Skip to main content
Top
Published in: Annals of Dyslexia 1/2024

22-12-2023 | Anxiety

Are comorbidities of poor reading related to elevated anxiety in children?

Authors: Genevieve McArthur, Amy Doust, Erin Banales, Serje Robidoux, Saskia Kohnen

Published in: Annals of Dyslexia | Issue 1/2024

Login to get access

Abstract

Studies of the association between dyslexia and mental health have typically tried to minimise the influence of dyslexia comorbidities on the outcomes. However, in the “real world”, many children with dyslexia have these comorbidities. In this study, we tested (1) if children with dyslexia with three common comorbidities — inattention, hyperactivity, language difficulties — experience more anxiety than children with dyslexia without these comorbidities; and (2) if any type of comorbidity is related to a certain type of anxiety (reading, social, generalised, or separation). The data of 82 children with dyslexia (mean age = 9 years and 4 months; 25 girls) were analysed using Fisher exact tests, which revealed that those with inattention (40.54%) or hyperactivity (42.30%) were statistically significantly more likely to experience elevated anxiety than children with dyslexia without these comorbidities (8.11 and 14.28%, respectively). This was not the case for language difficulties (24.5% versus 30%). Spearman ρ correlations (α = .05) indicated significant moderate relationships between inattention and reading anxiety (.27), social anxiety (.37), and generalised anxiety (.24); and between hyperactivity and social anxiety (.24) and generalised anxiety (.28). There were no significant correlations between language and anxiety. Examination of highly inter-correlated variables suggested a specific relationship between one type of comorbidity (inattention) and one type of anxiety (reading anxiety).
Literature
go back to reference American Psychological Association. (2022). Publication manual of the American Psychological Association (7th ed.). American Psychological Association. American Psychological Association. (2022). Publication manual of the American Psychological Association (7th ed.). American Psychological Association.
go back to reference Beidel, D., Turner, S., & Morris, T. (1999). Psychopathology of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 643–650.CrossRefPubMed Beidel, D., Turner, S., & Morris, T. (1999). Psychopathology of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 643–650.CrossRefPubMed
go back to reference Beitchman, J., Wilson, B., Johnson, C. J., Atkinson, L., Young, A., Adlaf, E., ... & Douglas, L. (2001). Fourteen−year follow−up of speech/language−impaired and control children: Psychiatric outcome. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 75−82. https://doi.org/10.1097/00004583−200101000−00019 Beitchman, J., Wilson, B., Johnson, C. J., Atkinson, L., Young, A., Adlaf, E., ... & Douglas, L. (2001). Fourteen−year follow−up of speech/language−impaired and control children: Psychiatric outcome. Journal of the American Academy of Child and Adolescent Psychiatry40, 75−82. https://​doi.​org/​10.​1097/​00004583−2001010​00−00019
go back to reference Bishop, D. V., & Snowling, M. J. (2004). Developmental dyslexia and specific language impairment: Same or different? Psychological Bulletin, 130, 858.CrossRefPubMed Bishop, D. V., & Snowling, M. J. (2004). Developmental dyslexia and specific language impairment: Same or different? Psychological Bulletin, 130, 858.CrossRefPubMed
go back to reference Castles & Kohnen (2020). Cognitive approaches to the identification of children with dyslexia. In Washington, JA, Compton, DL & McCardle, P (Eds.) Dyslexia: Revisiting Etiology, Diagnosis, Treatment and Policy. Paul H. Brookes. Castles & Kohnen (2020). Cognitive approaches to the identification of children with dyslexia. In Washington, JA, Compton, DL & McCardle, P (Eds.) Dyslexia: Revisiting Etiology, Diagnosis, Treatment and Policy. Paul H. Brookes.
go back to reference Conners, C. K. (2008). Conners 3rd edition: Manual. Multi−Health Systems. Conners, C. K. (2008). Conners 3rd edition: Manual. Multi−Health Systems.
go back to reference De Thorne, L. S., Hart, S. A., Petrill, S. A., Deater-Deckard, K., Thompson, L. A., Schatschneider, C., & Davison, M. D. (2006). Children’s history of speech−language difficulties: Genetic influences and associations with reading−related measures. Journal of Speech Language and Hearing Research, 49, 1280–1293.CrossRef De Thorne, L. S., Hart, S. A., Petrill, S. A., Deater-Deckard, K., Thompson, L. A., Schatschneider, C., & Davison, M. D. (2006). Children’s history of speech−language difficulties: Genetic influences and associations with reading−related measures. Journal of Speech Language and Hearing Research, 49, 1280–1293.CrossRef
go back to reference Eisen, A. R., & Schaefer, C. E. (2007). Separation anxiety in children and adolescents: An individualized approach to assessment and treatment. Guilford Press. Eisen, A. R., & Schaefer, C. E. (2007). Separation anxiety in children and adolescents: An individualized approach to assessment and treatment. Guilford Press.
go back to reference Fernández-Castillo, A., & Gutiérrez Rojas, M. E. (2009). Selective attention, anxiety, depressive symptomatology and academic performance in adolescents. Fernández-Castillo, A., & Gutiérrez Rojas, M. E. (2009). Selective attention, anxiety, depressive symptomatology and academic performance in adolescents.
go back to reference Francis, D., Hudson, J., Kohnen, S., Mobach, L., & McArthur, G. (2021). The effect of an integrated reading and anxiety intervention for poor readers with anxiety. PeerJ, 9, e10987.CrossRefPubMedPubMedCentral Francis, D., Hudson, J., Kohnen, S., Mobach, L., & McArthur, G. (2021). The effect of an integrated reading and anxiety intervention for poor readers with anxiety. PeerJ, 9, e10987.CrossRefPubMedPubMedCentral
go back to reference Francis, D., Jones, A., Nation, K., Hudson, J., & McArthur, G. (2023). The reading anxiety test for children – Self report (RAT-C). Retrieved November 27, 2023, from http://www.motif.org.au Francis, D., Jones, A., Nation, K., Hudson, J., & McArthur, G. (2023). The reading anxiety test for children – Self report (RAT-C). Retrieved November 27, 2023, from http://​www.​motif.​org.​au
go back to reference Funder, D. C., & Ozer, D. J. (2019). Evaluating effect size in psychological research: Sense and nonsense. Advances in Methods and Practices in Psychological Science, 2, 156–168.CrossRef Funder, D. C., & Ozer, D. J. (2019). Evaluating effect size in psychological research: Sense and nonsense. Advances in Methods and Practices in Psychological Science, 2, 156–168.CrossRef
go back to reference Gale, C. K., & Millichamp, J. (2016). Generalised anxiety disorder in children and adolescents. BMJ Clinical Evidence, 2016, 1002.PubMedPubMedCentral Gale, C. K., & Millichamp, J. (2016). Generalised anxiety disorder in children and adolescents. BMJ Clinical Evidence, 2016, 1002.PubMedPubMedCentral
go back to reference Hudson, J. L., Newall, C., Schneider, S. C., & Morris, T. (2014). Assessing child and adolescent internalizing disorders. In E. Sburlati, H. Lyneham, C. Schniering, & R. Rapee (Eds.) Evidence-based CBT for anxiety and depression in children and adolescents (pp. 79–94). Wiley. https://doi.org/10.1002/9781118500576.ch7 Hudson, J. L., Newall, C., Schneider, S. C., & Morris, T. (2014). Assessing child and adolescent internalizing disorders. In E. Sburlati, H. Lyneham, C. Schniering, & R. Rapee (Eds.) Evidence-based CBT for anxiety and depression in children and adolescents (pp. 79–94). Wiley. https://​doi.​org/​10.​1002/​9781118500576.​ch7
go back to reference Klem, M., Melby-Lervåg, M., Hagtvet, B., Lyster, S. A. H., Gustafsson, J. E., & Hulme, C. (2015). Sentence repetition is a measure of children’s language skills rather than working memory limitations. Developmental Science, 18, 146–154.CrossRefPubMed Klem, M., Melby-Lervåg, M., Hagtvet, B., Lyster, S. A. H., Gustafsson, J. E., & Hulme, C. (2015). Sentence repetition is a measure of children’s language skills rather than working memory limitations. Developmental Science, 18, 146–154.CrossRefPubMed
go back to reference Kohnen, S., Nickels, L., Geigis, L., Coltheart, M., McArthur, G., & Castles, A. (2018). Variations within a subtype: Developmental surface dyslexias in English. Cortex, 106, 151–163.CrossRefPubMed Kohnen, S., Nickels, L., Geigis, L., Coltheart, M., McArthur, G., & Castles, A. (2018). Variations within a subtype: Developmental surface dyslexias in English. Cortex, 106, 151–163.CrossRefPubMed
go back to reference Kulkarni, A. A., Chadd, K. E., Lambert, S. B., Earl, G., Longhurst, L. M., McKean, C., ... & Norbury, C. F. (2022). Editorial perspective: Speaking up for developmental language disorder–the top 10 priorities for research. Journal of Child Psychology and Psychiatry, 63, 957–960. Kulkarni, A. A., Chadd, K. E., Lambert, S. B., Earl, G., Longhurst, L. M., McKean, C., ... & Norbury, C. F. (2022). Editorial perspective: Speaking up for developmental language disorder–the top 10 priorities for research. Journal of Child Psychology and Psychiatry63, 957–960.
go back to reference Lewis, K., & Kuhfeld, M. (2022). Progress towards pandemic recovery: Continued signs of rebounding achievement at the start of the 2022–23 school year. NWEA. Lewis, K., & Kuhfeld, M. (2022). Progress towards pandemic recovery: Continued signs of rebounding achievement at the start of the 2022–23 school year. NWEA.
go back to reference Livingston, E. M., Siegel, L. S., & Ribary, U. (2018). Developmental dyslexia: Emotional impact and consequences. Australian Journal of Learning Difficulties, 23(2), 107–135.CrossRef Livingston, E. M., Siegel, L. S., & Ribary, U. (2018). Developmental dyslexia: Emotional impact and consequences. Australian Journal of Learning Difficulties, 23(2), 107–135.CrossRef
go back to reference Macdonald, K. T., Cirino, P. T., Miciak, J., & Grills, A. E. (2021b). The role of reading anxiety among struggling readers in fourth and fifth grade. Reading & writing quarterly, 37(4), 382–394. Macdonald, K. T., Cirino, P. T., Miciak, J., & Grills, A. E. (2021b). The role of reading anxiety among struggling readers in fourth and fifth grade. Reading & writing quarterly, 37(4), 382–394.
go back to reference Mayes, S. D., Calhoun, S. L., Bixler, E. O., Vgontzas, A. N., Mahr, F., Hillwig-Garcia, J., ... & Parvin, M. (2009). ADHD subtypes and comorbid anxiety, depression, and oppositional−defiant disorder: Differences in sleep problems. Journal of Paediatric Psychology, 34, 328−337. https://doi.org/10.1093/jpepsy/jsn083 Mayes, S. D., Calhoun, S. L., Bixler, E. O., Vgontzas, A. N., Mahr, F., Hillwig-Garcia, J., ... & Parvin, M. (2009). ADHD subtypes and comorbid anxiety, depression, and oppositional−defiant disorder: Differences in sleep problems. Journal of Paediatric Psychology34, 328−337. https://​doi.​org/​10.​1093/​jpepsy/​jsn083
go back to reference McArthur, G. (2022). Poor reading and anxiety (PRAX): Building a theory and practice. Australian Journal of Learning Difficulties, 27, 169–180.CrossRef McArthur, G. (2022). Poor reading and anxiety (PRAX): Building a theory and practice. Australian Journal of Learning Difficulties, 27, 169–180.CrossRef
go back to reference McArthur, G., Badcock, N., Castles, A., & Robidoux, S. (2022). Tracking the relations between children’s reading and emotional health across time: Evidence from four large longitudinal studies. Reading Research Quarterly, 57, 555–585. https://doi.org/10.1002/rrq.426CrossRef McArthur, G., Badcock, N., Castles, A., & Robidoux, S. (2022). Tracking the relations between children’s reading and emotional health across time: Evidence from four large longitudinal studies. Reading Research Quarterly, 57, 555–585. https://​doi.​org/​10.​1002/​rrq.​426CrossRef
go back to reference Moll, K., Hulme, C., Nag, S., & Snowling, M. J. (2015). Sentence repetition as a marker of language skills in children with dyslexia. Applied Psycholinguistics, 36, 203–221.CrossRef Moll, K., Hulme, C., Nag, S., & Snowling, M. J. (2015). Sentence repetition as a marker of language skills in children with dyslexia. Applied Psycholinguistics, 36, 203–221.CrossRef
go back to reference Morales-Hidalgo, P., Hernández-Martínez, C., Vera, M., Voltas, N., & Canals, J. (2017). Psychometric properties of the Conners-3 and Conners Early Childhood Indexes in a Spanish school population. International Journal of Clinical and Health Psychology, 17, 85–96.CrossRefPubMed Morales-Hidalgo, P., Hernández-Martínez, C., Vera, M., Voltas, N., & Canals, J. (2017). Psychometric properties of the Conners-3 and Conners Early Childhood Indexes in a Spanish school population. International Journal of Clinical and Health Psychology, 17, 85–96.CrossRefPubMed
go back to reference Neale, M. D. (1999). Neale analysis of reading ability (3rd ed.). Australian Council for Educational. Neale, M. D. (1999). Neale analysis of reading ability (3rd ed.). Australian Council for Educational.
go back to reference Ramirez, G., Fries, L., Gunderson, E., Schaeffer, M. W., Maloney, E. A., Beilock, S. L., & Levine, S. C. (2019). Reading anxiety: An early affective impediment to children’s success in reading. Journal of Cognition and Development, 20, 15–34.CrossRef Ramirez, G., Fries, L., Gunderson, E., Schaeffer, M. W., Maloney, E. A., Beilock, S. L., & Levine, S. C. (2019). Reading anxiety: An early affective impediment to children’s success in reading. Journal of Cognition and Development, 20, 15–34.CrossRef
go back to reference Robidoux, S., Eklund, K., McArthur, G., Francis, D. A., Torppa, M., & Aro, T. (2023). Reading and psychosocial development in Finnish children: Poor reading is associated with later anxiety. psyarxiv.com/p7jrc Robidoux, S., Eklund, K., McArthur, G., Francis, D. A., Torppa, M., & Aro, T. (2023). Reading and psychosocial development in Finnish children: Poor reading is associated with later anxiety. psyarxiv.​com/​p7jrc
go back to reference Rubin, M. (2017). Do p values lose their meaning in exploratory analyses? It depends how you define the familywise error rate. Review of General Psychology, 21, 269–275.CrossRef Rubin, M. (2017). Do p values lose their meaning in exploratory analyses? It depends how you define the familywise error rate. Review of General Psychology, 21, 269–275.CrossRef
go back to reference Rujas, I., Mariscal, S., Murillo, E., & Lázaro, M. (2021). Sentence repetition tasks to detect and prevent language difficulties: A scoping review. Children, 8, 578.CrossRefPubMedPubMedCentral Rujas, I., Mariscal, S., Murillo, E., & Lázaro, M. (2021). Sentence repetition tasks to detect and prevent language difficulties: A scoping review. Children, 8, 578.CrossRefPubMedPubMedCentral
go back to reference Salins, A., McArthur, G., Jones, A., & Robidoux, S. (2023). A longitudinal study of the time course of reading and emotional health development in children with ear and hearing difficulties. Manuscript submitted for publication. Salins, A., McArthur, G., Jones, A., & Robidoux, S. (2023). A longitudinal study of the time course of reading and emotional health development in children with ear and hearing difficulties. Manuscript submitted for publication.
go back to reference Spence, S. H. (1999). Spence Children’s Anxiety Scale (parent version). University of Queensland. Spence, S. H. (1999). Spence Children’s Anxiety Scale (parent version). University of Queensland.
go back to reference UNESCO Institute for Lifelong Learning (2009). A review of LIFE, 2006 – 2009. Literacy initiative for empowerment. Hamburg, Germany: UNESCO. UNESCO Institute for Lifelong Learning (2009). A review of LIFE, 2006 – 2009. Literacy initiative for empowerment. Hamburg, Germany: UNESCO.
go back to reference Vaughn, S., Grills, A. E., Capin, P., Roberts, G., Fall, A. M., & Daniel, J. (2022). Examining the effects of integrating anxiety management instruction within a reading intervention for upper elementary students with reading difficulties. Journal of Learning Disabilities, 55, 408–426.CrossRefPubMed Vaughn, S., Grills, A. E., Capin, P., Roberts, G., Fall, A. M., & Daniel, J. (2022). Examining the effects of integrating anxiety management instruction within a reading intervention for upper elementary students with reading difficulties. Journal of Learning Disabilities, 55, 408–426.CrossRefPubMed
go back to reference Whiteside, S. P., & Brown, A. M. (2008). Exploring the utility of the Spence Children’s Anxiety Scales parent-and child-report forms in a North American sample. Journal of Anxiety Disorders, 22, 1440–1446.CrossRefPubMed Whiteside, S. P., & Brown, A. M. (2008). Exploring the utility of the Spence Children’s Anxiety Scales parent-and child-report forms in a North American sample. Journal of Anxiety Disorders, 22, 1440–1446.CrossRefPubMed
go back to reference Wiig, E. H., Secord, W. A., & Semel, E. (2013). Clinical evaluation of language fundamentals: CELF−5. Pearson. Wiig, E. H., Secord, W. A., & Semel, E. (2013). Clinical evaluation of language fundamentals: CELF−5. Pearson.
go back to reference Willcutt, E. G., Nigg, J. T., Pennington, B. F., Solanto, M. V., Rohde, L. A., Tannock, R., ... & Lahey, B. B. (2012). Validity of DSM−IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology, 121, 991. https://doi.org/10.1037/a0027347 Willcutt, E. G., Nigg, J. T., Pennington, B. F., Solanto, M. V., Rohde, L. A., Tannock, R., ... & Lahey, B. B. (2012). Validity of DSM−IV attention deficit/hyperactivity disorder symptom dimensions and subtypes. Journal of Abnormal Psychology121, 991. https://​doi.​org/​10.​1037/​a0027347
go back to reference Woodcock, R. W. (2011). Woodcock Reading Mastery Tests (3rd ed.). Pearson. Woodcock, R. W. (2011). Woodcock Reading Mastery Tests (3rd ed.). Pearson.
go back to reference Zbornik, J. J., & Wallbrown, F. H. (1991). The development and validation of a scale to measure reading anxiety. Reading Improvement, 28, 2. Zbornik, J. J., & Wallbrown, F. H. (1991). The development and validation of a scale to measure reading anxiety. Reading Improvement, 28, 2.
Metadata
Title
Are comorbidities of poor reading related to elevated anxiety in children?
Authors
Genevieve McArthur
Amy Doust
Erin Banales
Serje Robidoux
Saskia Kohnen
Publication date
22-12-2023
Publisher
Springer US
Keywords
Anxiety
Dyslexia
Published in
Annals of Dyslexia / Issue 1/2024
Print ISSN: 0736-9387
Electronic ISSN: 1934-7243
DOI
https://doi.org/10.1007/s11881-023-00292-6

Other articles of this Issue 1/2024

Annals of Dyslexia 1/2024 Go to the issue