- The authors of this Cochrane review could not find evidence to support or refute the benefits of social skills training for children ages 5-18 years with ADHD.
- They say that the evidence base for adolescents is “especially weak.”
Why this matters
- The review updates a previous version , adding 14 new studies but not changing the conclusions.
- Pharmacological treatment does not usually resolve social skills issues associated with ADHD, leading to a search for behavioral therapies that might be effective.
- In 17 of 25 randomized trials, most participants had other diagnoses in addition to ADHD.
- The trainings used were described in different ways (e.g., life skills, social skills, cognitive behavioral therapy).
- Bias risk was high in more than half of the trials.
- Most did not address group differences in medications for accompanying conditions.
- Certainty of evidence was determined to be low or very low.
- No measures emerged as showing a clinically relevant treatment effect.
- The authors also found no reports of serious adverse events.
- A Cochrane review of 25 randomized trials represented in 45 publications and involving 2690 children with ADHD, ages 5-17 years.
- Funding: University of Southern Denmark, others.
- Trials were small, prone to selection bias.