In our original article (San Miguel, Forness, & Kavale, 1996), we make the case that children with learning disabilities who have comorbid psychiatric disorders, such as attention deficit hyperactivity disorder (ADHD) or depression, may account for at least some of the differences in social skills observed between LD and non-LD samples. In a response, Wiener (this issue) takes issue with our assumptions about comorbid depression and provides some elaboration on our findings regarding comorbid ADHD. Although depression may not represent a large proportion of comorbidity in LD, the overlap of depression with other comorbid psychiatric disabilities and the possibility of comorbid conditions other than ADHD and depression may prove to be critical factors in the comorbidity hypothesis. Issues in school-identified LD samples and diagnostic criteria for psychiatric diagnoses are also discussed.
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References
1.
BeitchmanJ. H.YoungA. R. (1997). Learning disorders with a special emphasis on reading disorders: A review of the past 10 years. Journal of American Academy of Child and Adolescent Psychiatry, 36, 1020–1032.
2.
BernsteinG. A.BorchardtC. M.PerwienA. R. (1996). Anxiety disorders in children and adolescents: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1110–1119.
3.
BirmaherB.RyanN. D.WilliamsonD. E.BrentD. A.KaufmanJ.DahlR. E.PerelJ.NelsonB. (1996). Childhood and adolescent depression: A review of the past 10 years. Part I. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1427–1439.
4.
BryanT. (1997). Assessing the personal and social status of students with learning disabilities. Learning Disabilities Research and Practice, 12, 63–76.
5.
BussingR.ZimaB. T.BelinT. R.FornessS. R. (1998). Children who qualify for LD and SED programs: Do they differ in level of ADHD symptoms and comorbid psychiatric conditions?Behavioral Disorders, 23, 85–97.
6.
CantwellD. P. (1996). Attention deficit disorder: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 978–987.
7.
FornessS. R. (1997). Should social skills deficits be included as a primary diagnostic criterion for learning disorders? In WidigerT. A.FrancesA. J.PincusH. A.RossR.FirstM. B.DavisW. (Eds.), DSM-IV sourcebook, vol. 3 (pp. 67–78). Washington, DC: American Psychiatric Association.
8.
FornessS. R.KavaleK. A. (1996). Treating social skill deficits in children with learning disabilities: A meta-analysis of the research. Learning Disability Quarterly, 19, 2–13.
9.
FornessS. R.KavaleK. A.KingB. H.KasariC. (1994). Simple versus complex conduct disorders: Identification and phenomenology. Behavioral Disorders, 19, 306–312.
10.
FornessS. R.KavaleK. A.WalkerH. M. (in press). Identifying children at risk for antisocial behavior: The case for comorbidity. In GallimoreR. G.BernheimerC.MacMillanD. L.SpeeceD. (Eds.), Developmental perspectives on children with high incidence disabilities. Mahwah, NJ: Lawrence Erlbaum.
11.
GellerG.LubyJ. (1997). Child and adolescent bipolar disorder: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1168–1176.
12.
GreshamF. M.MacMillanD. L.BocianK. M. (1996). Learning disabilities, low achievement, and mild mental retardation: More alike than different?Journal of Learning Disabilities, 29, 570–580.
13.
GreshamF. M.MacMillanD. L.BocianK. M.WardS. L.FornessS. R. (in press). Comorbidity of hyperactivity-impulsivity-inattention + conduct problems: Risk factors in social, affective, and academic domains. Journal of Abnormal Child Psychology.
14.
JensenP. S.MartinD.CantwellD. P. (1997). Comorbidity in ADHD: Implications for research, practice, and DSM-IV. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1065–1079.
15.
KavaleK. A.FornessS. R. (1996). Social skills deficits and learning disabilities: A meta-analysis. Journal of Learning Disabilities, 29, 226–237.
16.
LopezM.FornessS. R.MacMillanD. L.BocianK.GreshamF. M. (1996). Children with attention deficit hyperactivity disorder and emotional or behavioral disorders in the primary grades: Inappropriate placement in the learning disability category. Education and Treatment of Children, 19, 286–299.
17.
MaagJ. W.ReidR. (1994). The phenomenology of depression among students with and without learning disabilities: More similar than different. Learning Disabilities Research and Practice, 9, 91–103.
18.
MacMillanD. L.GreshamF. M.BocianK. M. (in press). Discrepancy between definitions of learning disabilities and school practices: An empirical investigation. Journal of Learning Disabilities.
19.
PiseccoS.BakerD. B.SilvaP. A.BrookeM. (1996). Behavioral distinctions in children with reading disabilities and/or ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1477–1484.
20.
MiguelS. K. SanFornessS. R.KavaleK. A. (1996). Social skill deficits and learning disabilities: The psychiatric comorbidity hypothesis. Learning Disability Quarterly, 19, 252–261.
21.
ShaywitzS. E.EscobarM. D.ShaywitzB. A.FletcherJ. M.MakuchR. (1992). Evidence that dyslexia may represent the lower tail of a normal distribution of reading ability. New England Journal of Medicine, 326, 145–150.
22.
ShaywitzB. A.FletcherJ. M.HolahanJ. M.ShaywitzS. E. (1992). Discrepancy compared to low achievement definitions of reading disability: Results from the Connecticut longitudinal study. Journal of Learning Disabilities, 25, 639–648.
23.
ShaywitzS. E.ShaywitzB. A.FletcherJ. M.EscobarM. D. (1990). Prevalence of reading disability in boys and girls: Results of the Connecticut longitudinal study. Journal of the American Medical Association, 264, 998–1002.
24.
SullivanG. S.MastropieriM. A. (1994). Social competence of individuals with learning disabilities. In ScruggsT. E.MastropieriM. A. (Eds.), Advances in learning and behavioral disabilities, volume 8 (pp. 177–213). Greenwich, CT: JAI Press.
25.
SweeneyD. P.FornessS. R.KavaleK. A.LevittJ. G. (1997). An update of psychopharmacologic medication: What teachers, clinicians and parents need to know. Intervention in School and Clinic, 33(1), 4–21, 25.
26.
TsatsanisK. D.FuerstD. R.RourkeB. P. (1997). Psychosocial dimensions of learning disabilities: external validation and relationship with age and academic functioning. Journal of Learning Disabilities, 30, 490–502.
27.
WellerC.StrawerS. (1987). Adaptive behavior of subtypes of learning disabled individuals. Journal of Special Education, 21, 101–115.
