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Published on: November 19, 2012
The dissociation of perception and cognition in children with early brain damage
Peter Stiers1, Erik Vandenbussche
1Laboratorium voor Neuropsychologie, K.U.Leuven, Campus Gasthuisberg, Medical School, Herestraat 49, B-3000 Leuven, Belgium. peter.stiers@med.kuleuven.ac.be
Insights
Non-verbal intelligence assessments do not reliably indicate visual perceptual impairment in children with perinatal complications. These cognitive skills are distinct, suggesting current methods may not accurately reflect visual deficits.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Reduced non-verbal intelligence compared to verbal intelligence is often used to infer visual perceptual impairment in children with perinatal complications.
- The validity of using non-verbal intelligence as a proxy for visual perceptual deficits requires further investigation.
Purpose of the Study:
- To determine if reduced non-verbal to verbal intelligence ratios accurately indicate visual perceptual impairment.
- To investigate the association between visual perceptual abilities and non-verbal intelligence subtest performance in at-risk children.
Main Methods:
- Re-analysis of data from two studies involving children at risk for cerebral visual impairment (due to prematurity or birth asphyxia) and children with physical disabilities.
- Utilized the visual perceptual battery L94 and various intelligence scales (McCarthy Scales of Children's abilities, Wechsler Intelligence Scale for Children-Revised, Wechsler Pre-school and Primary Scale of Intelligence-Revised).
Main Results:
- No significant association was found between visual perceptual impairment and reduced non-verbal to verbal intelligence ratios.
- Increased non-verbal subtest scatter or non-verbal subtest profile deviation did not correlate with visual perceptual impairment across different intelligence scales.
Conclusions:
- Non-verbal intelligence subtests assess cognitive skills separate from visual perceptual abilities.
- Current intelligence assessments are not hindered by visual perceptual deficits in the studied populations, challenging their use as indicators of such impairments.
Abstract:
Reduced non-verbal compared to verbal intelligence is used in many outcome studies of perinatal complications as an indication of visual perceptual impairment. To investigate whether this is justified, we re-examined data sets from two previous studies, both of which used the visual perceptual battery L94. The first study comprised 47 children at risk for cerebral visual impairment due to prematurity or birth asphyxia, who had been administered the McCarthy Scales of Children's abilities. The second study evaluated visual perceptual abilities in 82 children with a physical disability. These children's intellectual ability had been assessed with the Wechsler Intelligence Scale for Children-Revised and/or Wechsler Pre-school and Primary Scale of Intelligence-Revised. No significant association was found between visual perceptual impairment and (1) reduced non-verbal to verbal intelligence; (2) increased non-verbal subtest scatter; or (3) non-verbal subtest profile deviation, for any of the intelligence scales. This result suggests that non-verbal intelligence subtests assess a complex of cognitive skills that are distinct from visual perceptual abilities, and that this assessment is not hampered by deficits in perceptual abilities as manifested in these children.
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