Comparison of Two Psychosocial Therapies for Treating Children With Oppositional-Defiant Disorder

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Brief Title

Comparison of Two Psychosocial Therapies for Treating Children With Oppositional-Defiant Disorder

Official Title

Mediators, Moderators, and Treatment Outcomes With ODD Youth

Brief Summary

      This study will evaluate the effectiveness of two different psychosocial therapies, parent
      management training and collaborative problem solving, in treating children with
      oppositional-defiant disorder.
    

Detailed Description

      Oppositional-defiant disorder (ODD) is characterized by a recurrent pattern of
      developmentally inappropriate levels of negative, defiant, disobedient, and hostile behavior
      toward authority figures. Behaviors associated with ODD include temper tantrums; persistent
      stubbornness; resistance to directions; unwillingness to compromise, give in, or negotiate;
      deliberate or persistent testing of limits; and verbal and minor physical aggression. The
      usual treatment approach for children with ODD is parent management training (PMT). PMT
      primarily involves teaching parents strategies to respond consistently and correctly to their
      child's behavior. However, PMT does not always lead to longstanding results and there is a
      need for alternative treatments. Collaborative problem-solving (CPS) is a treatment approach
      that involves both the parent and child by teaching parents to help their child control their
      emotions and to problem-solve as a family. This study will compare the effectiveness of CPS
      and PMT in treating children with ODD.

      Participants in this open-label study will include children with ODD and their parents.
      Participants will be randomly assigned to one of three groups: CPS, PMT, or waitlist control.
      Parents assigned to the CPS group will be taught strategies to help their child identify and
      regulate emotions and to solve behavior problems together as a family. Parents assigned to
      the PMT group will be taught how to respond consistently and appropriately to their child's
      positive and negative behaviors. Participants assigned to the waitlist control condition
      group will wait 10 weeks before treatment begins. Participants will attend a 1-hour treatment
      session each week for 10 weeks. In order to determine whether treatment is effective,
      participants will be asked to complete a variety of questionnaires, talk with their child
      about solving problems, and complete a structure diagnostic interview prior to the beginning
      of treatment, following treatment, and at a 1-year follow-up session. Parents will be asked
      to submit their child's school grades and school attendance records. If granted permission by
      the parents, the child's teacher will complete a questionnaire regarding the child's behavior
      in school for the year prior to participating in the study and up to 1 year after treatment.
      The information collected will help to determine how treatment affects each child's progress.
    


Study Type

Interventional


Primary Outcome

ODD, conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) using a Diagnostic Interview Schedule for Children

Secondary Outcome

 Behavior Assessment System for Children

Condition

Oppositional-Defiant Disorder

Intervention

Parent management training (PMT)

Study Arms / Comparison Groups

 1
Description:  Participants will receive collaborative problem solving.

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Behavioral

Estimated Enrollment

150

Start Date

June 2007

Completion Date

August 2012

Primary Completion Date

August 2012

Eligibility Criteria

        Inclusion Criteria for Children:

          -  Meets DSM-IV criteria for oppositional-defiant disorder

          -  Parent or guardian willing to provide informed consent

        Exclusion Criteria for Children:

          -  History or current diagnosis of CD, autism, pervasive developmental disorders (PDD),
             or any psychotic disorder

          -  An estimated Full Scale IQ below 80

          -  Current suicidal or homicidal ideation
      

Gender

All

Ages

8 Years - 14 Years

Accepts Healthy Volunteers

No

Contacts

Thomas H. Ollendick, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT00510120

Organization ID

R01MH076141

Secondary IDs

R01MH076141

Responsible Party

Principal Investigator

Study Sponsor

Virginia Polytechnic Institute and State University

Collaborators

 National Institute of Mental Health (NIMH)

Study Sponsor

Thomas H. Ollendick, PhD, Principal Investigator, Department of Psychology, Virginia Tech


Verification Date

June 2013