Comparison of Two Psychosocial Therapies for Treating Children With Oppositional-Defiant Disorder
- Conditions
- Oppositional-Defiant Disorder
- Interventions
- Behavioral: Collaborative problem solving (CPS)Behavioral: Parent management training (PMT)Behavioral: Waitlist control
- Registration Number
- NCT00510120
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 Collaborative problem solving (CPS) Participants will receive collaborative problem solving. 2 Parent management training (PMT) Participants will receive parent management training. 3 Waitlist control Participants assigned to waitlist control will receive one of the two treatments after a 10-weeks waitlist period.
- Primary Outcome Measures
Name Time Method ODD, conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) using a Diagnostic Interview Schedule for Children Measured at Year 1 follow-up visit Disruptive Behavior Disorders Rating Scale Measured at Year 1 follow-up visit
- Secondary Outcome Measures
Name Time Method Behavior Assessment System for Children Measured at Year 1 follow-up visit Parent Satisfaction Questionnaire: Parental satisfaction with the treatment approach and the strategies they use to discipline their children in terms of both difficulty and usefulness Measured at Weeks 4 and 7, immediately post-treatment, and Year 1 follow-up visit
Trial Locations
- Locations (1)
Child Study Center
🇺🇸Blacksburg, Virginia, United States