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Originalartikel

Die Entwicklung intellektueller Fähigkeiten bei Kindern mit ADHS im Langzeitverlauf – Ergebnisse der 8,5-Jahre-Katamnese der Kölner Adaptiven Multimodalen Therapiestudie (KAMT)

Published Online:March 25, 2011https://doi.org/10.1024/1016-264X/a000026

Abstract

In einer Nachuntersuchung (8,5-Jahres Follow-up) von 16 – 22 jährigen Jugendlichen, die als Kinder aufgrund einer Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung multimodal behandelt worden waren, wurde die aktuelle Intelligenzleistung und das Intelligenzprofil mittels des K-TIM erhoben und unter Berücksichtigung der Effekte von Alter, Geschlecht und besuchter Schulform überprüft. Die Gesamtleistungsfähigkeit (SW 91) sowie die Skalen fluider und kristalliner Intelligenz liegen im unteren Durchschnittsbereich, wobei die fluide Intelligenz stärker ausgeprägt ist als die kristalline. Zudem wurden die aktuelle Leistungsfähigkeit mit der Leistungsfähigkeit zu Beginn (SW 96) und Ende der Intensivtherapie (SW 102) verglichen, die mittels der K-ABC erhoben wurde. Die längsschnittlichen Analysen zeigen Einzelkorrelationen im mittleren Bereich. Multiple Regressionsanalysen belegen den höchsten Einfluss auf die Skala Gesamtintelligenz (K-TIM) durch die Fertigkeitenskala (K-ABC) zu Behandlungsende mit fast 50 % Varianzaufklärung.


Course of Intellectual Abilities in Children with ADHD in the Long-Term – Results of an 8,5-Year Follow-up of the Cologne Adaptive Multimodal Treatment Study (CAMT)

The intelligence level and profile of adolescents aged 16 – 22 years, who have received a multimodal treatment of their Attention-Deficit-Hyperactivity-Disorder in their childhood was assessed in a 8,5 year follow-up-study with the K-TIM. The effects of age, gender and type of school were analyzed. The Composite Intelligence-Scale (IQ 91), Crystallized and Fluid Scales were in the lower average range. The fluid was higher than the crystallized intelligence. Current performance was compared with the performance at beginning (IQ 96) and end (IQ 102) of intensive treatment using the K-ABC. The longitudinal analyses show correlations in the medium range. In multiple regression analyses the achievement scale at the end of the treatment had the highest influence on the K-TIM total score with nearly 50 % of variance explained.

Literatur

  • Barkley, R. (2006). Attention-deficit hyperactivity disorders. A Handbook for diagnosis and treatment (3rd ed.). New York: Guilford Press. First citation in articleGoogle Scholar

  • Barkley, R.A. , Murphy, K.R. , Fischer, M. (2008). ADHD in adults: what the science says. New York: Guilford Press. First citation in articleGoogle Scholar

  • Biederman, J. , Petty, C.R. , Fried, R. , Doyle, A.E. , Spencer, T. , Seidman, et al. (2007). Stability of executive function deficits into young adult years: a prospective longitudinal follow-up study of grown up males with ADHD. Acta Psychiatrica Scandinavica, 116, 129 – 136. First citation in articleCrossref, Google Scholar

  • Biederman, J. , Petty, C.R. , Ball, S.W. , Fried, R. , Doyle, A.E. , Dohen, et al. (2009). Are cognitive deficits in attention deficit/hyperactivity disorder related to the course of the disorder? A prospective controlled follow-up study of grown up boys with persistent and remitting course. Psychiatry Research, 170, 177 – 182. First citation in articleCrossref, Google Scholar

  • Bridgett, D.J. , Walker, M.E. (2006) Intellectual functioning in adults with ADHD: a meta-analytic examination of full scale IQ differences between adults with and without ADHD. Psychological Assessment; 18:1 – 14. First citation in articleCrossref, Google Scholar

  • Canivez, G. L. , Watkins, M. W. (1998). Long-term stability of the Wechsler Intelligence Scale for Children-Third Edition. Psychological Assessment, 10, 285 – 291. First citation in articleCrossref, Google Scholar

  • Canivez, G. L. , Watkins, M. W. (2001). Long-term stability of the Wechsler Intelligence Scale for Children-Third Edition among students with disabilities. School Psychology Review, 30, 438 – 453. First citation in articleGoogle Scholar

  • Cattell, R.B. , Weiß, R.H. , Osterland, J. (1980). Grundintelligenztest Skala 1 (CFT 1) (4.Aufl.). Braunschweig: Georg Westermann Verlag. First citation in articleGoogle Scholar

  • Döpfner, M. , Breuer, D. , Schürmann, S. , Wolff Metternich, T. , Rademacher, C. , Lehmkuhl, G. (2004). Effectiveness of an adaptive multimodal treatment in children with Attention-Deficit Hyperactivity Disorder – global outcome. European Child & Adolescent Psychiatry, 13, 117 – 129. First citation in articleGoogle Scholar

  • Döpfner, M. , Görtz-Dorten, A. , Lehmkuhl, G. (2008). Diagnostik-System für psychische Störungen nach ICD-10 und DSM-IV für Kinder- und Jugendliche (DISYPS-II). Bern: Verlag Hans Huber. First citation in articleGoogle Scholar

  • Döpfner, M. , Wolff Metternich, T. , Schürmann, S. , Rademacher, C. , Breuer, D. , Lehmkuhl, G. (2011). Eight-year follow-up of an adaptive multimodal treatment in children with Attention Deficit Hyperactivity Disorder. Manuskript in Vorbereitung. First citation in articleGoogle Scholar

  • Drechsler, R. , Brandeis, D. , Földényi, M. , Imhof, K. , Steinhausen, H.C. (2005). The course of neuropsychological functions in children with attention deficit hyperactivity disorder from late childhood to early adolescence. Journal of Child Psychology and Psychiatry, 46, 824 – 836. First citation in articleCrossref, Google Scholar

  • Fischer, M. , Barkley, R. A. , Edelbrock, C. S. , Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: II. Academic, attentional, and neuropsychological status. Journal of Consulting Clinical Psychology, 58, 580 – 588. First citation in articleCrossref, Google Scholar

  • Fischer, M. , Barkley, R. A. , Fletcher, K. E. , Smallish, L. (1993). The adolescent outcome of hyperactive children: predictors of psychiatric, academic, social, and emotional adjustment. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 324 – 332. First citation in articleCrossref, Google Scholar

  • Frazier, T. W. , Demaree, H. A. , Youngstrom, E. A. (2004). Meta-analysis of intellectual and neuropsychological test performance in attention-deficit/hyperactivity disorder. Neuropsychology, 18, 543 – 555. First citation in articleCrossref, Google Scholar

  • Friedman, N.P. , Haberstick, B.C. , Willcutt, E.G. , Miyake, A. , Young, S.E. , Corley, R.P. et al. (2007) Greater attention problems during childhood predict poorer executive functioning in late adolescence. Psychological Science, 18, 893 – 900 First citation in articleCrossref, Google Scholar

  • Horn, J.L. , Cattell, R.B. (1966). Refinement and test of the theory of fluid and crystallized general intelligences. Journal of Educational Psychology, 57, 253 – 270. First citation in articleCrossref, Google Scholar

  • Horn, J.L. , Cattell, R.B. (1967). Age differences in fluid and crystallized intelligence. Acta Psychologica, 26, 1107 – 129. First citation in articleCrossref, Google Scholar

  • Jepsen, J.R.M. , Fagerlund, B. , Mortensen, E.L. (2009). Do Attention Deficits Influence IQ Assessment in Children and Adolescents With ADHD? Journal of Attention Disorders, 12, 551 – 562. First citation in articleCrossref, Google Scholar

  • Kaufman, A.S. , Kaufman, N.L. (1983a). K-ABC administration and scoring manual. Circle Pines, MN: American Guidance Service. First citation in articleGoogle Scholar

  • Kaufman, A.S. , Kaufman, N.L. (1983b). K-ABC interpretive manual. Circle Pines, MN: American Guidance Service. First citation in articleGoogle Scholar

  • Kaufman, A.S. , Kaufman, N.L. (1993). Kaufman Adolescent and Adult Intelligence Test (KAIT). Circle Pines, MN: American Guidance Service. First citation in articleGoogle Scholar

  • Luria, A.R. (1980). Higher dortical functions in man (2.Aufl.). New York: Basic Books. First citation in articleCrossref, Google Scholar

  • Mayes, S.D. , Calhoun, S.L. (2006). WISC-IV and WISC-III Profiles in Children with ADHD. Journal of Attention Disorders, 9, 486 – 493. First citation in articleCrossref, Google Scholar

  • Melchers, P. , Preuß, U. (1991). Kaufman-Assessment Battery for Children (K-ABC). Deutschsprachige Fassung. Lisse: Swets & Zeitlinger. First citation in articleGoogle Scholar

  • Melchers, P. , Preuß, U. (2001). Kaufman-Assessment Battery for Children (K-ABC). Deutschsprachige Fassung (5. Aufl.). Leiden: PITS. First citation in articleGoogle Scholar

  • Melchers, P. , Schürmann, S. , Scholten, S. (2006). Kaufman – Test zur Intelligenzmessung für Jugendliche und Erwachsene (K-TIM). Leiden: PITS. First citation in articleGoogle Scholar

  • Moffitt, T. E.,Caspi , A., Harkness , A.R. & Silva, P. A. (1993). The Natural History of Change in Intellectual Performance: Who Changes? How Much? Is it Meaningful? Journal of Child Psychology & Psychiatry & Allied Disciplines, 34, 455 – 506. First citation in articleCrossref, Google Scholar

  • Nigg, J.T. (2006). What Causes ADHD? New York: Guilford Press. First citation in articleGoogle Scholar

  • Oest, C. (2002). Untersuchung der Validität der deutschen Adaptation des Kaufman Adolescent and Adult Intelligence Test (KAIT) und der Kaufman Short Neuropsychological Assessment Procedure (K-SNAP) an einer Stichprobe 11jähriger und 12jähriger Kinder. Diplomarbeit, Psychologisches Institut, Universität Köln. First citation in articleGoogle Scholar

  • Pinion, G.A. (1994). Test-retest reliability of the Kaufman Adolexcent and Adult Intelligence Test. Stillwater, OK: Dissertation, University of Oklahoma. First citation in articleGoogle Scholar

  • Sameroff, A. J. , Seifer, R. , Baldwin, A. , Baldwin, C. (1993). Stability of intelligence from preschool to adolescence: the influence of social and family risk factors. Child Development, 64, 80 – 97. First citation in articleCrossref, Google Scholar

  • Schürmann, S. , Breuer, D. , Wolff Metternich-Kaizman, T. , Döpfner, M. (2011). Intellektuelle Fähigkeiten bei Jugendlichen mit früherer ADHS-Diagnose: Zusammenhänge zu aktuellen ADHS-Symptomen, Komorbidität und früherer Medikation – Ergebnisse der 8,5-Jahre-Katamnese der Kölner Adaptiven Multimodalen Therapiestudie (KAMT). Manuskript in Vorbereitung. First citation in articleGoogle Scholar

  • Swanson, J. M. , McBurnett, K. , Wigal, T. , Pfiffner, L. J. , Lerner, M. A. , Williams, L. , et al. (1993). Effect of stimulant medication on children with attention deficit disorder: A “review of reviews.” Exceptional Children, 60, 154 – 162. First citation in articleGoogle Scholar