None listed
Conditions
Brief summary
This study aims to examine the effectiveness of a therapist assisted CD-ROM based intervention for children and adolescents with aggressive behaviour, and compare it to treatment as usual. The CD-ROM called “Face Your Problems” is already developed and in occasional use. The participants will be 60 children between the ages of 7 and 14 years who present to Mater Child and Youth Mental Health and Child and Youth Mental Health, Children's Health Service District, Queensland Health community clinics for the treatment of aggressive behaviours. Treatment will last between 10-13 sessions and consist of teaching strategies to reduce anger and come up with better solutions to problematic social situations.
Interventions
The CD-ROM treatment entitled Face Your Problems involves a cognitive-behavioural treatment for reducing aggression in children over approximately 10-13 sessions (one per week of approximately 50 minutes duration) with a qualified therapist. The number of sessions will be addressed on a case-by-case basis by the therapist, with as many sessions as needed to achieve the session goals (i.e. parts of the session may be repeated if needed). The first two to three appointments will guide the child th
The CD-ROM treatment entitled Face Your Problems involves a cognitive-behavioural treatment for reducing aggression in children over approximately 10-13 sessions (one per week of approximately 50 minutes duration) with a qualified therapist. The number of sessions will be addressed on a case-by-case basis by the therapist, with as many sessions as needed to achieve the session goals (i.e. parts of the session may be repeated if needed). The first two to three appointments will guide the child through a structured psycho-educational program on the CD ROM which focuses on teaching the child about: (i) perception and the need to look for clues in social situations (ii) the need for a 'thinking plan' to learn to cope (iii) the evaluation of different scenes with social problems. The last five to seven appointments utilizes the second part of the CD ROM which guides the child through a more intensive structured form of pro-social problem solving. The aim of the program is to over train the subject in the self-talk required for social problem solving with increasing practice in real world situations.
Sponsors
Kids in Mind Research
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
7 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
Between 7 and 14 years of age (inclusive); Diagnosis of oppositional defiant disorder or conduct disorder, as determined by clinical interview; Presence of overt aggressive behaviours persisting for at least 6 months: either physical aggression directed towards others or objects, or verbal abuse; Score of 4 or more (correlating to moderate severity of illness) on the Clinical Global Impressions – Severity subscale score; Provision of consent from parent/carer and provision of assent from the child; Sufficient English language to enable completion of research assessments and questionnaires
Exclusion criteria
Non consent from either parent or child; Pregnancy, breastfeeding, or plan to become pregnant/breastfeed within the time of the study; Diagnosis of psychosis disorder, bipolar disorder, post-traumatic stress disorder or substance use disorder; Diagnosis of autism or other severe developmental disorder; Mental retardation of at least moderate severity (clinician assessed); Significantly sub-average Intelligence Quotient (IQ) (clinician assessed); Recent suicide attempt (previous month); Acute unstable medical/psychiatric condition judged by clinician to require priority intervention or that contraindicates participation
Outcome results
None listed