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      Estimation of Mean Intelligence Quotient with Wechsler Scale in Iran: Systematic Review and Meta-Analysis

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          Abstract

          The low intelligence quotient (IQ) level is one of the most common and important medical, social, and familial problems in all countries. The current study aimed to estimate mean IQ with the Wechsler scale in Iran by performing a systematic review and meta-analysis. In the current meta-analysis, all articles related to IQ conducted in Iran using the Wechsler scale were deeply searched by reviewing citation databases including Science Direct, PubMed, Scopus, Web of Science, Springer, SID, Magiran, Iranmedex, Medlib, and Google Scholar motor search and using valid keywords without time limits. Due to heterogeneity between studies, a random effects model was used to combine the results of studies. To investigate the heterogeneity of the studies, the I2 index was used. All statistical analyses were performed using STATA software version 11.1. The number of participants in the 51 studies was 5352. The mean total IQ score in Iran was estimated 97.12 (95% confidence interval [CI]: 88.71–105.52), the practical intelligence was 92.84 (95% CI: 79.14–106.55), and the verbal intelligence was 94.50 (95% CI: 83.90–105.10). The total IQ score in the northern, southern, central, eastern, and western regions of Iran was 97.08, 108.90, 92.31, 101.76, and 96.45, respectively. The mean IQ score in Iran in subjects under 20 years of age is 97.73 and in subjects over 20 years of age is 105.61. There is also no significant relationship between the mean total IQ in Iran and two parameters of the year of research and number of research samples. For prevention of decrease IQ and given that proper nutrition and breastfeeding directly contribute to increase IQ, nutrition should be provided free of charge in poorer areas during pregnancy until baby born. Moreover, the media should provide adequate education for breastfeeding and nutrition, because IQ affects people's academic, occupational, personal, and social performance, and also prevents elite immigration with suitable planning and provides conditions for elites to return to the country.

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          Most cited references71

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          Refinement and test of the theory of fluid and crystallized general intelligences.

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            Identification and evaluation of mental retardation.

            Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental factors. In at least 30 to 50 percent of cases, physicians are unable to determine etiology despite thorough evaluation. Diagnosis is highly dependent on a comprehensive personal and family medical history, a complete physical examination and a careful developmental assessment of the child. These will guide appropriate evaluations and referrals to provide genetic counseling, resources for the family and early intervention programs for the child. The family physician is encouraged to continue regular follow-up visits with the child to facilitate a smooth transition to adolescence and young adulthood.
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              A meta-analytic assessment of Wechsler's P>V sign in antisocial populations.

              The dichotomy between Verbal IQ and Performance IQ was a hallmark of the Wechsler scales for over 60 years. Wechsler noted that adolescent delinquents tend to score higher on the Performance tests than the Verbal tests (P>V). A plethora of studies have examined the clinical utility of the P>V sign in juvenile delinquents. However, there have been few attempts to systematically quantify the size of this discrepancy in antisocial children and adults. A meta-analysis of 131 studies was conducted to examine whether the PIQ-VIQ discrepancy is found across different age groups as well as sex, race, and test instrument. Results indicated that the discrepancy is characteristic of antisocial females as well as males. The discrepancy is largest in adolescents (6 points), smaller in adults (3 points), and negligible in young children. Furthermore, the effect is moderated by race and instrument, such that the PIQ-VIQ discrepancy is smallest for African-Americans and for subjects administered the Wechsler Adult Intelligence Scale. Among adolescents administered the Wechsler Intelligence Scale for Children, the poorest subtests are Vocabulary and Information. It is argued that delinquency is intertwined with school failure, and that verbal-educational deficits accumulate over the course of childhood, eventually manifesting as P>V.
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                Author and article information

                Journal
                Int J Prev Med
                Int J Prev Med
                IJPVM
                International Journal of Preventive Medicine
                Medknow Publications & Media Pvt Ltd (India )
                2008-7802
                2008-8213
                2019
                05 March 2019
                : 10
                : 34
                Affiliations
                [1] Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
                [1 ] Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
                [2 ] Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
                [3 ] Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
                Author notes
                Address for correspondence: Akram Sanagoo, PhD in Nursing, Associate Professor, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran. E-mail: sanagoo@ 123456goums.ac.ir
                Article
                IJPVM-10-34
                10.4103/ijpvm.IJPVM_171_18
                6425765
                90139eeb-fe54-42cc-86a6-7e8e3ead4719
                Copyright: © 2019 International Journal of Preventive Medicine

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 08 April 2018
                : 14 November 2018
                Categories
                Review Article

                Health & Social care
                iran,intelligence quotient,meta-analysis,practical intelligence,verbal intelligence,wechsler

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