Mental health in school-age children with mixed emotional and behavioural problems Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 11/09/2024: 1. Child aged 6-12 years at the time of randomisation 2. Carer-reported Strengths and Difficulties Questionnaire (SDQ): 2.1. Total difficulties score for child =14 2.2. Emotional problems =5 AND/OR conduct score =3 2.3. Functional impairment score =1 3. Valid informed consent 4. Parent(s)/carer(s) have the capacity to engage with the trial, including providing informed consent and completing baseline and follow-up measures Previous inclusion criteria: 1. Child aged 6-12 years at the time of randomisation 2. Carer-reported Strengths and Difficulties Questionnaire (SDQ): 2.1. Total difficulties score for child =14 2.2. Emotional problems =5 2.3. Conduct score =3 2.4. Functional impairment score =1 3. Valid informed consent
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 11/09/2024: 1. Indications of, or pre-existing clinical diagnosis in child of psychotic disorder 2. Indications of, or pre-existing clinical diagnosis in child of eating disorder 3. Indications of, or pre-existing clinical diagnosis in child of severe learning difficulty 4. Children will be excluded where the referring clinician identifies an immediate risk of harm to self or others 5. Current participation in another mental health intervention trial. This includes where the family has previously participated in the ERiC study. 6. Children with a sibling, or another child who lives in their home, who has taken part in the ERiC study Previous exclusion criteria: 1. Indications of, or pre-existing clinical diagnosis (in child or parent) of psychotic disorder 2. Indications of, or pre-existing clinical diagnosis (in child or parent) of autism spectrum disorder (ASD) 3. Indications of, or pre-existing clinical diagnosis (in child or parent) of psychotic disorder 4. Indications of, or pre-existing clinical diagnosis (in child or parent) of pervasive developmental disorder 5. Indications of, or pre-existing clinical diagnosis (in child or parent) of eating disorder 6. Indications of, or pre-existing clinical diagnosis (in child or parent) of severe learning difficulty 7. Indications of, or pre-existing clinical diagnosis (in parent) of severe substance abuse disorder 8. Children will be excluded where the referring clinician identifies an immediate risk of harm to self or others
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Emotional (anxiety and depression) and behavioural (ADHD and conduct) symptoms are measured using the parent-rated Strengths and Difficulties Questionnaire: Total Difficulties Score (SDQ) at baseline, 8 weeks (mid-treatment), 16 weeks (end of treatment) and 40 weeks (follow up) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Emotional and behavioural problems measured using Me and My Feelings self-report measure for children at baseline, 8 weeks, 16 weeks and 40 weeks 2. Personalized treatment goals measured using Goal Based Outcomes (parent/carer-defined) completed by carers at baseline, 8 weeks, 16 weeks and 40 weeks 3. Parenting stress measured using Parental Stress Index – Short Form parent-report at baseline, 8 weeks, 16 weeks and 40 weeks 4. Parental mentalizing capacity measured using the Parental Reflective Functioning Questionnaire parent-report at baseline, 8 weeks, 16 weeks and 40 weeks 5. Service use and costs, measured using the Child and Adolescent Service Use Schedule questionnaire at baseline, 16 weeks and 40 weeks 6. Emotion regulation in child and parent will be measured using: 6.1. The Emotional Awareness Questionnaire child self-report at baseline, 8 weeks, 16 weeks and 40 weeks 6.2. The Test of Emotional Comprehension online task at baseline and 16 weeks 6.3. The Emotion Regulation Checklist for Children parent-report at baseline, 8 weeks, 16 weeks and 40 weeks 6.4. The Difficulties in Emotion Regulation Scale parent report at baseline, 8 weeks, 16 weeks and 40 weeks 6.5. The Parent-Child Interaction Task – a parent-child discussion task at baseline and 16 weeks | — |
Countries
England, United Kingdom