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

Related Clinical Trial
Monitoring of Sleep and Behavior of Children 3-7 Years Old Receiving Parent-Child Interaction Therapy With the Help of Artificial Intelligence Symptoms and Mechanisms of Child Psychiatric Disorders Transdiagnostic, Cognitive and Behavioral Intervention for in School-aged Children With Emotional and Behavioral Disturbances Randomized Feasibility Trial of Mind My Mind Metabolic Effects of Antipsychotics in Children Trial to Assess the Pharmacokinetics, Safety, Tolerability of Oral Brexpiprazole in Children (6 to Collaborative Care for Children’s Mental Health Problems Manville Moves: an Exercise Intervention for Behavioral Regulation Among Children With Behavioral Health Challenges Addressing Depression and Positive Parenting Techniques (ADAPT) Child and Family Outcomes and Consumer Satisfaction for Online vs Staff-Delivered Parenting Intervention Phone-Delivered Psychological Intervention (t-CETA) for Mental Health Problems in 8-17 Year-Old Syrian Refugee Children Mindful Parenting and Parent Training Program Study Intuniv vs Placebo in the Treatment of Childhood Intermittent Explosive Disorder Enhanced Support for Behavioral Barriers to Learning: An Evaluation of the SCHOOL STARS Program Medication Strategies for Treating Aggressive Behavior in Youth With Attention Deficit Hyperactivity Disorder Correlating Real and Virtual World Behavioral Fluctuations in Adolescence Evaluating an Online Parenting Support System Disseminated by Pediatric Practices Study of Cognition and Control in Youths Treatment of Conduct Problems and Depression The Effectiveness of Parent-Child Interaction Therapy (PCIT) School-Based Mental Health Services for Urban Children A Study of the Safety and Effectiveness of Risperidone for the Treatment of Conduct Disorder and Other Disruptive Behavior Disorders in Children Ages 5 to 12 With Mild, Moderate, or Borderline Mental Retardation Investigation of Psychophysiological Response to Aversive Stimuli Over Time With Omega-3 Investigation of Psychophysiological Correlation of Aggression and Response to Aversive Stimuli Behavioral Sleep Intervention in Children With Disruptive Behaviors Arousal-Biofeedback for the Treatment of Aggressive Behavior in Children and Adolescents Strongest Families Ontario (Formerly the Family Help Program) On-line Treatment for Conduct Problems Behavioral Treatment for Children With Conduct Problems and Callous-Unemotional Traits A Study of the Safety and Effectiveness of Risperidone Versus Placebo for the Treatment of Conduct Disorder in Children With Mild, Moderate, or Borderline Mental Retardation Supplements and Social Skills Intervention Study Evaluating the Feasibility of Internet-delivered PCIT Resources to Enhance the Adjustment of Children (REACH) Ziprasidone for Severe Conduct and Other Disruptive Behavior Disorders Treatment of Children With Peer Related Aggressive Behavior (ScouT) Prevention of Oppositional Defiant and Conduct Disorders in Preschool Children Preschool First Step to Success: An Efficacy Replication Study Home Based Treatment for Drug Use in Early Adolescents Methylphenidate vs. Risperidone for the Treatment of Children and Adolescents With ADHD and Disruptive Disorders Mindfulness-based Program for Children With Disruptive Behavior Disorder Guided Self-Help for Parents of Children With Externalizing Problem Behavior Randomized Controlled Trial of Comet Via the Internet or in Group Format. An Italian Study of the Efficacy of Atomoxetine in the Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder (ADHD) and Comorbid Oppositional Defiant Disorder (ODD). Comparison of Atomoxetine Versus Placebo in Children and Adolescents With ADHD and Comorbid ODD in Germany Comparison of Two Psychosocial Therapies for Treating Children With Oppositional-Defiant Disorder Evaluation of Regulation Focused Psychotherapy for Children Comparison of Atomoxetine and Placebo in Children and Adolescents With ADHD and ODD Parent Training and Emotion Coaching for Children With Limited Prosocial Emotions Multi-Family Group Therapy for Reducing Behavioral Difficulties in Youth Treatment of Children With Peer Related Aggressive Behavior

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


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


Oppositional-Defiant Disorder


Parent management training (PMT)

Study Arms / Comparison Groups

Description:  Participants will receive collaborative problem solving.


* 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


Estimated Enrollment


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




8 Years - 14 Years

Accepts Healthy Volunteers



Thomas H. Ollendick, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations



Organization ID


Secondary IDs


Responsible Party

Principal Investigator

Study Sponsor

Virginia Polytechnic Institute and State University


 National Institute of Mental Health (NIMH)

Study Sponsor

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

Verification Date

June 2013