Reading problems, psychiatric disorders, and functional impairment from mid- to late adolescence

David B. Goldston, Adam Walsh, Elizabeth Mayfield Arnold, Beth Reboussin, Stephanie Sergent Daniel, Alaattin Erkanli, Dennis Nutter, Enith Hickman, Guy Palmes, Erica Snider, Frank B. Wood

Research output: Contribution to journalArticlepeer-review

102 Scopus citations


OBJECTIVE: To examine psychiatric morbidity and functional impairment of adolescents with and without poor reading skills during mid- to late adolescence. METHOD: The sample consisted of 188 adolescents, 94 with poor reading skills and 94 with typical reading skills, screened from a larger sample in the public schools at age 15. To assess psychiatric disorders, participants were assessed annually with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic Version (up to 4.5 years; maximum age, 20 years). Functional impairment was assessed with the Child and Adolescent Functional Assessment Scale. RESULTS: Adolescents with poor reading skills evidenced higher rates of current attention-deficit/hyperactivity, affective, and anxiety disorders, particularly social phobia and generalized anxiety disorder. Anxiety disorders but not affective disorders were related to reading status after controlling for attention-deficit/hyperactivity disorder. Adolescents with poor reading evidenced more functional impairment across multiple areas than youths with typical reading skills, even after considering the presence of comorbid attention-deficit/hyperactivity disorder. CONCLUSIONS: The increased psychiatric morbidity and functional impairment of adolescents with reading problems highlight the importance of developing interventions that help these youths address reading deficits and associated vulnerabilities during the last years of secondary school. Copyright 2007

Original languageEnglish (US)
Pages (from-to)25-32
Number of pages8
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Issue number1
StatePublished - Jan 2007
Externally publishedYes


  • Functional impairment
  • Longitudinal
  • Psychiatric morbidity
  • Reading

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health


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