Comparison of a set of cognitive ability screening test for primary school-aged children in Indonesia
BACKGROUND Monitoring children’s intellectual development is important to align their educational needs. This study compared nonverbal intelligence subtest of the cognitive test battery for Individuals with or without intellectual disability (CIID) to measure visual logical reasoning, verbal intelligence subtest (verbal fluency [VF]–animal test) to assess vocabulary and semantic memory, and the modified Indonesian version of Hopkins verbal learning test (IHVLT) to assess learning ability and episodic memory, against the Wechsler intelligence scale for children (WISC) as an alternative cognitive screening tool in school-aged children.
METHODS A cross-sectional study was conducted in 145 grade 1–6 elementary school students in Jakarta between March and May 2017. Performance on the CIID subtest, VF, and modified IHVLT was assessed by a pediatrician, and the WISC test was performed by a psychologist. The associations between variables were evaluated using nonparametric Spearman’s rank correlations, regressions, and box plots.
RESULTS The correlation between total intelligence quotient (IQ) WISC and CIID was 0.42 (p<0.001) and 0.34 (p<0.001) for both IHVLT and VF. Box plots suggested possible discriminative capacity of CIID but insufficient specificity. However, CIID was associated with stunting (height) and health (weight) independent of age, sex, father’s education, or income.
CONCLUSIONS The CIID subtest series, VF, and modified IHVLT correlated with total IQ WISC. However, CIID may be better to test predictors of poor cognitive performance in primary school-aged children than an IQ screening test.
Sandjaja S, Poh BK, Rojroonwasinkul N, Le Nyugen BK, Budiman B, Ng LO, et al. Relationship between anthropometric indicators and cognitive performance in Southeast Asian school-aged children. Br J Nutr. 2013;110 Suppl 3:S57−64. https://doi.org/10.1017/S0007114513002079
National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. Basic Health Research (RISKESDAS) 2018. Jakarta: National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia; 2018. Indonesian.
Papalia DE, Martorell G. Experience human development. New York: McGraw-Hill Education; 2014. p. 325.
Elizabeth KE. Child development and related issues. In: Elizabeth KE, editor. Nutrition & child development. 5th ed. New Delhi: Paras Medical Publisher; 2015. p. 503-18.
Hogervorst E. The CIID: a cross cultural cognitive test to assess intellectual ability. Leicestershire: Loughborough University; 2011.
van Dijk A, Daďová K, Martínková I. Intellectual disability sport and paralympic classification. AUC Kinanthropologica. 2017;53(1):21-34. https://doi.org/10.14712/23366052.2017.2
Hogervorst E, Van der Wardt V. Cognitive test battery for Individual with and without ID (CIID). Leicestershire: Loughborough University; 2016.
Faculty of Psychology Universitas Indonesia. Manual WISC. Depok: Faculty of Psychology Universitas Indonesia; 1994.
Grenfell-Essam R, Hogervorst E, Rahardjo TB. The Hopkins Verbal Learning Test: an in-depth analysis of recall patterns. Memory. 2018;26(4):385-405. https://doi.org/10.1080/09658211.2017.1349804
Van der Elst W, Hurks P, Wassenberg R, Meijs C, Jolles J. Animal verbal fluency and design fluency in school-aged children: effects of age, sex, and mean level of parental education, and regression-based normative data. J Clin Exp Neuropsychol. 2011;33(9):1005-15. https://doi.org/10.1080/13803395.2011.589509
Hogervorst E, Mursjid F, Priandini D, Setyawan H, Ismael RI, Bandelow S, et al. Borobudur revisited: soy consumption may be associated with better recall in younger, but not in older, rural Indonesian elderly. Brain Res. 2011;1379:206-12. https://doi.org/10.1016/j.brainres.2010.10.083
Hogervorst E, Sadjimim T, Yesufu A, Kreager P, Rahardjo TB. High tofu intake is associated with worse memory in elderly Indonesian men and women. Dement Geriatr Cogn Disord. 2008;26(1):50-7. https://doi.org/10.1159/000141484
de Vaus D. Bivariate analysis for interval level variables, In: Survey in social research. 6th ed. New York: Routledge; 2014. p. 270-93.
Thomaidis L, Choleva A, Janikian M, Bertou G, Tsitsika A, Giannakopoulos G, et al. Attention deficit/hyperactivity disorder (ADHD) symptoms and cognitive skills of preschool children. Psychiatriki. 2017;28(1):28-36. https://doi.org/10.22365/jpsych.2017.281.28
Marelli A, Miller SP, Marino BS, Jefferson AL, Newburger JW. Brain in congenital heart disease across the lifespan: the cumulative burden of injury. Circulation. 2016;133(20):1951-62. https://doi.org/10.1161/CIRCULATIONAHA.115.019881
Ryberg C, Sunnegårdh J, Thorson M, Broberg M. Intellectual functioning in children with congenital heart defects treated with surgery or by catheter interventions. Front Pediatr. 2016;4:113. https://doi.org/10.3389/fped.2016.00113
Edgin JO. Cognition in down syndrome: a developmental cognitive neuroscience perspective. Wiley Interdiscip Rev Cogn Sci. 2013;4(3):307-17. https://doi.org/10.1002/wcs.1221
Castro IPS, Viana MB. Cognitive profile of children with sickle cell anemia compared to healthy controls. J Pediatr (Rio J). 2019;95(4):451-7. https://doi.org/10.1016/j.jped.2018.04.012
Chauhan U, Golhar S, Dahake P. Correlation between iron deficiency anemia and cognitive achievement in school aged children. Ann Int Med Res. 2016;2(4):178-80. https://doi.org/10.21276/aimdr.2016.2.4.46
Irani F, Barbone JM, Beausoleil J, Gerald L. Is asthma associated with cognitive impairments? A meta-analytic review. J Clin Exp Neuropsychol. 2017;39(10):965-78. https://doi.org/10.1080/13803395.2017.1288802
Qurbani SN, Reniarti L, Chairulfatah A. Serum ferritin, serum nitric oxide, and cognitive function in pediatric thalassemia major. Paediatr Indones. 2017;57(3):148-52. https://doi.org/10.14238/pi57.3.2017.149-53
Lubis B, Saragih RAC, Gunadi D, Rosdiana N, Andriani E. Differences in the hematology response and cognitive development in iron deficiency anemia primary school age children who received iron therapy once and three times a day. Sari Pediatri. 2008;10(3):184-9. Indonesian.
Schneider WJ, McGrew KS. The Cattell-Horn-Carroll model of intelligence. In: Flanagan DP, Harrison PL, editors. Contemporary intellectual assesment: theories, tests, and issues. New York: The Guilford Press; 2012. p. 99-144.
McGrew KS. CHC theory and the human cognitive abilities project: standing on the shoulders of the giants of psychometric intelligence research. Intelligence. 2009;37(1):1-10. https://doi.org/10.1016/j.intell.2008.08.004
Grey S, Green S, Alt M, Hogan TP, Kuo T, Brinkley S, et al. The structure of working memory in young children and its relation to intelligence. J Mem Lang. 2017;92:183-201. https://doi.org/10.1016/j.jml.2016.06.004
Alam MA, Richard SA, Fahim SM, Mahfuz M, Nahar B, Das S, et al. Impact of early-onset persistent stunting on cognitive development at 5 years of age: results from a multi-country cohort study. PLoS One. 2020;15(1):e0227839. https://doi.org/10.1371/journal.pone.0227839
Elliott-King J, Shaw S, Bandelow S, Hiremath A, Velayudhan L, Baillon S, et al. Dementia in individuals with intellectual disability; is there a better way to diagnose? Arc App Med. 2019;1(2):1-23.
Elliott-King J, Peel E, Hogervorst E. Acute cognitive effects of physical activity for people who have dementia. Int J Neurodegener Dis. 2019;2(1):009. https://doi.org/10.23937/2643-4539/1710009
Mansukoski L, Hogervorst E, Fúrlan L, Galvez-Sobral JA, Brooke-Wavell K, Bogin B. Instability in longitudinal childhood IQ scores of Guatemalan high SES individuals born between 1941-1953. PLoS One. 2019;14(4):e0215828. https://doi.org/10.1371/journal.pone.0215828
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