Anger, Irritable Mood, Temper Tantrum
Conditions
Keywords
irritability, anger, parenting, temper outbursts, Parent Management Training
Brief summary
The goal of this clinical trial is to see if 12 sessions of a Parent Management Training program can treat irritability in children aged 10-14 years old. The main question it aims to answer are: * Can a Parent Management Training for parents reduce anger outbursts and cranky moods in their children? * Can Parent Management Training be done in an outpatient clinic and do parents like it? Up to 24 families can join this study. Parent participants will complete 12 sessions of Parent Management Training for Irritability. Each session will be 45-55 minutes weekly. They will also participate in the assessments of their child before, during and after treatment. Child participants will do assessments before, during and after the Parent Management Training treatment.
Detailed description
Up to 24 families will be consented for this Parent Management Training (PMT) to Treat Irritability study in order to meet the aim of having 12 families complete the study. The child and a parent will complete pre-treatment evaluations about the child's mental health, behavior and cognitive functioning. Participants who meet inclusion criteria (age 10-14 with significant irritability) and do not meet exclusion criteria (e.g. Autism, Bipolar disorder, active PTSD, serious medical issues or Intellectual disability) will be invited to join the trial. All participants will receive the 12 PMT sessions from a licensed mental health professional. The PMT sessions will focus on the parents only, but both the parent and child will complete standardized measures and interview with a clinician in the middle of the treatment. After the 12 sessions of PMT, the parent and child will complete a post-treatment assessment. Pre and post treatments assessments will be compared to determine changes in the child's irritability and other areas of functioning.
Interventions
BEHAVIORALParent Management Training
developing parenting skills and competencies dealing with oppositional and irritable behaviors in the child.
Sponsors
University of Colorado, Denver
Children's Hospital Colorado
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
All participants will receive 12 sessions of Parent Management Training to treat irritability. Participant children and their parents will complete pre-treatment, mid treatment, and post-treatment assessments to determine if there is any improvement in irritability or other areas of functioning.
Eligibility
Sex/Gender
ALL
Age
10 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* clinically significant irritability (Clinician Affective Reactivity Index 30 or greater) * parent or guardian with whom the child resides for at least 50% of the time is willing to participate in treatment with the child
Exclusion criteria
* psychiatric instability (danger to self/others, risky substance abuse) * current active Post-Traumatic Stress Disorder (PTSD) or a severe active stressor (e.g. child abuse) * history of severe psychopathology with an established alternate treatment (e.g. autism spectrum disorder, bipolar disorder, schizophrenia, intellectual disability) * general medical condition that may be driving irritability or prevent generalizable physiologic measures. * screen positive for an intellectual disability via Wechsler Abbreviated Scale of Intelligence Second Edition (WASI II) estimated Intelligence Quotient (IQ)\<70.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Demonstrate the feasibility of Parent Management Training (PMT) procedures | 5 months | The study team will implement a PMT protocol with fidelity and acceptability assessments. The Working Alliance Inventory (WAI) (revised short form) will be used by the clinician and the parent to rate engagement in treatment after each PMT session. There are no established benchmarks for this measure, but it will provide information about the acceptability of the treatment by rating the alliance between the therapist and the parent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in irritability | 5 months | Participants will report a decrease in irritability as measured by the Revised Affective Reactivity Index-Clinician (ARI-CL). The ARI-CL rates temper outbursts, irritable moods and impairment. Total scores range from 0-50, with a score over 30 indicating severe clinical irritability and lower scores indicating lower irritability. |
Countries
United States
Contacts
CONTACTJami Moe-Hartman, MA
CONTACTJessica Hawks, PhD
PRINCIPAL_INVESTIGATORJoel Stoddard, MD
University of Colorado Denver, Anschutz Medical Campus
Outcome results
None listed