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Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
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Oppositional Defiant Disorder

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Related Experiment Video

Updated: Jun 25, 2026

Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol
13:09

Using Brain Activation (nir-HEG/Q-EEG) and Execution Measures (CPTs) in a ADHD Assessment Protocol

Published on: April 1, 2018

Attention-deficit hyperactivity disorder (ADHD) and birth order.

Itai Berger1, Noorit Felsenthal-Berger

  • 1Neuro-Pediatric Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. itberg@hadassah.org.il

Journal of Child Neurology
|February 13, 2009
PubMed
Summary

Birth order does not influence the likelihood of developing attention-deficit hyperactivity disorder (ADHD). This study found no significant differences in ADHD diagnosis rates among firstborn, middle, or later-born children.

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Area of Science:

  • Child Development
  • Neurodevelopmental Disorders
  • Behavioral Pediatrics

Background:

  • Birth order is a significant environmental factor impacting child development, influencing cognitive and behavioral traits.
  • Attention-deficit hyperactivity disorder (ADHD) is the most prevalent neuro-behavioral disorder in childhood.

Purpose of the Study:

  • To investigate the relationship between birth order and the diagnosis of attention-deficit hyperactivity disorder (ADHD).

Main Methods:

  • The study analyzed the birth order of 598 children aged 6 to 18 years diagnosed with ADHD.
  • The cohort included a substantial proportion of participants from larger families (47.1% from families with over 4 children).

Main Results:

  • No statistically significant differences in birth order were observed among the children diagnosed with ADHD.
  • The likelihood of ADHD diagnosis was found to be consistent across firstborn, middle-born, later-born, and single children.

Conclusions:

  • Birth order does not appear to be a determining factor in the development of attention-deficit hyperactivity disorder.
  • This research suggests that environmental influences of birth order have no discernible effect on ADHD prevalence.