Oppositional Defiant Disorder
Conditions
Keywords
Children with ODD and low prosocial emotions
Brief summary
The proposed research will focus on the development of a brief emotion-coaching (EC) parenting program (which directly targets child emotion awareness/recognition and affective empathy), that will be combined with a well-established parent management training program (Helping the Noncompliant Child; HNC) for treating oppositional defiant disorder (ODD) in children who also have limited prosocial emotions (e.g., lack of guilt and empathy, callous use of others).
Interventions
BEHAVIORALParent Training plus Emotion Coaching
This intervention will combine a parent management training program called Helping the Noncompliant Child with elements of an Emotion Coaching parenting program.
BEHAVIORALParent Training only
This intervention will consist of a parent management training program called Helping the Noncompliant Child.
Sponsors
University of Washington
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 7 Years
Healthy volunteers
No
Inclusion criteria
* Child with oppositional defiant disorder and low prosocial emotions
Exclusion criteria
* Unable to speak/understand English * Significant developmental delay or autism spectrum disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Behavioral Coding System percent child compliance | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Child compliance at baseline, mid-treatment and post-treatment |
| Behavioral Coding System - percent child inappropriate behaviors | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Child inappropriate behaviors at baseline, mid-treatment and post-treatment |
| Early Childhood Inventory-4 ODD scale | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Change in child conduct problems for children ages 3-5 at baseline, mid-treatment and post-treatment |
| Eyberg Child Behavior Inventory - intensity score | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Child conduct problems at baseline, mid-treatment and post-treatment |
| Child Symptom Inventory-IV | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Child conduct problems for children ages 6-7 at baseline, mid-treatment and post-treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Behavioral coding of Zahn-Waxler empathy paradigm - amount of attention, affective response congruent with examiner, concern for others, disregard for others | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Empathy at baseline and post-treatment |
| Behavioral Coding System - positive attention rate per minute | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Parenting behavior - positive attention at baseline mid-treatment and post-treatment |
| Behavioral Coding System - total commands rate per minute | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Change in parenting behavior - commands at baseline mid-treatment and post-treatment |
| Parenting scale - laxness | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Parenting at baseline mid-treatment and post-treatment |
| Parent Meta-Emotion Interview emotion coaching scale | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Emotion coaching at baseline and post-treatment |
| Parenting Sense of Competence satisfaction scale | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Parenting satisfaction at baseline mid-treatment and post-treatment |
| Parenting Sense of Competence efficacy scale | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Parenting efficacy at baseline mid-treatment and post-treatment |
| Parenting scale - overactivity | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Parenting at baseline mid-treatment and post-treatment |
| Inventory of Callous-Unemotional Traits - preschool version - total score | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Callous-unemotional traits at baseline mid-treatment and post-treatment |
| A Developmental Neuropsychological Assessment (NEPSY-II) Affect Recognition Task - fear recognition | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Affect recognition at baseline, mid-treatment and post-treatment |
| NEPSY-II Affect Recognition Task - sadness recognition | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Affect recognition in baseline mid-treatment and post-treatment |
| Griffith Empathy Measure - empathy score | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Empathy at baseline and post-treatment |
Other
| Measure | Time frame | Description |
|---|---|---|
| Difficulties with Emotion Regulation Scale - lack of awareness and limited access to emotion regulation strategies | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Maternal emotion regulation abilities at baseline mid-treatment and post-treatment |
| Beck Depression Inventory II | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks | Maternal depression at baseline and post-treatment |
Countries
United States
Outcome results
None listed