Neurocognitive Correlates of Attention-Deficit Hyperactivity Disorder Symptoms in Children Born at Extremely Low Gestational Age

Megan N Scott, Scott J Hunter, Robert M Joseph, Thomas Michael OʼShea, Stephen R Hooper, Elizabeth N Allred, Alan Leviton, Karl Kuban

J Dev Behav Pediatr. 2017 May;38:249-259.

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OBJECTIVE: Our analyses aimed to evaluate the neuropsychological correlates of ADHD symptoms in ELGANs.  METHODS: CSI-4 reports from parents (n = 871) & teachers (n=634) & participants completed standardized neurocognitive & academic function assessments. RESULTS: Children w/ADHD symptoms were at ▲risk for neurocognitive limitations. Associations were weaker if limited to IQ ≥70 or ≥85. Even with IQ ≥85 ADHD sxs more likely have deficits on Working Memory Cluster & NEPSY-II Auditory Response subtest. The risks for impaired academic performance (Z ≤ -1) on components of the WIAT-III were 2-to-3 times higher than ELGANs not having ADHD symptoms. CONCLUSION: In children born EP with ADHD sxs more likely to have neurocognitive impairment. When IQ nl, ADHD associated w/deficits in EF.