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Subject Area

Neuropsychiatry

Article Type

Original Study

Abstract

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) affects cognitive functioning in children, yet evidence remains limited in Middle Eastern populations regarding comprehensive IQ evaluation and associated clinical characteristics. This study aimed to assess verbal, non-verbal, and total IQ in Egyptian children with ADHD and examine their associations with sociodemographic, developmental, educational, and clinical factors while identifying factors associated with IQ classification.

Methods: A cross-sectional observational study enrolled 150 Egyptian children aged 6-12 years diagnosed with ADHD according to DSM-5 criteria with IQ above 80 at Mansoura University Hospital from February 2022 to October 2023. Intellectual functioning was evaluated using the Stanford-Binet Intelligence Scale, 5th Edition. Data on sociodemographic characteristics, developmental history, educational parameters, and illness-related variables were collected through structured clinical interviews and caregiver reports.

Results:Mean total IQ was 97.42 ± 9.18; 22.7% exhibited below-average and 8.67% above-average total IQ. Above-average IQ was significantly associated with regular school attendance, superior academic achievement, shorter illness duration, and milder ADHD severity (p

Conclusions: Among Egyptian children with ADHD who have average or above-average intellectual functioning, cognitive functioning is meaningfully associated with educational engagement, illness duration, and symptom severity. Early identification and targeted interventions addressing these modifiable factors may help optimize intellectual outcomes in in children with ADHD who fall within this average-to-above-average IQ range.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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