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High intelligence and the risk of ADHD and other psychopathology

  • Nanda Rommelse (a1), Kevin Antshel (a2), Stijn Smeets (a3), Corina Greven (a4), Lianne Hoogeveen (a5), Stephen V. Faraone (a6) and Catharina A. Hartman (a7)...
Abstract
Background

High intelligence may be associated with positive (adaptive, desired) outcomes, but may also come with disadvantages.

Aims

To contribute empirically to the debate concerning whether a trade-off in IQ scores exists in relation to attention-deficit hyperactivity disorder (ADHD) and related problems, suggesting that high intelligence – like low intelligence –increases the risk of ADHD.

Method

Curves of the relation between IQ score and ADHD problems were fitted to questionnaire data (parent, teacher, self-report) in a population-based study of 2221 children and adolescents aged 10–12 years. Externalising and internalising problems were included for comparison purposes.

Results

Higher IQ score was most strongly related to fewer attention problems, with more rater discrepancy in the high v. average IQ range. Attention problems – but only minimally hyperactivity/impulsivity problems – predicted functional impairment at school, also in the higher IQ range.

Conclusions

Attention problems in highly intelligent children are exceptional and affect school performance; they are therefore a reason for clinical concern.

Copyright
Corresponding author
Dr N. Rommelse, Radboud University Medical Centre, Department of Psychiatry, Reinier Postlaan 10, 6525 GC Nijmegen, The Netherlands. Email: n.lambregts-rommelse@psy.umcn.nl
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Declaration of interest

S.F has received income, potential income, travel expenses and/or research support from Rhodes, Arbor, Pfizer, Ironshore, Shire, Akili Interactive Labs, CogCubed, Alcobra, VAYA Pharma and NeuroLifeSciences. With his institution he has US patent US20130217707 A1 for the use of sodium-hydrogen exchange inhibitors in the treatment of ADHD.

Footnotes
References
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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High intelligence and the risk of ADHD and other psychopathology

  • Nanda Rommelse (a1), Kevin Antshel (a2), Stijn Smeets (a3), Corina Greven (a4), Lianne Hoogeveen (a5), Stephen V. Faraone (a6) and Catharina A. Hartman (a7)...
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