This article discusses the relationship between attention deficit-hyperactivity disorder (ADHD) and learning disability (LD). The relevant literature is outlined, and empirical data are presented from a prospective follow-up study of 600 speech/language-impaired children. The data show an increased prevalence of both LD and ADHD among children with early speech/language impairments. Furthermore, LD was strongly associated with ADHD in both the initial and follow-up samples. Also, the children with LD had increased rates of other psychiatric disorders (e.g., behavior disorders, mood disorders, anxiety disorders). The implications of these data are discussed with regard to the possible etiology of the ADHD-LD association, treatment for children with LD and ADHD, and promising hypotheses for future research.
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References
1.
Achenbach, T. (1985). Assessment and taxonomy of child and adolescent psychopathology. Beverly Hills: Sage.
2.
Ackerman, P.T., Anhalt, J.M., Dykman, R.A., & Holcomb, P.J. (1986). Effortful processing in children with reading and/or attention disorders. Brain and Cognition, 5, 22–40.
3.
Ackerman, P.T., Holcomb, P.J., & Dykman, R. (1986). Presumably innate and acquired automatic processes in children with attention and/or reading disorders. Journal of Child Psychology and Psychiatry, 27, 513–529.
4.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.), Washington, DC: Author.
5.
Anderson, J.C., Williams, S., McGee, R., & Silva, P.A. (1987). DSM-III disorders in preadolescent children. Archives of General Psychiatry, 44, 69–76.
6.
Anthony, B.J., Mersky, A.F., Ahearn, M.B., Kellam, S.G., & Eaton, W.W. (1988, October). Structure of attention and epidemiology of its dysfunction in children. Paper presented at the annual meeting of the American Academy of Child and Adolescent Psychiatry, Seattle, Washington.
7.
August, G.J., & Garfinkel, B.D. (1989). Behavioral and cognitive subtypes of ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 739–748.
8.
Baker, L., & Cantwell, D.P. (1987). A prospective psychiatric follow-up of children with speech/language disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 546–553.
9.
Baker, L., & Cantwell, D.P. (1989). Specific language/learning disorders. In T.H. Ollendick & M. Hersen (Eds.), Handbook of child psychopathology (2nd ed., pp. 93–104). New York: Plenum Press.
10.
Baker, L., & Cantwell, D.P. (in press). The association between emotional behavioral disorders and learning disorders in children with speech/language impairments. Advances in Learning and Behavior Disabilities.
11.
Barkley, R.A. (1981). Learning disabilities. In E. Mash & L. Terdal (Eds.), Behavioral assessment of childhood disorders (pp. 441–482). New York: Guilford Press.
12.
Barkley, R. (1982). Guidelines for defining hyperactivity in children: Attention deficit disorder with hyperactivity. In B.E. Lahey & A.B. Kazdin (Eds.), Advances in clinical psychology (Vol. 5, pp. 137–180). New York: Plenum Press.
13.
Butler, K. (1984). Language processing: Halfway up the down staircase. In G. Wallach & K. Butler (Eds.), Language learning disabilities in school-age children (pp. 60–81). Baltimore: Williams & Wilkins.
14.
Cantwell, D.P. (1986). Attention deficit and associated childhood disorders. In T. Millon & G.L. Klerman (Eds.), Contemporary directions in psychopathology (pp. 403–428). New York: Guilford Press.
15.
Cantwell, D.P., & Baker, L. (1985). Psychiatric and learning disorders in children with speech and language disorders: A descriptive analysis. Advances in Learning and Behavioral Disabilities, 4, 29–47.
16.
Cantwell, D.P., & Baker, L. (1987a). Developmental speech and language disorders. New York: Guilford Press.
17.
Cantwell, D.P., & Baker, L. (1987b). Prevalence and type of psychiatric disorder and developmental disorders in three speech and language groups. Journal of Communication Disorders, 20, 151–160.
18.
Cantwell, D.P., & Satterfield, J.H. (1978). Prevalence of academic achievement in hyperactive children. Journal of Pediatric Psychology, 3, 168–171.
19.
Charles, L., & Schain, R.J. (1981). A 4-year follow-up study of the effects of methylphenidate on the behavior and academic achievement of hyperactive children. Journal of Abnormal Child Psychology, 9, 495–505.
20.
Cotugno, A.J. (1987). Cognitive control functioning in hyperactive and nonhyperactive learning disabled children. Journal of Learning Disabilities, 20, 563–567.
21.
Cunningham, C.E., & Barkley, R.A. (1978). The role of academic failure in hyperactive behavior. Journal of Learning Disabilities, 11, 15–21.
22.
Douglas, V.I. (1972). Stop, look and listen: The problem of sustained attention and impulse control in hyperactive and normal children. Canadian Journal of Behavioral Science, 4, 159–182.
23.
Douglas, V.I. (1976). Research on hyperactivity: Stage two. Journal of Abnormal Child Psychology, 4, 307–308.
24.
Douglas, V.I. (1980). Self-control techniques. Higher mental process in hyperactive children: Implications for training. In R.M. Knights & D.J. Bakker (Eds.), Treatment of hyperactive and learning disordered children---Current research (pp. 65–91). Baltimore: University Park Press.
25.
Douglas, V.I., Barr, E., O'Neill, M.E., & Britton, B.G. (1986). Short-term effects of methylphenidate on the cognitive, learning, and academic performance of children with attention deficit disorder in the laboratory and the classroom. Journal of Child Psychology and Psychiatry, 27, 773–789.
26.
Federal Register. (1977). U.S. Public Law 94--142 --- The Education for All Handicapped Children Act of 1975.
27.
Felton, R.J., Wood, F.D., Brown, I.S., Campbell, S.K., & Harter, M.R. (1987). Separate verbal memory and naming deficits in attention deficit disorder and reading disability. Brain and Language, 31, 171–184.
28.
Gittelman-Klein, R. (1987). Pharmacotherapy of childhood hyperactivity: An update. In H.Y. Meltzer (Ed.), Psychopharmacology --- The third generation of progress (pp. 1215–1224). New York: Raven Press.
29.
Goldstein, H.S. (1987). Cognitive development in inattentive, hyperactive and aggressive children: Two to five year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 219–221.
Halperin, J., Gittelman, R., Klein, D., & Rudel, R. (1984). Reading disabled hyperactive children: A distinct subgroup of attention deficit disorder with hyperactivity? Journal of Abnormal Child Psychology, 12, 1–14.
32.
Hammill, D.D., Leigh, J.E., McNutt, G., & Larsen, S.C. (1987). A new definition of learning disabilities. Journal of Learning Disabilities, 20, 109–113.
33.
Holborow, P.L., & Berry, P.S. (1986). Hyperactivity and learning difficulties. Journal of Learning Disabilities, 19, 426–431.
34.
Huessy, H.R., & Cohen, A.H. (1976). Hyperkinetic behaviors and learning disabilities followed over seven years. Pediatrics, 57, 4–10.
35.
Hunt, R.D., & Cohen, D.J. (1984). Psychiatric aspects of learning disabilities. Pediatric Clinics of North America, 31(2), 471–497.
36.
Interagency Committee on Learning Disabilities. (1987). Learning disabilities --- A report to the U.S. Congress. Washington, DC: Department of Health and Human Services.
37.
Jastak, J.F., Bijou, S.W., & Jastak, S.R. (1976). Wide range achievement test. Wilmington, DE: Guidance Associates.
38.
Lambert, N.M., & Sandoval, J. (1980). The prevalence of learning disabilities in a sample of children considered hyperactive. Journal of Abnormal Child Psychology, 8, 33–50.
39.
Lewis, D., Shanok, S.S., Balla, D., & Bard, B. (1980). Psychiatric correlates of severe reading disabilities in an incarcerated delinquent population. Journal of the American Academy of Child Psychiatry, 19, 611–622.
40.
Loney, J. (1983). Research diagnostic criteria for childhood hyperactivity. In S.B. Guze, F.G. Earls, & J.E. Barrett (Eds.), Childhood psychopathology and development (pp. 109–134). New York: Raven Press.
41.
McGee, R., & Share, D.L. (1988). Attention deficithyperactivity and academic failure: Which comes first and what should be treated?Journal of the American Academy of Child and Adolescent Psychiatry, 27(3), 318–325.
42.
McGee, R., Share, D.L., Anderson, J., & Silva, P.A. (1986). The relationship between specific reading retardation, general reading backwardness, and behavioral problems in a large sample of Dunedin boys. Journal of Child Psychology and Psychiatry, 27, 597–610.
43.
McGee, R., Share, D., Moffitt, T.E., Williams, S., & Silva, P.A. (1988). Reading disability, behavior problems, and juvenile delinquency. In D.H. Saklofske & S.B.G. Eysenck (Eds.), Individual differences in children and adolescents: International perspectives (pp. 158–172). London: Hodder and Stoughton.
44.
McGee, R., Williams, S., Moffitt, T.E., & Anderson, J. (1989). A comparison of boys with attention and/or reading disorders on neuropsychological measures. Journal of Abnormal Child Psychology, 17, 37–53.
45.
McLeod, J. (1978). Psychometric identification of children with learning disabilities. Institute of Child Guidance and Developmental Monograph. University of Saskatchewan.
46.
Meltzer, L.J., Roditi, B.N., & Fenton, T. (1986). Cognitive and learning profiles of delinquent and learning-disabled adolescents. Adolescence, 21, 581–591.
47.
Offord, D.R., Poushinsky, M.F., & Sullivan, D. (1978). School performance, IQ, and delinquency. British Journal of Criminology, 18, 110–127.
48.
Petti, T.A. (1978). Depression in hospitalized child psychiatry patients — Approaches to measuring depression. Journal of the American Academy of Child Psychiatry, 18, 49–59.
49.
Poznanski, E.O. (1982). The clinical phenomenology of childhood depression. Journal of Orthopsychiatry, 52, 303–313.
50.
Rutter, M. (1974). Emotional disorder and educational underachievement. Archives of Disease in Childhood, 49(4), 249–256.
51.
Rutter, M., Tizard J., & Whitmore, K. (Eds.). (1970). Education, health, and behaviour. London: Longman and Green.
52.
Satterfield, J.H., Cantwell, D.P., & Satterfield, B.T. (1979). Multimodality treatment: A two-year study of 61 hyperactive boys. Archives of General Psychiatry, 36, 915–919.
53.
Share, R.A., Richardson, E., & Bialer, I. (1980). Toward operationalizing a psychoeducational definition of learning disabilities. Journal of Abnormal Child Psychology, 8, 5–20.
54.
Weinberg, W., & Rehmet, A. (1983). Childhood affective disorder and school problems. In D.P. Cantwell & G.A. Carlson (Eds.), Affective disorders in childhood and adolescence — An update (pp. 109–128). New York: Spectrum.
55.
Weinberg, W.A., Rutman, J., & Sullivan, L. (1973). Depression in children referred to an educational diagnostic center. Journal of Pediatrics, 83, 1064–1072.
56.
Wechsler, D. (1974). Wechsler intelligence scale for children-Revised. New York: Psychological Corp.
