TREATING OPPOSITIONAL DEFIANT BEHAVIOR

处理对抗性挑衅行为

• 批准号: 6392417
• 负责人: JOHN V LAVIGNE
• 金额: $ 16.68万
• 依托单位: LURIE CHILDREN'S HOSPITAL OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-01 至 2002-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6392417
• 关键词: behavioral /social science research tag; child (0-11); child behavior disorders; clinical research; clinical trials; health care cost /financing; health care personnel performance; human subject; human therapy evaluation; mental health personnel; parent offspring interaction; pediatric nursing; pediatrics; psychotherapy

Description: The proposed study examines the effectiveness of a psychological intervention conducted in primary care pediatric settings for the treatment of oppositional defiant disorder (ODD). This disorder: 1) occurs at a high rate among young children in the primary care setting; 2) has the potential to be identified in the primary care environment; 3) is likely to be more responsive if treated early; 4) has long term consequences for many children if not treated; and 5) may be treatable in the primary care area if identified early, enabling the child to avoid later specialized mental health services if the problem becomes more entrenched or significant comorbidity develops. The proposed study is a randomized controlled trial of the effectiveness of two primary care treatment models for children ages 4-6 years with ODD. The two models include a highly structured parent-training intervention of documented effectiveness, involving a ten sessions, manual-driven treatment with accompanying videotapes. The intervention will be provided either by 1) pediatric office staff nurses, or 2) a mental health professional working in the primary care setting. These two models of intervention will be compared to a usual care control group over the course of one year. To examine changes in behavior problems and diagnoses resulting from treatment, assessments will be conducted at baseline, posttreatment, and one-year follow-up. There will be 195 children ages 4-6 years enrolled in the study through a consortium of pediatric practices in the Chicago area, including practices serving Chicago's inner city. The participating children will have exceeded the 90th percentile on the externalizing disorders subscale of the Child Behavior Checklist (CBCL), and met criteria for an oppositional defiant disorder. The design of the study will allow us to examine whether: 1) a structured intervention for the treatment of ODD in young children can be effective in the primary care pediatric setting; 2) intervention for ODD by a trained pediatric nurse is as effective as that provided by a mental health professional working in the pediatric setting; 3) there are offset effects and cost savings associated with the provision of these services.

描述：这项拟议的研究审查了一项 在初级保健儿科环境中进行心理干预 对抗性违抗性障碍(ODD)的治疗。本病：1) 初级保健环境中幼儿发病率高；2) 有可能在初级保健环境中被识别；3)是 如果及早治疗，可能会有更好的反应；4)会产生长期后果 对许多儿童来说，如果不治疗；以及5)可能是可以在小学治疗的 如果及早发现护理领域，使儿童能够避免后来专门的 如果问题变得更加根深蒂固或严重，则提供心理健康服务 会发展成共病。该研究是一项随机对照试验。 两种初级保健治疗模式对儿童年龄的有效性 4-6年，有奇数。这两款车型包括高度结构化的 家长培训干预效果有据可查，涉及10个 会议，人工驾驶的治疗与附带的录像带。这个 干预将由1)儿科办公室工作人员护士提供，或者 2)在初级保健环境中工作的心理健康专业人员。这些 两种干预模式将与普通护理控制组进行比较 在一年的时间里。检查行为问题的变化和 治疗后的诊断、评估将在以下地点进行 基线、治疗后和一年随访。届时将有195名儿童 4-6岁的儿童通过儿科协会登记参加这项研究 芝加哥地区的实践，包括为芝加哥内部服务的实践 城市。参赛儿童将于 儿童行为检查表(CBCL)的外化障碍子量表， 并符合对抗性违抗障碍的标准。这款车的设计 研究将使我们能够检查：1)针对以下问题的结构化干预 在初级保健中治疗幼儿的ODD是有效的 儿科环境；2)由训练有素的儿科护士对ODD进行干预 与心理健康专业人员在 儿科环境；3)有抵消效果和相关的成本节约 提供这些服务。

项目成果

Predictors and correlates of completing behavioral parent training for the treatment of oppositional defiant disorder in pediatric primary care.

• DOI: 10.1016/j.beth.2009.02.006
• 发表时间: 2010-06
• 期刊: BEHAVIOR THERAPY
• 影响因子: 3.7
• 作者: Lavigne, John V.;LeBailly, Susan A.;Gouze, Karen R.;Binns, Helen J.;Keller, Jennifer;Pate, Lindsay
• 通讯作者: Pate, Lindsay