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A comparison between the neurological and intellectual abnormalities in children and adults with congenital hypothyroidism

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Abstract

Standardised intellectual, motor and behavioural tests have been undertaken in a group of 73 children and 43 adults with congenital hypothyroidism in a regional study in the north of England. These provide comprehensive data with which to compare the results of studies of children diagnosed by screening and indicate the degree of abnormalities persisting into adult life in those patients diagnosed before screening was introduced. The mean IQ scores of the hypothyroid children and adults were 1–2 standard deviations (SD) below the population means.

Longitudinal IQ data indicate persistence of intellectual abnormalities, though there was an increase in IQ score in several patients. The mean motor scores were reduced by 1–2 SD in the children and 1–3 SD in the adults. Behavioural problems and personality difficulties mainly of a neurotic nature also persisted into adult life.

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Abbreviations

WISC-R:

Wechsler intelligence scale for children-revised

FIQ:

full intelligence quotient

VIQ:

verbal intelligence quotient

PIQ:

performance quotient

RAQ:

reading age quotient

AAQ:

arithmetic age quotient

GATB:

general aptitude test battery

SD:

standard deviation

WAIS:

Wechsler adult intelligence test

References

  1. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571

    PubMed  CAS  Google Scholar 

  2. Birrell J, Frost GJ, Parkin JM (1983) The development of children with congenital hypothyroidism. Dev Med Child Neurol 25:502–511

    Google Scholar 

  3. Classification of occupations: National Report on Great Britain HMSO (1981) Registrar General OPCS (1970)

  4. Dussault JH, Letarte J, Glorieux J, Morissette J, Guyda H (1980) Psychological development of hypothyroid infants at age 12 and 18 months; experience after neonatal screening. Neonatal Thyroid Screening, Raven Press, New York, pp 271–276

    Google Scholar 

  5. Eysenck HJ, Eysenck SBG (1975) Manual of the Eysenck personality questionnaire. Hodder and Stoughton, Sevenoaks, England

    Google Scholar 

  6. Frost GJ, Parkin JM (1985) Management of patients with congenital hypothyroidism. Br Med J 290:1485–1489

    Article  CAS  Google Scholar 

  7. General aptitude test battery, B-1002 (1970) Manual for the USTES. United States Department of Labour, Manpower Administration, Washington

    Google Scholar 

  8. Griffiths R (1954) The abilities of babies. Univ of London Press Ltd

  9. Hulse JA (1984) Outcome of congenital hypothyroidism. Arch Dis Child 59:23–30

    PubMed  CAS  Google Scholar 

  10. Kaufman AS (1979) Intelligent testing with the WISC-R. Wiley Series on Personality Processes, Wiley, New York, pp 123–129

    Google Scholar 

  11. MacFaul R, Dorner S, Brett EM, Grant DB (1978) Neurological abnormalities in patients treated for hypothyroidism from early life. Arch Dis Child 53:611–619

    Article  PubMed  CAS  Google Scholar 

  12. Matarazzo JD (1972) Mental age, I.Q. deviation scores and changes in I.Q. with age, Wechsler's measurement and appraisal of adult intelligence. 5th edn. Williams and Wilkins, Baltimore, pp 91–120

    Google Scholar 

  13. Money J, Clarke FC, Beck J (1978) Congenital hypothyroidism: an IQ increase—a quarter century follow-up. J Pediat 93:432–434

    Article  PubMed  CAS  Google Scholar 

  14. New England congenital hypothyroidism collaborative study (1981) Effects of neonatal screening for hypothyroidism: prevention of mental retardation by treatment before clinical manifestations. Lancet 2:1095–1098

    Google Scholar 

  15. Pepperman J, Griffiths BLL (1969) Hypothyroidism and after. Thesis for the Diploma in Clinical Psychology. Univérsity of Newcastle upon Tyne

  16. Rutter M, Tizard J, Whitmore K (1970) Education, health and behaviour Longman, London

    Google Scholar 

  17. Scanlon MF, Weightman DR, Shale DJ, Mora B, Heath M, Snow MH, Lewis M, Hall R (1979) Dopamine as a physiological regulator of thyrotrophin (T.S.H.) secretion in normal man. Clin Endocrinol 10:7–15

    CAS  Google Scholar 

  18. The British ability scales (1978) Manuals 3 and 4 NFER Publishing Company

  19. The Wechsler intelligence scale for children — revised (1974). Psychological Corporation, New York

  20. Touwen BCL, Prechtl HFR (1970) The neurological examination of the child with minor neurological dysfunction. Clinics in Developmental Medicine 38, Heinemann Medical, London

    Google Scholar 

  21. Trimmer H, Klein F (1974) Wooden versus plastic apparatus with the GATB: a restudy. J of Employment Counselling 11:123–127

    Google Scholar 

  22. Vernon PE (1979) Intelligence: heredity and environment. Freeman, San Francisco

  23. Virtanen M, Mäenpää J, Santavuori P, Hirvonen E, Perheentupa J (1983) Congenital hypothyroidism and age at start of treatment versus outcome. Acta Paediatr Scand 72:197–201

    PubMed  CAS  Google Scholar 

  24. Wechsler D (1972) The measurement and appraisal of adult intelligence: 5th ed. Williams and Wilkins, Baltimore

    Google Scholar 

  25. Wiebel J (1976) Cerebellar — ataxic syndrome in children and adolescents with hypothyroidism under treatment. Acta Paediatr Scand 65:201–205

    PubMed  CAS  Google Scholar 

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Frost, G.J., Parkin, J.M. A comparison between the neurological and intellectual abnormalities in children and adults with congenital hypothyroidism. Eur J Pediatr 145, 480–484 (1986). https://doi.org/10.1007/BF02429047

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  • DOI: https://doi.org/10.1007/BF02429047

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