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New research highlights what helps children with mild intellectual difficulties thrive

27 November 2025

New research involving more than fifteen thousand children across the UK has shed light on what helps young people with mild intellectual difficulties (MID) to thrive.

Children with MID are known to be at increased risk of mental health difficulties, behavioural challenges, and lower educational attainment. However, this new study challenges the assumption that these outcomes are inevitable. Researchers from the Wolfson Centre for Young People’s Mental Health found that around one third of children with MID showed positive emotional wellbeing, behaviour and educational outcomes by late adolescence.

The study analysed data from two major UK birth cohorts – the Avon Longitudinal Study of Parents and Children (ALSPAC) and the Millennium Cohort Study (MCS) – and explored a wide range of factors across childhood and adolescence, including family circumstances, school experiences, physical activity, and peer relationships. Although only around four per cent of children in each cohort had MID, there was notable variation in how they progressed over time.

A key finding was that children with MID typically had access to fewer protective factors than their peers. They were less likely to be physically active, enjoy school, come from socioeconomically advantaged families, or have high-quality peer relationships. They were also more likely to experience bullying. Yet when protective factors were present, they were just as beneficial for children with MID as for other young people.

Of all the factors examined, positive peer relationships stood out as the strongest predictor of good emotional and behavioural outcomes. This is especially important given that between 40 and 50 per cent of children with MID in the study reported being bullied, and they were three times more likely to lack close friendships.

The research also found that protective factors had a cumulative effect. Children with MID who had six or more protective factors were much more likely to demonstrate positive outcomes compared with those who had fewer than three. This pattern was consistent across both cohorts, strengthening confidence in the findings.

Foteini Tseliou
"The results highlight that poor outcomes are not fixed or unavoidable. Instead, they suggest that strength-based and multi-faceted approaches may offer the greatest benefit."
Dr Foteini Tseliou Research Associate, Division of Psychological Medicine and Clinical Neurosciences

Supporting children across individual, family, school, and social domains – with particular attention to fostering inclusive peer environments – could have a meaningful impact on wellbeing and development.

This work adds to a growing evidence base on how best to support children with cognitive and learning needs and reinforces the importance of early and co-ordinated intervention across sectors.

The paper  “Factors associated with better emotional, behavioural and educational outcomes in children with mild intellectual difficulties” is published in the Journal of Child Psychology and Psychiatry and available to view online.