Intellectual development of twins -- comparison with singletons.

Analysis of mental and motor tests scores and intelligence test performance of twins born in the Collaborative Perinatal Project shows that twins perform more poorly than singletons from the same population and that the differences are greater in Negroes than in whites. The poor performance of twins relative to that of singletons is of complex etiology. It is partly due to poor prenatal environment, for twins brought up as singletons perform at the intelligence level of twins and not of singletons. It may also be partly due to the higher incidence of congenital malformations in twins, especially those of the central nervous system. But the performance of twins, relative to that of singletons, tends to improve as they get older, at least from 4 to 7 years, suggesting that prematurity is also a contributing factor, whose detrimental effects may be reversible.