title: Attachment Competences in Children With ADHD During the Social-Skills Training and Attachment (SOSTRA) Randomized Clinical Trial.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Child and Adolescent Psychiatric Department, Region Zealand, Holbæk, Denmark Psychiatric Research Unit, Region Zealand, Holbæk, Denmark ojst@regionsjaelland.dk.
authors.forename: Ole Jakob
authors.initials: OJ
authors.lastname: Storebø
authors.affiliation: Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Denmark.
authors.forename: Maria
authors.initials: M
authors.lastname: Skoog
authors.affiliation: Child and Adolescent Psychiatric Department, Region Zealand, Holbæk, Denmark.
authors.forename: Pernille Darling
authors.initials: PD
authors.lastname: Rasmussen
authors.affiliation: Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Denmark.
authors.forename: Per
authors.initials: P
authors.lastname: Winkel
authors.affiliation: Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Denmark.
authors.forename: Christian
authors.initials: C
authors.lastname: Gluud
authors.affiliation: Child and Adolescent Psychiatric Department, Region Zealand, Holbæk, Denmark.
authors.forename: Jesper
authors.initials: J
authors.lastname: Pedersen
authors.affiliation: Research Centre, Psychiatric Hospital for Children and Adolescents, Aarhus, Denmark.
authors.forename: Per Hove
authors.initials: PH
authors.lastname: Thomsen
authors.affiliation: Psychiatric Research Unit, Region Zealand, Holbæk, Denmark.
authors.forename: Erik
authors.initials: E
authors.lastname: Simonsen
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009769:Object Attachment; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000193:education*; D066107:Social Skills
keywords: SOSTRA trial; attachment competences; attention-deficit/hyperactivity disorder