TREATED AS A BACKGROUND CONCERN: A CRITICAL REVIEW OF TEACHER–STUDENT RELATIONSHIPS AS A BIDIRECTIONAL MEDIATOR OF ADHD OUTCOMES IN PRIMARY CLASSROOMS

Mark Stuart McInnes

Abstract


This critique examines ten recent studies on teacher–student relationships (TSR) in the context of attention-deficit/hyperactivity disorder (ADHD) in primary school classrooms, addressing the extent to which the literature accounts for TSR's simultaneous influence on student outcomes and teacher wellbeing. While the reviewed research consistently establishes that TSR quality predicts academic, behavioural and emotional outcomes for students with ADHD, most studies treat teacher wellbeing as an explanatory background variable rather than a co-equal concern. Only a minority of articles, notably DeShazer et al. (2023), Aldabbagh et al. (2024a, 2024b) and Tavlin et al. (2025), frame teacher stress and burnout as outcomes in their own right. The critique further identifies a theoretical gap: although several studies gesture toward a bidirectional, cyclical relationship between ADHD behaviour and teacher stress, none model this cycle as a unified system. These findings expose a disconnect between strong outcome evidence and limited practice-based evidence for building sustainable TSR.

Keywords


teacher–student relationships; ADHD; teacher wellbeing; inclusive education; classroom behaviour management

Full Text:

PDF

References


Aldabbagh, R., Daley, D., Sayal, K., & Glazebrook, C. (2024a). Exploring the unmet needs of teachers of young children with ADHD symptoms: A qualitative study. Children, 11(9), 1053. https://doi.org/https://doi.org/10.3390/children11091053

Aldabbagh, R., Glazebrook, C., Sayal, K., & Daley, D. (2024b). Systematic review and meta-analysis of the effectiveness of teacher-delivered interventions for externalizing behaviors. Journal of Behavioral Education, 33(2), 233-274. https://doi.org/10.1007/s10864-022-09491-4

American Psychiatric Association. (2022). Neurodevelopmental disorders. In Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787.x01_Neurodevelopmental_Disorders

Aspelin, J., & Jonsson, A. (2019). Relational competence in teacher education. Concept analysis and report from a pilot study. Teacher Development, 23(2), 264–283. https://doi.org/10.1080/13664530.2019.1570323

Ayano, G., Demelash, S., Gizachew, Y., Tsegay, L., & Alati, R. (2023). The global prevalence of attention deficit hyperactivity disorder in children and adolescents: An umbrella review of meta-analyses. Journal of Affective Disorders, 339, 860-866. https://doi.org/https://doi.org/10.1016/j.jad.2023.07.071

Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. Basic Books. Retrieved from https://books.google.ro/books/about/Attachment_and_Loss.html?id=1h89j7-Oe5kC&redir_esc=y

Bronfenbrenner, U., & Ceci, S. J. (1994). Nature-nurture reconceptualized in developmental perspective: A bioecological model. Psychological Review, 101(4), 568–586. https://doi.org/10.1037/0033-295X.101.4.568

Davidovitch, M., Koren, G., Fund, N., Shrem, M., & Porath, A. (2017). Challenges in defining the rates of ADHD diagnosis and treatment: trends over the last decade. BMC Pediatrics, 17. https://doi.org/https://doi.org/10.1186/s12887-017-0971-0

Department of Education. (2026). Student behaviour in public schools policy (Version 3.0). https://www.education.wa.edu.au/web/policies/-/student-behaviour-in-public-schools-policy

Department of Education. (n.d.). Equity and inclusion charter. Government of Western Australia, Department of Education. https://www.education.wa.edu.au/dl/x1p863d

DeShazer, M. R., Owens, J. S., & Himawan, L. K. (2023). Understanding Factors that Moderate the Relationship Between Student ADHD Behaviors and Teacher Stress. School Mental Health, 15(3), 722-736. https://doi.org/https://doi.org/10.1007/s12310-023-09586-x

Ewe, L. P. (2019). ADHD symptoms and the teacher–student relationship: a systematic literature review. Emotional and Behavioural Difficulties, 24(2), 136-155. https://doi.org/10.1080/13632752.2019.1597562

Ewe, L. P., & Aspelin, J. (2022). Relational competence regarding students with ADHD – An intervention study with in-service teachers. European Journal of Special Needs Education, 37(2), 293-308. https://doi.org/10.1080/08856257.2021.1872999

Fredricks, J. A., Blumenfeld, P. C., & Paris, A. H. (2004). School Engagement: Potential of the Concept, State of the Evidence. Review of Educational Research, 74(1), 59–109. https://doi.org/10.3102/00346543074001059

Graham, L. J. (n.d.). Inclusive education in the 21st century. In Inclusive education for the 21st century: theory, policy and practice / (pp. 3–26). Routledge, Taylor & Francis Group. https://doi.org/10.4324/9781003116073-2

Herman, K. C., Prewett, S. L., Eddy, C. L., Savala, A., & Reinke, W. M. (2020). Profiles of middle school teacher stress and coping: Concurrent and prospective correlates. Journal of School Psychology, 78, 54–68. https://doi.org/10.1016/j.jsp.2019.11.003

Kincade, L., Cook, C., & Goerdt, A. (2020). Meta-Analysis and Common Practice Elements of Universal Approaches to Improving Student-Teacher Relationships. Review of Educational Research, 90(5), 710–748. https://doi.org/10.3102/0034654320946836

Lazarus, R. S., & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1(3), 141–169. https://doi.org/10.1002/per.2410010304

MacLean, J., Krause, A., & Rogers, M. A. (2023). The student-teacher relationship and ADHD symptomatology: A meta-analysis. Journal of School Psychology, 99, 101217. https://doi.org/10.1016/j.jsp.2023.04.007

Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 8(5), 336–341. https://doi.org/10.1016/j.ijsu.2010.02.007

Olivier, E., & Archambault, I. (2017). Hyperactivity, inattention, and student engagement: The protective role of relationships with teachers and peers. Learning and Individual Differences, 59, 86-95. https://doi.org/https://doi.org/10.1016/j.lindif.2017.09.007

Rogers, M., Bélanger-Lejars, V., Toste, J. R., & Heath, N. L. (2015). Mismatched: ADHD symptomatology and the teacher–student relationship. Emotional and Behavioural Difficulties, 20(4), 333-348. https://doi.org/10.1080/13632752.2014.972039

Roorda, D. L., Koomen, H. M. Y., Spilt, J. L., & Oort, F. J. (2011). The Influence of Affective Teacher–Student Relationships on Students’ School Engagement and Achievement. Review of Educational Research, 81(4), 493–529. https://doi.org/10.3102/0034654311421793

Rushton, S., Giallo, R., & Efron, D. (2020). ADHD and emotional engagement with school in the primary years: Investigating the role of student–teacher relationships. British Journal of Educational Psychology, 90(S1), 193-209. https://doi.org/https://doi.org/10.1111/bjep.12316

Soler-Gutiérrez, AM., Pérez-González. JC., & Mayas. J. (2023) Evidence of emotion dysregulation as a core symptom of adult ADHD: A systematic review. PLOS ONE 18(1). https://doi.org/10.1371/journal.pone.0280131

Tavlin, S., Ariol, M., & Lawson, G. M. (2025). Strengthening relationships with students with ADHD symptomology: A qualitative study about teacher perspectives. Teach Teach Educ, 153. https://doi.org/10.1016/j.tate.2024.104820

Toste, J. R., Bloom, E. L., & Heath, N. L. (2014). Classroom working alliance and student well-being: A conceptual model. Educational Psychology, 34(2), 215–225.

Wiener, J., & Daniels, L. (2016). School experiences of adolescents with attention deficit/hyperactivity disorder. Journal of Learning Disabilities, 49(6), 567-581. https://doi.org/10.1177/0022219415576973




DOI: http://dx.doi.org/10.46827/ejse.v12i7.6997

Copyright © 2015 - 2026. European Journal of Special Education Research (ISSN 2501 - 2428) is a registered trademark of Open Access Publishing GroupAll rights reserved.

This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms.

All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).