Kids with attention-deficit hyperactivity disorder are more likely to have writing problems such as poor spelling and grammar than their peers, suggests a new study. And the difference may be especially conspicuous in girls with ADHD.

Reading and math problems often raise red flags for teachers and parents, but “written-language disorder is kind of overlooked,” said study author Dr. Slavica Katusic, from the Mayo Clinic in Rochester, Minnesota.

Writing “is a critical skill for academic success, social and behavioral well-being,” she added. And if writing problems aren’t noticed early on and addressed in kids with ADHD, they can suffer long into adulthood, Katusic told Reuters Health.

According to the Centers for Disease Control and Prevention, close to 10 percent of kids ages four to 17 in the U.S. have ever been diagnosed with ADHD — a number that has been on the rise in recent years.

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