Comorbidity of LD and ADHD

Attention-deficit/hyperactivity disorder (ADHD) and learning disability (LD) can co-occur for a significant minority of children with each disorder. A total of 17 studies (2001–2011) examining ADHD-LD comorbidity were reviewed, revealing a higher mean comorbidity rate (45.1%) than has been obtained previously. Higher comorbidity may be the result of including students with writing disorders, not just reading and/or math disabilities. Proposed DSM-5 criteria for both disorders will likely affect comorbidity rates; however, it is unclear whether such rates will increase or decrease. Regardless of the specific impact of DSM revisions, academic skill and/or performance deficits should be assessed for students with ADHD as part of screening, comprehensive evaluation, and treatment monitoring. Comprehensive intervention services for students with comorbid ADHD and LD will require empirically supported treatment strategies that address both disorders and that are implemented across school and home settings.

[1]  L. Klinger,et al.  Academic Underachievement and Attention-Deficit/Hyperactivity Disorder: The Negative Impact of Symptom Severity on School Performance. , 2002 .

[2]  M. Monuteaux,et al.  A psychometric measure of learning disability predicts educational failure four years later in boys with Attention-Deficit/Hyperactivity Disorder , 2001 .

[3]  Matthew K. Burns,et al.  Handbook of response to intervention , 2007 .

[4]  S. Smalley,et al.  Familial Association and Frequency of Learning Disabilities in ADHD Sibling Pair Families , 2007, Journal of abnormal child psychology.

[5]  G. DuPaul,et al.  ADHD and learning disabilities: Research findings and clinical implications , 2009 .

[6]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[7]  Jack M Fletcher,et al.  Evidence-Based Assessment of Learning Disabilities in Children and Adolescents , 2005, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[8]  S. Sheridan,et al.  Conjoint Behavioral Consultation , 2007 .

[9]  Joshua M. Langberg,et al.  Efficacy of an organization skills intervention to improve the academic functioning of students with attention-deficit/hyperactivity disorder. , 2008 .

[10]  Joshua M. Langberg,et al.  Clinical Utility of the Vanderbilt ADHD Rating Scale for Ruling Out Comorbid Learning Disorders , 2010, Pediatrics.

[11]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[12]  Asha K. Jitendra,et al.  The Effects of Computer-Assisted Instruction on the Mathematics Performance and Classroom Behavior of Children With ADHD , 2005, Journal of attention disorders.

[13]  Alison Wilkinson,et al.  Direct and Indirect Measures of Social Perception, Behavior, and Emotional Functioning in Children with Asperger’s Disorder, Nonverbal Learning Disability, or ADHD , 2010, Journal of abnormal child psychology.

[14]  B. Pennington,et al.  Contrasting Cognitive Deficits in Attention Deficit Hyperactivity Disorder versus Reading Disability. , 1993 .

[15]  P. Malone,et al.  A Randomized Trial of Two Promising Computer-Based Interventions for Students with Attention Difficulties , 2010, Journal of abnormal child psychology.

[16]  William E. Pelham,et al.  Evidence-Based Psychosocial Treatments for Attention-Deficit/Hyperactivity Disorder , 2008, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[17]  B. Pennington,et al.  Neuropsychological Analyses of Comorbidity Between Reading Disability and Attention Deficit Hyperactivity Disorder: In Search of the Common Deficit , 2005, Developmental neuropsychology.

[18]  H. Feldman,et al.  Academic and educational outcomes of children with ADHD. , 2007, Journal of pediatric psychology.

[19]  S. Faraone,et al.  Comorbidity between ADDH and learning disability: a review and report in a clinically referred sample. , 1992, Journal of the American Academy of Child and Adolescent Psychiatry.

[20]  S. Calhoun,et al.  Wechsler Intelligence Scale for Children-Third and -Fourth Edition: Predictors of Academic Achievement in Children with Attention-Deficit/Hyperactivity Disorder. , 2007 .

[21]  G. DuPaul,et al.  Peer tutoring for children with attention deficit hyperactivity disorder: effects on classroom behavior and academic performance. , 1998, Journal of applied behavior analysis.

[22]  Pamela J. Plumer,et al.  The Relative Effects of Classwide Peer Tutoring and Peer Coaching on the Positive Social Behaviors of Children With ADHD , 2005, Journal of attention disorders.

[23]  Comorbidity Among Individuals Classified with Attention Disorders , 2001, The International journal of neuroscience.

[24]  R. Klein,et al.  Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. , 1993, Archives of general psychiatry.

[25]  B. Horta,et al.  The worldwide prevalence of ADHD: a systematic review and metaregression analysis. , 2007, The American journal of psychiatry.

[26]  S. Calhoun,et al.  Learning, Attention, Writing, and Processing Speed in Typical Children and Children with ADHD, Autism, Anxiety, Depression, and Oppositional-Defiant Disorder , 2007, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[27]  N. Rathvon.  Effective school interventions : evidence-based strategies for improving student outcomes , 2008 .

[28]  Amy E Barth,et al.  Agreement among response to intervention criteria for identifying responder status. , 2008, Learning and individual differences.

[29]  Benjamin B. Lahey,et al.  Academic Achievement Over 8 Years Among Children Who Met Modified Criteria for Attention-deficit/Hyperactivity Disorder at 4–6 Years of Age , 2008, Journal of abnormal child psychology.

[30]  Asha K. Jitendra,et al.  Consultation-based Academic Interventions for Children with ADHD: Effects on Reading and Mathematics Achievement , 2006, Journal of abnormal child psychology.

[31]  L. Huffman,et al.  Girls With ADHD And Associated Behavioral Problems : Patterns of Comorbidity , 2009 .

[32]  A. Vanderheyden,et al.  Handbook of response to intervention : the science and practice of assessment and intervention , 2007 .

[33]  A. Miranda,et al.  Emotional and Behavioral Problems in Children with Attention Deficit-Hyperactivity Disorder: Impact of Age and Learning Disabilities , 2008 .

[34]  Marley W. Watkins,et al.  ADHD and Achievement , 2007, Journal of learning disabilities.

[35]  R. Plomin,et al.  Why are hyperactivity and academic achievement related? , 2007, Child development.

[36]  M. Montague,et al.  Attention Deficit Hyperactivity Disorder Comorbid With Emotional and Behavioral Disorders and Learning Disabilities in Adolescents , 2006 .

[37]  D. Francis,et al.  Evaluation of the Technical Adequacy of Three Methods for Identifying Specific Learning Disabilities Based on Cognitive Discrepancies , 2012, School psychology review.

[38]  B. Pennington,et al.  Longitudinal Study of Reading Disability and Attention-Deficit/Hyperactivity Disorder: Implications for Education. , 2007 .

[39]  T. L. Eckert,et al.  The Effects of School-Based Interventions for Attention Deficit Hyperactivity Disorder: A Meta-Analysis 1996–2010 , 2012 .

[40]  Edward S. Shapiro,et al.  Academic Skills Problems: Direct Assessment and Intervention , 2010 .

[41]  G. DuPaul,et al.  ADHD in the Schools: Assessment and Intervention Strategies. Second Edition. , 1994 .

[42]  A. Cohen,et al.  The Human Figure Drawing as Related to Attention-Deficit Hyperactivity Disorder (ADHD) , 2010, Journal of child neurology.

[43]  Robert Reid,et al.  Using Self-Regulated Strategy Development to Improve Expository Writing with Students with Attention Deficit Hyperactivity Disorder , 2008 .

[44]  B. Wiśniewska,et al.  The assessment of comorbid disorders in ADHD children and adolescents. , 2007, Advances in medical sciences.

[45]  G. DuPaul,et al.  Task Engagement and Mathematics Performance in Children with Attention-Deficit Hyperactivity Disorder: Effects of Supplemental Computer Instruction. , 2002 .

[46]  Russell J Schachar,et al.  Mathematical Learning Disorder in School-Age Children with Attention-Deficit Hyperactivity Disorder , 2008, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[47]  E. Shapiro.  Academic skills problems: Direct assessment and intervention, 2nd ed. , 1996 .

[48]  Thomas J. Smith,et al.  The Effect of Comorbid AD/HD and Learning Disabilities on Parent-Reported Behavioral and Academic Outcomes of Children , 2006 .

[49]  P. Emmelkamp,et al.  Efficacy of methylphenidate, psychosocial treatments and their combination in school-aged children with ADHD: a meta-analysis. , 2008, Clinical psychology review.

[50]  L. Cardon,et al.  Quantitative trait locus for reading disability on chromosome 6p is pleiotropic for attention-deficit/hyperactivity disorder. , 2002, American journal of medical genetics.

[51]  S. Calhoun,et al.  Similarities and Differences in Wechsler Intelligence Scale for Children—Third Edition (WISC-III) Profiles: Support for Subtest Analysis in Clinical Referrals , 2004, The Clinical neuropsychologist.

[52]  Steven W. Evans,et al.  Dose-response effects of methylphenidate on ecologically valid measures of academic performance and classroom behavior in adolescents with ADHD. , 2001, Experimental and clinical psychopharmacology.

[53]  S. Calhoun,et al.  Frequency of Reading, Math, and Writing Disabilities in Children with Clinical Disorders. , 2006 .

[54]  R. Barkley,et al.  ADHD in Adults: What the Science Says , 2007 .

[55]  R. Reid,et al.  A Review of Non-Medication Interventions to Improve the Academic Performance of Children and Youth With ADHD , 2007 .