Morris Sarah, Sheen Jade, Ling Mathew, Foley Denise, Sciberras Emma
Deakin University, School of Psychology, Geelong, Victoria, Australia.
Murdoch Children's Research Institute, Parkville, Victoria, Australia.
J Atten Disord. 2021 Aug;25(10):1479-1496. doi: 10.1177/1087054720906514. Epub 2020 Mar 5.
Peer social functioning difficulties characteristic of ADHD persist into adolescence, but the efficacy of interventions for this age group remains unclear. A systematic search of nonpharmacological interventions for adolescents with ADHD (10-18 years) identified 11 trials addressing social functioning, of which eight were included in meta-analyses. Random effects meta-analyses of four randomized trials found no differences in social functioning between treatment and control groups by parent- ( -0.08 [-0.34, 0.19], = 4, = 354) or teacher-report ( = 0.17 [-0.06, 0.40], = 3, = 301). Meta-analyses of nonrandomized studies indicated participants' social functioning improved from baseline to postintervention by parent-report, but not teacher- or self-report. All trials had a high risk of bias. These results highlight the paucity of research in this age group. There is little evidence that current interventions improve peer social functioning. Clearer conceptualizations of developmentally relevant targets for remediation may yield more efficacious social interventions.
注意缺陷多动障碍（ADHD）所特有的同伴社交功能障碍会持续到青少年期，但针对该年龄组干预措施的疗效仍不明确。一项针对患有ADHD的青少年（10 - 18岁）非药物干预措施的系统检索，确定了11项针对社交功能的试验，其中8项纳入了荟萃分析。四项随机试验的随机效应荟萃分析发现，在家长报告（标准化均数差SMD = -0.08 [-0.34, 0.19]，k = 4，N = 354）或教师报告（SMD = 0.17 [-0.06, 0.40]，k = 3，N = 301）方面，治疗组和对照组在社交功能上没有差异。非随机研究的荟萃分析表明，根据家长报告，参与者的社交功能从基线到干预后有所改善，但教师报告或自我报告则不然。所有试验都有很高的偏倚风险。这些结果凸显了该年龄组研究的匮乏。几乎没有证据表明当前的干预措施能改善同伴社交功能。对与发育相关的补救目标进行更清晰的概念化，可能会产生更有效的社交干预措施。
