“…As in NLD, so too in RD research has identified a higher risk of internalizing problems (Maughan & Carroll, 2006), although externalizing disorders, such as ADHD, seem to be the most frequently observed comorbidities (Carroll, Maughan, Goodman, & Meltzer, 2005; Willcutt & Pennington, 2000). Symptoms of anxiety and depression have been reported (Dahle, Knivsberg, & Andreassen, 2011; Stringer & Heath, 2006), consistent with ICD-10 (World Health Organization, 1992), which describes emotional problems, low self-esteem, and problems with peer relationships as being features commonly associated with RD. To give an example, an epidemiological study in the United Kingdom (Carroll et al, 2005) found that 9.9% of children with RD had a comorbid anxiety disorder, indicating a significantly higher prevalence than among children with no literacy difficulties (3.9%).…”