注意缺陷多动障碍儿童在社交技能训练与依恋（SOSTRA）随机临床试验中的依恋能力
Attachment Competences in Children With ADHD During the Social-Skills Training and Attachment (SOSTRA) Randomized Clinical Trial.
作者信息
Storebø Ole Jakob, Skoog Maria, Rasmussen Pernille Darling, Winkel Per, Gluud Christian, Pedersen Jesper, Thomsen Per Hove, Simonsen Erik
机构信息
Child and Adolescent Psychiatric Department, Region Zealand, Holbæk, Denmark Psychiatric Research Unit, Region Zealand, Holbæk, Denmark
Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Denmark.
出版信息
J Atten Disord. 2015 Oct;19(10):865-71. doi: 10.1177/1087054713520220. Epub 2014 Feb 14.
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.
目的
通过儿童依恋能力来研究社交技能训练和家长培训项目对多动症儿童的影响。
方法
SOSTRA试验是一项随机、平行组、结果评估者盲法的优效性试验，评估8周社交技能训练和家长培训加标准治疗与单独标准治疗对8至12岁多动症儿童的效果。
结果
实验组（n = 25）和对照组（n = 22）在6个月时的依恋能力无显著差异（优势比 = 1.06，95%置信区间 = [0.31, 3.58]，p = 0.91）。总共有17名儿童（36%）改变了其初始状态，1名（2%）从安全依恋变为不安全依恋，而16名（34%）从不安全依恋变为安全依恋。
结论
与单独的标准治疗相比，实验性治疗似乎不影响依恋能力。在SOSTRA试验中的儿童在6个月随访时其依恋能力有显著改善。
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