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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.

Type
EW66
Copyright
Copyright © European Psychiatric Association 2016
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