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PRO Evidence Note

Can Social Skills Training (SST) Improve Peer Relationships in Children with ADHD? — Cochrane 25 RCT Review (2025)

Result: Improvements in social competence and ADHD symptoms were reported, though heterogeneity across studies resulted in wide confidence intervals.

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PRO Summary

How to read this card

Core signal

What: A Cochrane systematic review of 25 RCTs (2,690 participants) examined Social Skills Training (SST) programs that teach social interaction, conversation skills, and emotional recognition.

Evidence scope

Who: Children and adolescents aged 5–18 with ADHD participating in group or individual SST programs.

Use principle

Result: Improvements in social competence and ADHD symptoms were reported, though heterogeneity across studies resulted in wide confidence intervals.

Evidence Reading

What to check when interpreting the evidence

Study typeType: SystematicReview
PopulationPopulation: Children and adolescents aged 5–18 with ADHD (2,690 participants)
EvidenceEvidence: Source (Cochrane CD008223)
UseImprovements in social competence and ADHD symptoms were reported, though heterogeneity across studies resulted in wide confidence intervals.
Consultation Prep

Turn the card into questions before consultation

If your child struggles with peer interactions, ask a specialist about small-group SST programs in your area.

Record this as a question or context point before professional consultation.

Practice conversation skills at home through role-playing and scenario rehearsal.

Record this as a question or context point before professional consultation.

SST programs that include a parent component have shown greater effectiveness.

Record this as a question or context point before professional consultation.

Limits

PRO use principles

Evidence scope

SST program content, duration, and format varied considerably across studies. Evidence for whether skills generalize to everyday peer interactions remains limited.

Hold individual application

Do not transfer group-level findings directly to an individual case without considering family, school, comorbidity, and life context.

Use principle

Disclaimer: This summary is for informational purposes only and does not replace medical diagnosis or treatment. Consult a specialist for SST programs suitable for your child.

Professional consultation

ADHD assessment and support planning should be discussed with a qualified professional.

Scope Note

Notice and limits

SST program content, duration, and format varied considerably across studies. Evidence for whether skills generalize to everyday peer interactions remains limited.

Disclaimer: This summary is for informational purposes only and does not replace medical diagnosis or treatment. Consult a specialist for SST programs suitable for your child.