Affective Dysregulation F91.3
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: One of the inclusion criteria is the clinical diagnosis of ODD (ICD-10: F91.3). Furthermore, children had to show peer-related aggressive behavior causing persistent impairment of relationships with other children (clinical rating on the basis of a semi-structured interview) and a high total score (Stanine = 7) in parent rating on the Symptom Checklist for Disruptive Behavior Disorder (SCL-DBD) of the DISYPS-III (Döpfner et al., 2016).
Exclusion criteria
Exclusion criteria: Exclusion criteria are the presence of a primary comorbid disorder (e.g., autism) according to the judgment of the clinician, an IQ score below 80 (CFT 1-R, CFT 20-R) or crises that indicate inpatient treatment, a planned change in medication in a child receiving psychotropic medication, other child psychotherapy, and parents or caregivers who do not speak sufficient German.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The experimental group THAV/ScouT+AUTHARK will show a significantly stronger improvement in compliance than the control group THAV/ScouT. Compliance means the implementation of therapy tasks in everyday life. A questionnaire assesses the compliance (FB Compliance). With the questionnaire on treatment compliance, the therapist can assess the cooperation of the child and the parents as well as the use of the app or homework compliance after each therapy session. For the study, the compliance questionnaire according to Görtz-Dorten & Döpfner (2008) was modified. An empirical analysis of the original questionnaire version showed internal consistencies between a = .948 or a = .954 for children and a= .968 or a = .965 for parents (Faber, 2014; Stadler, 2018). The modified version contains 25 items, which were extended by the usage recording of the individual app functions or the completion of the daily self-observations and the evaluation of the entry quality. | — |
Secondary
| Measure | Time frame |
|---|---|
| The therapy group THAV/ScouT+AUTHARK shows a significantly stronger decrease of aggressive symptoms than the therapy group THAV/ScouT. The aggressive symptoms are assessed using external and self-assessment questionnaires at measurement points 1 to 5: Parent- and teacher rated aggressive behaviour, CD and ODD (FBB- SSV, from DISYPS III, Döpfner & Görtz-Dorten, 2016). Self-rated rated aggressive behaviour, CD and ODD (SBB- SSV from DISYPS III, Döpfner & Görtz-Dorten, 2016). Questionnaire on aggressive behaviour (external assessment) (FAVK-F, Görtz-Dorten & Döpfner, 2010) Questionnaire on aggressive behaviour (Self- assessment) (FAVK-F, Görtz-Dorten & Döpfner, 2010) The aggressive symptoms are additionally assessed via a weekly problem list from the THAV manual, as well as the daily Momentary Assessment and the video diary in the Smartphone App AUTHARK at the various assessment points. Comorbid symptoms are assessed using the following instruments: Questionnaire for attention deficit hyperactivity disorder (external assessment) (FBB-ADHS; Döpfner & Görtz-Dorten, 2016). Questionnaire for Attention Deficit Hyperactivity Disorder (Self-assessment) (SBB-ADHS; Döpfner & Görtz-Dorten, 2016) Parent questionnaire on the behaviour of children and adolescents (CBCL/6-18R; Döpfner, Plück, Kinnen, & Arbeitsgruppe Deutsche Child Behavior Checklist, 2014) Teacher Questionnaire on Child and Adolescent Behavior (TRF 6-19R; Döpfner, Plück, Kinnen, & Arbeitsgruppe Deutsche Child Behavior Checklist, 2014) The psychological and psychosocial functions, the quality of life of the patients, the family impairments as well as the psychopathology of the parents are assessed with the following instruments: Test for recording social-cognitive information processing (ScouT-Diagnostics; Görtz-Dorten & Döpfner, 2016) Questionnaire on psychosocial functional level (Goertz-Dorten et al., 2018) Questionnaire on quality of life (KINDL-R; Ravens-Sieberer & Bullinger, 2003) Depression Anxiety Stress Q | — |
Countries
Germany
Contacts
Ausbildungsinstitut für Kinder- und Jugendlichenpsychotherapie der Uniklinik Köln Evaluation/ Forschungsbereich Psychotherapie; Kölner Institut der Christoph-Dornier-Stiftung fürKlinische Kinderpsychologie