Executive function impairments in high IQ adults with ADHD

J Atten Disord. 2009 Sep;13(2):161-7. doi: 10.1177/1087054708326113. Epub 2009 May 6.

Abstract

Objectives: To demonstrate that high IQ adults diagnosed with ADHD suffer from executive function (EF) impairments that: a) can be identified with a combination of standardized measures and self-report data; and b) occur more commonly in this group than in the general population.

Method: 157 ADHD adults with IQ >/= 120 were assessed with 8 normed measures of EF- 3 index scores from standardized tests of memory and cognitive abilities, and 5 subscales of a normed self-report measure of EF impairments in daily life.

Results: 73% of subjects were significantly impaired on >/= 5 of these 8 EF markers. On all 8 measures, incidence of these impairments was significantly greater than in the general population.

Conclusion: High IQ adults with ADHD tend to suffer EF impairments that can be assessed with these measures; incidence of such impairments in this group is significantly higher than in the general population.

MeSH terms

  • Adolescent
  • Adult
  • Attention
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / epidemiology
  • Cognition Disorders / psychology
  • Comorbidity
  • Comprehension
  • Female
  • Humans
  • Intelligence*
  • Interview, Psychological
  • Male
  • Memory, Short-Term
  • Mental Recall
  • Middle Aged
  • Narration
  • Psychometrics / statistics & numerical data
  • Reaction Time
  • Reference Values
  • Wechsler Scales / statistics & numerical data
  • Young Adult