Brief Report: Intellectual and Academic Functioning in Pediatric Chronic Kidney Disease

• Published in: Journal of pediatric psychology Vol. 32; no. 8; pp. 1011 - 1017
• Main Authors: Duquette, Peter J., Hooper, Stephen R., Wetherington, Crista E., Icard, Phil F., Gipson, Debbie S.
• Format: Journal Article
• Language: English
• Published: Atlanta, GA Oxford University Press 01-09-2007
• Subjects: Achievement; Biological and medical sciences; Child; Child clinical studies; chronic renal insufficiency; cognition; Cognition Disorders - diagnosis; Cognition Disorders - epidemiology; Cross-Sectional Studies; end-stage renal disease; Female; Humans; Intelligence; Kidney Failure, Chronic - epidemiology; Kidney Failure, Chronic - psychology; Kidneys; learning; Learning Disorders - epidemiology; Male; Medical sciences; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Neuropsychological Tests; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Renal failure; Renal Insufficiency, Chronic - epidemiology; Renal Insufficiency, Chronic - psychology; Severity of Illness Index; Urinary system involvement in other diseases. Miscellaneous; learning; chronic renal insufficiency; cognition; end-stage renal disease; intelligence; Human; Kidney disease; Pediatrics; Urinary system disease; Intelligence; Terminal stage; Cognition; Chronic kidney disease; Academic ability; Learning; Chronic; Acquisition process; Renal failure; Intellectual ability; Child
• ISSN: 0146-8693; 1465-735X
• DOI: 10.1093/jpepsy/jsm036

Objective Examine the intellectual and academic functioning in children with chronic kidney disease (CKD). Methods Using a cross-sectional design, children with CKD (n = 30) were compared to matched controls (n = 41) on measures of intelligence, achievement, and rates of learning disabilities (LD) variously defined. Results Children with CKD were at higher risk for grade retention (p < .001) and absenteeism (p < .01), and evidenced mild impairments on measures of intelligence (p < .001), math (p < .01), reading (p < .05), and satisfied criteria for a low achievement definition of LD (p < .01) more frequently than control group participants. Renal function was a significant predictor (p < .02) of intellectual and academic scores in the CKD group. Conclusions Educational and psychosocial supports are critical for children with CKD, and it may be important to monitor their cognitive functioning and academic progress over time.