ADHD, Subtypes and Cognitive Performance: WISC-V as a Support Tool for Diagnostic Assessment.

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by impairments in working memory (WM) and processing speed (PS). Previous studies using earlier editions of the Wechsler Intelligence Scale for Children (WISC) have identified a cognitive resp...

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Publicado en:Actas Espanolas de Psiquiatria Vol. 54; no. 3; pp. 797 - 808
Autores principales: Lavigne-Cerván, Rocío, Collado-Valero, Joshua, Navarro-Soria, Ignasi, Rosales-Gómez, Megan, Torrecillas-Martínez, Manuel
Formato: Artículo
Publicado: Maria Lopez-Ibor 2026
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Acceso en línea:Ver este registro en EBSCOhost
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          Lavigne-Cerván, Rocío
          Collado-Valero, Joshua
          Navarro-Soria, Ignasi
          Rosales-Gómez, Megan
          Torrecillas-Martínez, Manuel
        affil:
          Department of Developmental and Educational Psychology, University of Málaga, 29004 Málaga, Spain.
          Department of Developmental Psychology and Didactics, Faculty of Education, University of Alicante, 03690 Alicante, Spain.
      su:
        Attention-deficit hyperactivity disorder
        Wechsler Intelligence Scale for Children
        Diagnostic examinations
        Short-term memory
        Neural development
        Cognitive ability
        Executive function
        Cognitive processing speed
      sug:
        subj:
          Attention-deficit hyperactivity disorder
          Wechsler Intelligence Scale for Children
          Diagnostic examinations
          Short-term memory
          Neural development
          Cognitive ability
          Executive function
          Cognitive processing speed
      keyword:
        ADHD
        cognitive profile
        processing speed
        WISC
        working memory
      ab: Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by impairments in working memory (WM) and processing speed (PS). Previous studies using earlier editions of the Wechsler Intelligence Scale for Children (WISC) have identified a cognitive response pattern defined by lower Cognitive Proficiency Index (CPI). However, evidence using the Wechsler Intelligence Scale for ChildrenFifth Edition (WISC-V) remains limited. This study aimed to examine whether the WISC-V identifies a characteristic cognitive profile in ADHD and to evaluate its discriminative capacity. Methods: The sample consisted of 188 participants aged 6–16 years, including a control group (n = 56) and two clinical ADHD groups: The combined presentation of ADHD (ADHD-C; n = 57) and the predominantly inattentive presentation of ADHD (ADHD-I; n = 75). Cognitive functioning was assessed using the WISC-V. Group differences were examined using Multivariate and Univariate Analyses of Covariance (MANCOVA/ANCOVA). Binary logistic regression analyses were conducted to evaluate the predictive capacity of WISC-V. Results: Compared with controls, the clinical ADHD group showed significant multivariate differences. Univariate analyses revealed significantly lower performance Background: Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by impairments in working memory (WM) and processing speed (PS). Previous studies using earlier editions of the Wechsler Intelligence Scale for Children (WISC) have identified a cognitive response pattern defined by lower Cognitive Proficiency Index (CPI). However, evidence using the Wechsler Intelligence Scale for Children-Fifth Edition (WISC-V) remains limited. This study aimed to examine whether the WISC-V identifies a characteristic cognitive profile in ADHD and to evaluate its discriminative capacity. Methods: The sample consisted of 188 participants aged 6–16 years, including a control group (n = 56) and two clinical ADHD groups: The combined presentation of ADHD (ADHD-C; n = 57) and the predominantly inattentive presentation of ADHD (ADHD-I; n = 75). Cognitive functioning was assessed using the WISC-V. Group differences were examined using Multivariate and Univariate Analyses of Covariance (MANCOVA/ANCOVA). Binary logistic regression analyses were conducted to evaluate the predictive capacity of WISC-V. Results: Compared with controls, the clinical ADHD group showed significant multivariate differences. Univariate analyses revealed significantly lower performance in the working memory index (WMI; p < 0.001), processing speed index (PSI; p < 0.001), CPI (p < 0.001), and Full-Scale Intelligence Quotient (FSIQ; p = 0.005), in the clinical ADHD group. Differences between ADHD-C and ADHD-I were observed, with the ADHD-I group showing lower scores in WMI (p = 0.016), PSI (p < 0.001), CPI (p < 0.001), and FSIQ (p = 0.016). Logistic regression analyses indicated that WMI (B = −0.067; p < 0.001), PSI (B = −0.043; p = 0.007), and CPI (B = −0.091; p < 0.001) significantly predicted control versus clinical ADHD group membership. When comparing ADHD presentations, PSI (B = −0.055; p = 0.001) and CPI (B = −0.063; p < 0.001) emerged as significant predictors. Conclusions: The findings support the use of the WISC-V as a complementary tool in the diagnostic assessment of ADHD.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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