Trajectories of academic achievement for students with attention-deficit/hyperactivity disorder

Br J Educ Psychol. 2021 Jun;91(2):755-774. doi: 10.1111/bjep.12392. Epub 2020 Dec 1.

Abstract

Background: Attention-deficit/hyperactivity disorder (ADHD) is associated with negative social and occupational outcomes across the life course. However, there has been limited population-based research that quantifies the impact of ADHD on academic achievement and academic trajectories.

Aims: To compare academic performance and academic trajectories of students with ADHD with students without a mental disorder.

Sample: Data were drawn from Young Minds Matter, a national population-based sample of 6,310 Australian children and adolescents aged 4-17 years. Using linked achievement test data, the academic performance and trajectories of 327 students with ADHD were compared with those of 3,916 students without a mental disorder.

Methods: Survey data were combined with scores on national standardized tests for literacy and numeracy over an 8-year period.

Results: In Year 3, students with ADHD were on average 1 year behind students with no mental disorder in reading and numeracy, and 9 months behind in writing. In Year 9, the gaps were much larger with students with ADHD on average 2.5 years behind in reading, 3 years behind in numeracy, and 4.5 years behind in writing.

Conclusions: Students with ADHD have substantially lower achievement in reading, writing, and numeracy. Writing was the most adversely affected domain. For example, in Year 9 students with ADHD were on average writing at a Year 5 level. Children and adolescents with ADHD need substantial support to manage inattention, impulsivity, and hyperactivity. Skilled remediation in literacy and numeracy is required throughout all school years.

Keywords: academic achievement; attention-deficit/hyperactivity disorder.

MeSH terms

  • Academic Success*
  • Achievement
  • Adolescent
  • Attention Deficit Disorder with Hyperactivity*
  • Australia
  • Child
  • Humans
  • Students