Attachment Competences in Children With ADHD During the Social-Skills Training and Attachment (SOSTRA) Randomized Clinical Trial

J Atten Disord. 2015 Oct;19(10):865-71. doi: 10.1177/1087054713520220. Epub 2014 Feb 14.

Abstract

Objective: To investigate the effects of social-skills training and a parental training program on children with ADHD as measured by the children's attachment competences.

Method: The SOSTRA trial is a randomized, parallel-group, outcome-assessor-blinded, superiority trial evaluating 8 weeks social-skills training and parental training plus standard treatment versus standard treatment alone for 8- to 12-year old children with ADHD.

Results: There were no significant differences in attachment competences at 6 months between the experimental (n = 25) and the control (n = 22) groups (odds ratio = 1.06, 95% confidence interval = [0.31, 3.58], p = .91). In total, 17 children (36%) changed their entry status, 1 (2%) from secure to insecure attachment, while 16 (34%) changed from insecure to secure attachment.

Conclusion: The experimental treatment does not seem to affect attachment competences compared with standard treatment alone. Children in the SOSTRA trial improved their attachment competences significantly at 6-month follow-up.

Keywords: SOSTRA trial; attachment competences; attention-deficit/hyperactivity disorder.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Behavior Therapy / methods*
  • Child
  • Female
  • Humans
  • Interpersonal Relations
  • Male
  • Object Attachment*
  • Outcome Assessment, Health Care
  • Parents / education*
  • Social Skills*