Psychosocial Status of Adolescents with Learning Disabilities With and Without Comorbid Attention Deficit Hyperactivity Disorder

Some researchers suggest that having a learning disability (LD) may act as a risk factor, increasing the likelihood that adolescents experience more negative outcomes in many areas of their lives. However, researchers have yet to examine in one study how having LD with and without attention deficit hyperactivity disorder (ADHD) is related to a comprehensive set of psychosocial variables across a diverse set of domains (e.g., peer, family, school, intrapersonal). The purpose of the present study was to address that limitation by comparing the perceptions of adolescents with LD (N= 230), with comorbid LD/ADHD (N= 92), and without LD or ADHD (N= 322) regarding their academic orientation, temperament, well‐being, loneliness, parental relationships, victimization, activities, and friendships. Results are consistent with the hypothesis that LD may indeed act as a risk factor increasing the likelihood of more negative outcomes. The results also indicate that for some psychosocial variables this likelihood may be increased in adolescents with comorbid LD/ADHD. The findings have important implications for stakeholders concerned about supporting adolescents with LD with and without comorbid ADHD.     

Parenting Stress and Youth Symptoms Among Girls With and Without Attention-Deficit/Hyperactivity Disorder

Objective. To examine the aspects of parenting stress—parental distress and parental stress due to dysfunctional interactions—reported by mothers of girls with attention-deficit/hyperactivity disorder in both childhood and adolescence and to understand their associations with internalizing and externalizing symptoms in adolescence. Design. The diverse sample comprised 120 girls with attention-deficit/hyperactivity disorder and 81 age- and ethnicity-matched comparison girls, evaluated at ages 6–12 years and followed prospectively for 5 years. Basic demographics, oppositionality, childhood behavioral outcomes and symptoms, and key parenting practice were covaried in the analyses. Results. Longitudinally, parental distress during the participants’ childhood was positively associated with adolescent externalizing and internalizing behaviors, even when statistically controlling for parallel childhood behaviors. Parental stress due to dysfunctional interactions during adolescence was associated with contemporaneous adolescent depressive symptoms and externalizing behaviors, but parental distress was associated with only internalizing behaviors. With respect to moderation by diagnostic group, parental stress due to dysfunctional interactions (in childhood) was associated with adolescent internalizing symptoms only in girls with attention-deficit/hyperactivity disorder. However, associations between parental distress in childhood and internalizing behaviors were stronger in the comparison than the ADHD sample. Conclusions. Minimizing early dysfunctional interactions might reduce internalizing behaviors in girls with attention-deficit/hyperactivity disorder. Interventions targeting parental distress may be beneficial for girls, regardless of attention-deficit/hyperactivity disorder status.     

Personal Narratives of Students With and Without Learning Disabilities

This study investigated personal narratives produced by children with and without learning disabilities in the context of naturalistic conversation. The high‐point analysis was applied to compare the referential and evaluative aspects of children's personal narratives. Participants were 60 students in Grades 4 and 5 in public suburban schools, with an almost equal number of boys and girls. The participants with learning disabilities were matched individually with typically achieving peers for chronological age, grade, ethnicity, and gender. Despite significant differences in expressive semantic and syntactic skills, both groups produced narratives that were equivalent in terms of length, structural organization, and global coherence. Group differences centered around the decreased inclusion of high points in narratives produced by girls with learning disabilities, indicating that these girls may struggle with generating coherent personal narratives and communicating their own perspective on the recounted personal experiences. This specific narrative performance is accounted for by the unique profile of cognitive and academic characteristics demonstrated by girls with learning disabilities. Practical implications for the multifaceted assessment of referential and evaluative narrative functions are discussed, and interventions for enhancing narrative skills are suggested. The study's findings are also discussed in the context of previous research and directions for future inquiries.     

Recognizing and Treating Attention-Deficit/Hyperactivity Disorder in College Students

Traditionally diagnosed in children, attention-deficit/hyperactivity disorder (ADHD) is now regarded as a life span condition. The academic difficulties experienced by children and adolescents with ADHD have been observed to continue into young adulthood. Treatment outcome studies demonstrate that behavioral and pharmacotherapeutic interventions can be beneficial in improving ADHD symptoms such as inattention, and so facilitate academic performance in young adults with ADHD. This review discusses how ADHD leads to academic underperformance, the warning signs of undiagnosed ADHD, and the potential impact interventions can have on adult academic impairment.     

Attention-Deficit/Hyperactivity Disorder: Underlying Deficits in Achievement Motivation

This South African study aims at contributing to the debate regarding the processes underlying the core deficits of Attention-Deficit/Hyperactivity Disorder (ADHD) by investigating the motivational factors underlying the symptoms of ADHD. It investigates the difference between adolescents with ADHD (combined type) and adolescents without ADHD regarding their achievement motivation. The results add to previous knowledge regarding the motivational deficits demonstrated by ADHD children and provide a valuable insight into their achievement motivational patterns, especially regarding negative fear of failure and the motive to achieve. Recommendations are suggested regarding educational and therapeutic strategies to improve the ADHD child's motivation at home and at school.     

Response Inhibition,Memory, and Attention in Boys with Attention-Deficit/Hyperactivity Disorder

Newly developed measures of response inhibition, verbal and non-verbal memory, and attention were applied to a sample of boys diagnosed with ADHD (n = 50; 14 predominantly inattentive type and 36 combined type) with no diagnosed comorbid conditions, who had received no stimulant medication for a minimum period of 20 hours prior to test administration. Performance was assessed relative to 50 individually age-matched control boys. Results revealed significant multivariate group differences on all three tests, supported by univariate effects on measures of verbal memory and attentional switching. In all cases, ADHD boys performed more poorly than the control boys. However, contrary to expectations, boys with ADHD made significantly fewer impulsive responses (false positives) on the specific measure of response, despite recording significantly more misses than the controls. Furthermore, no significant differences were observed according to ADHD subtype. The present research therefore demonstrates and more fully characterises the nature of the observed memory and attentional impairments in boys with ADHD and would appear to have clear implications for education and the further development of theory.     

Promoting Prosocial Behaviours Among Preschool Children With and Without Disabilities

A multiple probe across subjects design was used to evaluate the effectiveness of an intervention program on promoting prosocial behaviours among preschool children with and without disabilities. The intervention was carried out with three integrated groups of children, each comprised of one child with a disability and two peers without disabilities, created from three mainstreamed preschool classrooms. The intervention was successful in promoting increases in positive social interactions among the children with disabilities and their peers without disabilities. For two of the three groups the children with disabilities engaged in an equal or greater percentage of positive social initiations than their peers without disabilities. Increases in positive social responses to positive social initiations were similar for children with and without disabilities. Intervention phase behavioural changes generalised to both immediate group conditions, but did not generalise to deferred classroom conditions. Variability of response to intervention across groups highlights the need to develop and implement interventions on an individualised basis. The results indicate that further research is needed regarding the promotion of deferred generalisation effects as well as understanding the effects that trainer presence may have on the generalisation of the targeted social behaviours. There is also a need for the investigation of the potential for gender‐related effects including differential activity levels, ability for sustained attention, and group composition.     

Contrasting Adult Literacy Learners With and Without Specific Learning Disabilities

Contrasting adult literacy learners with and without specific learning disabilities This study of 311 adult education (AE) learners found 29% self-reported having a specific learning disability (SLD). Significant differences in demographic, academic, and life experience variables between the adult learners with and without SLD included: prior participation in special education, having both an SLD diagnosis and a high school diploma, low reading scores, middle age, and negative perceptions about limitations due to reading abilities. A post-hoc regression analysis found SLD status significantly contributes to variance in reading level when controlling for age and IQ. From these findings we conclude that SLD status should be considered an educationally relevant variable in adult education that warrants a diagnostic or clinical teaching approach.     

Parameters of Adherence to a Yearlong Daily Report Card Intervention for Students With Attention-Deficit/Hyperactivity Disorder

Given that attention-deficit/hyperactivity disorder (ADHD) is a chronic disorder, which is likely to require sustained treatment, investigations of the adherence to long-term treatments are clearly needed. The current project is the first analysis examining the parameters of adherence to a daily report card (DRC) intervention over the course of an academic school year. To gain a greater understanding of the complexities inherent in long-term treatment implementation, parameters of adherence with respect to specific, setting-related criteria (i.e., month of the school year, day of the week, and consultant contact) were examined. Participants were 33 children enrolled in first through sixth grade. All participants were diagnosed with ADHD (85% were diagnosed with comorbid oppositional defiant disorder or conduct disorder), received special education services, and were assigned to an intervention condition wherein behavioral consultants worked with the teacher and parent to construct and implement a DRC intervention. Overall, results provide preliminary support for the utility of the DRC as a sustainable intervention for the duration of an entire school year. Although rates of adherence were relatively stable, a fine-grained examination indicated variability in adherence across days of the week and around behavioral consultation meetings. These results contribute to the research literature supporting the utility of continued behavioral support to enhance treatment adherence.     

Differences in Child Care Quality for Children With and Without Disabilities

Research Findings: Federal, state, and local agencies legislate and support inclusive settings for the education of young children with disabilities. Recommended practices outline critical elements for meeting the educational and developmental needs of children with and without disabilities in inclusive settings, and minimal and essential quality characteristics have been articulated. Research has suggested that inclusive and non-inclusive settings may offer different levels of care as measured against best practices and essential quality characteristics. Therefore, the purpose of the current study was to examine program quality in inclusive and non-inclusive preschool classrooms using observational, interview, and survey data. Results showed that inclusive classrooms earned higher scores on an observational measure of global quality and higher scores on an observational measure of language and literacy. Results also suggested that teachers with higher levels of education tend to have classrooms of higher quality. Practice or Policy: Implications for future research and practice are discussed.     

Longitudinal Study of Reading Disability and Attention-Deficit/Hyperactivity Disorder: Implications for Education

ABSTRACT— The majority of children who receive special education services meet criteria for reading disability (RD) or attention-deficit/hyperactivity disorder (ADHD), but additional research is needed to understand the long-term academic outcome of children in these groups. Individuals with RD only ( N = 71), ADHD only ( N = 66), both RD and ADHD ( N = 51), or neither disorder ( N = 118) were identified through the ongoing Colorado Learning Disabilities Research Center twin study and retested 5 years later. Results of the follow-up testing indicated that, in addition to ongoing reading difficulties, individuals with RD exhibited higher rates of academic difficulties, depression, and adolescent-onset conduct disorder. Initial ADHD status was associated with academic and social difficulties and elevated rates of nearly all comorbid disorders 5 years later. The group with comorbid RD and ADHD had more stable reading deficits than the group with RD without ADHD and exhibited greater impairment than groups with either disorder alone on outcome measures of academic functioning and social difficulties. These results suggest that individuals with both RD and ADHD are at increased risk for negative outcomes as adolescents and young adults and that when RD and ADHD co-occur, interventions should be provided for both disorders.     

Teacher and Student Teacher Ratings of Attention-Deficit/Hyperactivity Disorder in Three Cultural Settings

Since the criteria for diagnosis of childhood attention-deficit/hyperactivity disorder (AD/HD) include that the symptoms present in at least two situations, usually home and school, the role of teachers in the identification and diagnosis of this condition is crucial. There is, however, evidence of inter-cultural differences in ratings of AD/HD in children and young people, by teachers and others, though it is not possible to make comparisons between the various studies, because the conditions were not comparable. The focus of this article is the cultural influences on ratings of AD/HD-type behaviour. Evidence is presented of culturally related differences in such ratings, under conditions designed to ensure directly comparable conditions, involving teachers and student teachers from mainland China, Hong Kong, and the United Kingdom. There was some evidence that the teachers from mainland China rated the behaviour of a "target" child, presented on video, higher on a number of items than either the teachers from Hong Kong or the United Kingdom. There was only limited evidence of differences between the ratings of teachers and student teachers within the same culture.     

学习不良儿童的情绪问题

情绪对人们的生活具有重要的影响,但是,学习不良儿童的情绪研究却被忽视了。实际上。学习不良儿童比一般儿童具有更多的情绪问题。文章介绍了有关学习不良儿童焦虑与抑郁情绪的研究。揭示了学习不良与情绪困扰之间的关系,并提出了改善学习不良儿童情绪问题的有效措施。     

A Weak Association between Traits of Attention-Deficit/Hyperactivity Disorder and Gambling in College Students

Attention-Deficit/Hyperactivity Disorder (ADHD) has been characterized as a comorbidity to pathological gambling (PG). However, contradictory evidence has emerged, and it has not been established whether nonimpulsive features of ADHD (e.g., inattention, hyperactivity) contribute to PG risk, or how robust this relationship is in college samples. Using data from 224 college students, multiple regression analyses examined the association between ADHD traits and gambling. A marginal link between impulsivity and gambling emerged, but only in males; hyperactivity and inattention were unrelated to gambling. Therefore, caution should be used in attributing risk for PG to college students with ADHD traits, particularly inattention and hyperactivity.     

A Comparison of Social Pretend Play in Young Children With and Without Disabilities

The strategies used in social pretend play were compared for 15 preschoolers with mild disabilities and 15 nondisabled preschoolers in three integrated preschool sites. Children were videotaped for two 15-minute free-play sessions. Sessions were transcribed and analyzed to determine the strategies used to enter, initiate, maintain, and terminate play. Results indicated that preschoolers with mild disabilities participated in pretend play, but that they tended to use more direct and disruptive strategies to enter play. In contrast, nondisabled preschoolers used more indirect strategies. Both groups of children initiated play without discussing roles in advance, and both groups maintained play through short play dialogues. Differences were found in the pretend play themes used: preschoolers with disabilities had less variety in their themes. Both groups of children generally terminated their play by leaving the area. These findings have implications for interventionists, including the need to extend our notion of what constitutes social interaction for young children with disabilities and the need to expand our interventions beyond teaching simple social skills.     

Peer Status in Boys With and Without Attention-Deficit Hyperactivity Disorder: Predictions from Overt and Covert Antisocial Behavior, Social Isolation, and Authoritative Parenting Beliefs

Because of the centrality of peer relationship difficulties for children with attentiondeficit hyperactivity disorder (ADHD), we investigated behavioral (overt and covert antisocial activity), internalizing (self-reports and observed social isolation), and familial (authoritative, authoritarian, and permissive parenting beliefs) predictors of peer sociometric nominations among previously unfamiliar, ethnically diverse ADHD ( N=73 ) and comparison ( N=60 ) boys, aged 6–12 years. Authoritative maternal parenting beliefs and negatively weighted social isolation explained significant variance in positive peer regard; aggression, covert behavior, and authoritative parenting beliefs were the independent predictors of both negative peer status and peer social preference. We extended such predictions with statistical control of (1) child cognitive variables, (2) maternal psychopathology, and (3) ADHD boys, but authoritative parenting beliefs were stronger predictors in ADHD than in comparison youth. We discuss family-peer linkages regarding peer competence.     

A Comparison of Social Pretend Play in Young Children With and Without Disabilities

The strategies used in social pretend play were compared for 15 preschoolers with mild disabilities and 15 nondisabled preschoolers in three integrated preschool sites. Children were videotaped for two 15-minute free-play sessions. Sessions were transcribed and analyzed to determine the strategies used to enter, initiate, maintain, and terminate play. Results indicated that preschoolers with mild disabilities participated in pretend play, but that they tended to use more direct and disruptive strategies to enter play. In contrast, nondisabled preschoolers used more indirect strategies. Both groups of children initiated play without discussing roles in advance, and both groups maintained play through short play dialogues. Differences were found in the pretend play themes used: preschoolers with disabilities had less variety in their themes. Both groups of children generally terminated their play by leaving the area. These findings have implications for interventionists, including the need to extend our notion of what constitutes social interaction for young children with disabilities and the need to expand our interventions beyond teaching simple social skills.