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Co-Occurrence of Attention-Deficit Disorder and Learning Disability: An Overview of Research

By: Maynard, Janice; Tyler, J. Larry et al. | Journal of Instructional Psychology, September 1999 | Article details

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Co-Occurrence of Attention-Deficit Disorder and Learning Disability: An Overview of Research


Maynard, Janice, Tyler, J. Larry, Arnold, Mit, Journal of Instructional Psychology


Current studies concerning the co-occurrence, of attention deficit disorder and one or more learning disabilities are examined. Information is reported from four major aspects of the research: (a) statistical accounts of the prevalence of attention deficit disorder and the simultaneous occurrence of the two disorders; (b) subtypes of attention deficit disorder as they relate to learning disabilities; (c) findings and suggestions as to causes for the co-occurrence; and (d) educational implications based on current research.

Research acknowledges that learning disability and attention deficit disorder (ADD) frequently co-occur. In addition to significant inattentiveness, impulsivity, and hyperactivity, primary characteristics manifested in children diagnosed as ADD include "learning disorder" and "academic underachiever" (Marshall & Hynd, 1997; Stanford & Hynd, 1994). Estimates of co-morbidity of ADD and learning disability range from approximately 20% (Javorsky, 1996) to approximately 50% (Riccio & Jemison, 1998). Estimates of reports vary, depending on the way learning disability is defined or ADD is assessed. While this rate of co-occurrence has led some to theorize that the two disorders share overlapping deficits (Marshall & Hynd, 1997), other research concludes that ADD and learning disability are separate and distinct entities that often co-occur (Riccio & Jemison, 1998).

The purpose of this paper is to review the contemporary literature related to the cooccurrence of attention-deficit disorder (ADD), with and without hyperactivity, and specific learning disabilities. Factors common to children with either learning disability or attention deficit disorder as compared to common features of children diagnosed as having both ADD and learning disability are presented.

Attention deficit disorder occurs in an estimated 3 to 5% of school age children and is one of the most frequent reasons children are referred for evaluation (Stanford & Hynd, 1994). ADD was originally considered as "minimal brain dysfunction" and thus related to learning disability (Riccio & Jemison, 1998). However, the American Psychiatric Association (APA) gradually recognized it as a behavioral disorder separate from the developmental learning disabilities. The APA has recently further described the disorder as having subtypes: predominantly inattentive (or without hyperactivity), predominantly hyperactive, and combined type (Riccio & Jemison, 1998).

Stanford and Hynd (1994) found that Children with ADD have been found to be more disabled academically and cognitively than those without ADD. The disorder, which often occurs with learning disabilities, appears not only to have a negative effect on …

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