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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
Insights
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.
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.
Abstract:
Birth order is considered one of the most influential environmental factors in child development, affecting cognitive abilities and behavioral traits. This study investigates the effect of birth order in relation to attention-deficit hyperactivity disorder (ADHD), the most common neuro-behavioral disorder of childhood. The study describes birth order of 598 children aged 6 to 18 years diagnosed due to attention-deficit hyperactivity disorder. The cohort contains relatively large size families because 47.1% of the participants were born in families of more than 4 children. The results show no statistically significant differences in birth order of children among all families. We conclude that the chances of first, middle, or later born children, as well as single children, to suffer from attention-deficit hyperactivity disorder are almost equal. This study provides evidence that birth order has no effect in relation to attention-deficit hyperactivity disorder.
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