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社会技能和亲子培训联合标准治疗与 ADHD 患儿的标准治疗比较:SOSTRA 随机试验。

Social-skills and parental training plus standard treatment versus standard treatment for children with ADHD--the randomised SOSTRA trial.

机构信息

Child Psychiatric Clinic, Child and Adolescent Psychiatric Department, Region Zealand, Denmark.

出版信息

PLoS One. 2012;7(6):e37280. doi: 10.1371/journal.pone.0037280. Epub 2012 Jun 20.

Abstract

OBJECTIVE

To investigate the effects of social-skills training and parental training programme for children with attention deficit hyperactivity disorder (ADHD).

METHODS

We conducted a randomized two-armed, parallel group, assessor-blinded superiority trial consisting of social-skills training plus parental training and standard treatment versus standard treatment alone. A sample size calculation showed at least 52 children should be included for the trial with follow up three and six months after randomization. The primary outcome measure was ADHD symptoms and secondary outcomes were social skills and emotional competences. RESULTS 56: children (39 boys, 17 girls, mean age 10.4 years, SD 1.31) with ADHD were randomized, 28 to the experimental group and 27 to the control group. Mixed-model analyses with repeated measures showed that the time course (y  =  a + bt + ct(2)) of ADHD symptoms (p = 0.40), social skills (p = 0.80), and emotional competences (p = 0.14) were not significantly influenced by the intervention.

CONCLUSIONS

Social skills training plus parental training did not show any significant benefit for children with attention deficit hyperactivity disorder when compared with standard treatment. More and larger randomized trials are needed.

TRIAL REGISTRATION

ClinicalTrials.gov NCT00937469.

摘要

目的

研究社交技能训练和父母培训计划对注意缺陷多动障碍(ADHD)儿童的影响。

方法

我们进行了一项随机两臂、平行组、评估者盲法优势试验,包括社交技能训练加父母培训和标准治疗与单独标准治疗。样本量计算表明,该试验应至少纳入 52 名儿童,随机分组后随访 3 个月和 6 个月。主要结局测量是 ADHD 症状,次要结局是社交技能和情绪能力。

结果

共随机分配 56 名儿童(39 名男孩,17 名女孩,平均年龄 10.4 岁,标准差 1.31)患有 ADHD,28 名分配到实验组,27 名分配到对照组。混合模型分析显示,ADHD 症状(p = 0.40)、社交技能(p = 0.80)和情绪能力(p = 0.14)的时间过程(y = a + bt + ct(2))不受干预的显著影响。

结论

与标准治疗相比,社交技能训练加父母培训对注意缺陷多动障碍儿童没有显示出任何显著益处。需要更多和更大规模的随机试验。

试验注册

ClinicalTrials.gov NCT00937469。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c553/3380035/ba9a765dd76e/pone.0037280.g001.jpg

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