumatic brain injury

The Wechsler Intelligence Scale for Children, 4th edition (WISC-IV) is often used to assess children with traumatic brain injury (TBI); although limited information is available regarding its psychometric properties in these children. Two recent reports suggest that the Perceptual Reasoning Index is not uniquely sensitive to TBI, which differs from the Perceptual Organization Index of the WISC-III. The current study examined WISC-IV profiles in two independently gathered samples of children with TBI. Examination of profiles indicated similarities between the current findings and those reported in other studies, in that the greatest deficits were present on the Processing Speed Index and its component subtests of Coding and Symbol Search, while the Perceptual Reasoning index score was comparable to the Verbal Comprehension Index. Also, no significant index or subtest score differences were present when the current sample was compared to the children with TBI reported by Allen, Thaler, Donohue and Mayfield (2010 ). The present findings are consistent with two prior studies of the WISC-IV in children with TBI, providing additional evidence for profile differences between the WISC-III and WISC-IV. The results also suggest that WISC-IV profiles reported in prior studies are generalizable across TBI samples and study sites.     

Prototypicality of responses of autistic,language disordered,and normal children in a word fluency task

This article describes an example of making pediatric neuropsychological assessments more time-efficient. Empirical support, including new data, for the utilization of an eight-subtest short form of the Wechsler Intelligence Scale for Children-Third Edition (WISC-III; Wechsler, 1991) is reviewed. It is concluded that this short form of the WISC-III is a valid substitute for the complete version under most clinical circumstances, allowing the practitioner to expand on interview, history or more specific neuropsychological tests without adding financial or time burdens to the evaluation.     

Discriminant validity of test observations for children with Attention Deficit/Hyperactivity

This paper investigates the discriminant validity of test-session behaviors by comparing whether the observations of children with Attention-Deficit/Hyperactivity Disorder (ADHD) differed from those of unclassified controls. Test-taking behaviors were evaluated according to the Guide to the Assessment of Test Session Behavior for the WISC-III and WIAT (GATSB) (Glutting & Oakland, 1993) following administrations of the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) (Wechsler, 1991). Two groups were compared: an ADHD cohort (n = 49) and children from the GATSB standardization sample (n = 49) matched on the background characteristics of age, race, gender, parent educational attainment, and overall cognitive ability. A multivariate, two-group discriminant function analysis was used to compare groups. Results showed children with ADHD could be differentiated, Wilks &clgr; = .632, F = 18.96, df (3, 94]) p < .001). A classification analysis was used to evaluate the practical utility of the discrimination. The overall hit rate was 80.6% (p < .05), thereby adding to the overall validity of results. Findings suggest that in the course of one-to-one clinical assessments, standardized ratings of children's test behaviors provide useful information about the relative severity of children's inattentive, avoidant, and uncooperative dispositions, and that these factors can affect the magnitude of children's IQs.     

« Mon enfant est-il surdoué ? » Que demande-t-on ?

Is it possible to identify the specific characteristics as well as the scope of the phenomenon of demands concerning giftedness? The author presents and comments a set of data reflecting the activity of a Parisian consultation center over two separate years: 2004 (12% of the demands concern giftedness) and 2006 (11% of the demands concern giftedness). The psychometrical investigations are based on the Wechsler Scales (WISC-III; WISC-IV). The percentage of demands related to giftedness is quite high as compared to other motives. It mainly concerns children who do not show what are called “very superior” intellectual abilities. The development of certain social stereotypes could be an explanation.     

Beery-Buktenica Developmental Test of Visual-Motor Integration performance in children with traumatic brain injury and attention-deficit/hyperactivity disorder

Evaluation of visuoconstructional abilities is a common part of clinical neuropsychological assessment, and the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI; K. E. Beery & N. A. Beery, 2004) is often used for this purpose. However, few studies have examined its psychometric properties when used to assess children and adolescents with traumatic brain injury (TBI) or attention-deficit/hyperactivity disorder (ADHD), even though these are among the most common acquired and neurodevelopmental forms of brain dysfunction in children. This study examined the validity of VMI scores in 123 children with TBI and 65 with ADHD. The TBI and ADHD groups performed significantly worse than the standardization sample, obtaining VMI mean scores of 87.2 (SD = 13.7) and 93.5 (SD = 11.27). Previous research has noted decrements in visuoconstructional abilities in TBI but relative sparing in ADHD. To examine the criterion validity of VMI scores, the authors therefore compared these 2 groups. As anticipated, the TBI group performed significantly worse than the ADHD group, but receiver operator characteristic analysis indicated that VMI scores were poor at discriminating between groups. Nonetheless, convergent validity evidence supported interpretation of VMI scores as measuring perceptual organization in both groups. In particular, principal components analysis indicated that VMI total scores loaded with perceptual organization tests from the Wechsler Intelligence Scale for Children, 3rd ed. (WISC-III; D. Wechsler, 1997), and its highest correlation was with the WISC-III Perceptual Organization Index. Also, the VMI correlated significantly with the Grooved Pegboard test for the group with TBI. These findings suggest that VMI scores are sensitive to visuoconstructional and motor deficits in children with developmental and acquired brain dysfunction.     

Longitudinal Changes in Intellectual Development in Children with Fragile X Syndrome

Structural equation modeling (SEM) was used to examine the development of intellectual functioning in 145 school-age pairs of siblings. Each pair included one child with Fragile X syndrome (FXS) and one unaffected sibling. All pairs of children were evaluated on the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) at time 1 and 80 pairs of children received a second evaluation at time 2 approximately 4 years later. Compared to their unaffected siblings, children with FXS obtained significantly lower percentage correct scores on all subtests of the WISC at both time points. During the time between the first and second assessments, the annual rate of intellectual development was approximately 2.2 times faster in the unaffected children compared to the children with FXS. Levels of the fragile X mental retardation protein (FMRP) were highly associated with intellectual ability scores of the children with FXS at both time points (r=0.55 and 0.64 respectively). However, when gender, age, and the time between assessments were included as covariates in the structural equation model, FMRP accounted for only 5% of the variance in intellectual ability scores at time 1 and 13% of the variance at time 2. The results of this study suggest that slower learning contributes to the low and declining standardized IQ scores observed in children with FXS.     

The WISC-III: A reality check

Although the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) is arguably the best instrument currently available for assessing students' intelligence, its use will present practitioners, especially school psychologists, with some unique challenges. Recent research suggests that significant reductions in special education students' WISC-III Verbal, Performance, and Full Scale IQ scores will be found, compared with their previous WISC-R results. This finding will have a profound impact on special education placement decisions. Specifically, students who were previously found eligible for learning disability programs may now no longer evidence the significant discrepancies necessary in order to receive continued services. Conversely, students earlier identified as “slow learners” may now be eligible to receive services for those classified under the category of educably mentally handicapped. In addition, the notion that the WISC-III may underestimate the ability of certain populations of students requires further exploration. This article will address these issues as well as implications for practitioners presently administering the WISC-III.     

Factor structure of the Norwegian version of the WAIS-III in a clinical sample: the arithmetic problem

Confirmatory Factor Analyses (CFA) of the Wechsler Adult Intelligence Scale-III (WAIS-III) lend partial support to the four-factor model proposed in the test manual. However, the Arithmetic subtest has been especially difficult to allocate to one factor. Using the new Norwegian WAIS-III version, we tested factor models differing in the number of factors and in the placement of the Arithmetic subtest in a mixed clinical sample (n = 272). Only the four-factor solutions had adequate goodness-of-fit values. Allowing Arithmetic to load on both the Verbal Comprehension and Working Memory factors provided a more parsimonious solution compared to considering the subtest only as a measure of Working Memory. Effects of education were particularly high for both the Verbal Comprehension tests and Arithmetic.