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Attachment Competences in Children With ADHD During the Social-Skills Training and Attachment (SOSTRA) Randomized
Ole Jakob Storebø1, Maria Skoog2, Pernille Darling Rasmussen3
1Child and Adolescent Psychiatric Department, Region Zealand, Holbæk, Denmark Psychiatric Research Unit, Region Zealand, Holbæk, Denmark ojst@regionsjaelland.dk.
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.
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