Better Understand Children and Adolescents' Intrafamilial Oppositional Defiant Disorder

NCT ID: NCT03447535

Last Updated: 2018-02-27

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 75 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-12-01
• Study Completion Date: 2017-12-31

Brief Summary

Oppositional Defiant Disorder (ODD) is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5) as: "A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months exhibited during interaction with at least one individual who is not a sibling." "The disturbance in behavior is associated with distress in the individual or others in his or her immediate social context (e.g., family, peer group, work colleagues), or it impacts negatively on social, educational, occupational, or other important areas of functioning." Children with "classic" oppositional defiant disorder, except for mild forms, show symptoms in several settings (at home, at school, with peers).

In this study, the investigators will consider the specifics of children presenting "intrafamilial" oppositional defiant disorder (IODD). These children's symptoms are confined to only one setting: the home. Therefore, the aim of this study will be to characterize children with intrafamilial oppositional defiant disorder. The investigators want to understand the differences between IODD and classical forms of ODD in terms of psychiatric comorbidities, medical histories and cognitive abilities. They also investigate what clinicians currently do to help these families.

Detailed Description

Definition: Extended description of the protocol, including more technical information (as compared to the Brief Summary), if desired. Do not include the entire protocol; do not duplicate information recorded in other data elements, such as Eligibility Criteria or outcome measures.

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Child-to-parent violence was kept secret for a long time. Searchers don't know much about this type of domestic violence, however they recently tried to investigate more on the subject. Bousquet et al. carried out a review of literature on the subject, and grouped the articles that they found. There was only one study concerned with children with Intrafamilial Oppositional Defiant Disorder (IODD) which is called in the study Oppositional Defiant Disorder with family tyranny (Delaunay et al., 2008).

IODD is described in the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM) as a mild form of Oppositional Defiant Disorder (ODD). This term characterizes children that meet the criteria for ODD ("a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness") but their symptoms are confined to only one setting: the home. Therefore, the aim of this study is to characterize Intrafamilial ODD children and the particularities of their families.

Nowadays, new treatment strategies exist in Montpellier, designed to be used as group therapies. In these groups, non-violent resistance methods are taught to the parents. The efficiency of this therapy is currently being studied. To improve this therapy and to offer appropriate therapies to the children themselves, it is important to improve the acknowledgement of these "tyrannical children". This is the aim of this study. To reach this goal, the investigators will compare the medical records of the children with IODD to those of the children with classic ODD.

On one hand, they expect children with IODD to be more anxious and smarter than children with "classic" ODD. On the other hand, they expect they will have had diseases that changed interactions with their parents. They also assume they will come from small families: i.e. they may be an only child, educated by a single parent, or they may have wealthy parents. Finally, they hypothesize that clinicians won't treat the children with IODD the same way as those with "classic" ODD.

Conditions

Oppositional Defiant Disorder With Familial Setting

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: RETROSPECTIVE

Study Groups

classic oppositional defiant disorder

CODD Group: " classic " oppositional defiant disorder

SDQ total difficulties score and the parents report SDQ total difficulties score:

Group CODD (" classic " oppositional defiant disorder): teacher report SDQ total difficulties score (≥ 12), parents report SDQ total difficulties score (≥14)

Semi-directive interview (Kiddy Sads)

Intervention Type: OTHER

semi-directive interview (Kiddy Sads) conducted as part of the care

SDQ questionnaires (strenghs and difficulties questionnaire)

Intervention Type: OTHER

SDQ questionnaires (strenghs and difficulties questionnaire) conducted as part of the care

intrafamilial oppositional defiant disorder

IODD group: intrafamilial oppositional defiant disorder

SDQ total difficulties score and the parents report SDQ total difficulties score:

Group IODD (Intrafamilial Oppositional Defiant Disorder): teacher report SDQ total difficulties score normal (<12), parents report SDQ total difficulties score abnormal (>16)

Semi-directive interview (Kiddy Sads)

Intervention Type: OTHER

semi-directive interview (Kiddy Sads) conducted as part of the care

SDQ questionnaires (strenghs and difficulties questionnaire)

Intervention Type: OTHER

SDQ questionnaires (strenghs and difficulties questionnaire) conducted as part of the care

Interventions

Semi-directive interview (Kiddy Sads)

semi-directive interview (Kiddy Sads) conducted as part of the care

Intervention Type: OTHER

SDQ questionnaires (strenghs and difficulties questionnaire)

SDQ questionnaires (strenghs and difficulties questionnaire) conducted as part of the care

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Child diagnosed with ODD with KSADS_PL
• Child who was evaluated during a day evaluation at one of our unit cares: UDS (Unité de Diagnostic et de Soins) or UPP (Unité de Prévention Pédosychiatrique)
• Child included in the "REACT" study
• 16 years old or under

Exclusion Criteria

• Child who has not been diagnosed with ODD
• Missing data in the parent report SDQ or teacher report SDQ preventing the SDQ total score calculation

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 16 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Hospital, Montpellier

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Elisa BOUSQUET

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Montpellier

Locations

Uhmontpellier

Montpellier, , France

Countries

France

Other Identifiers

RECHMPL17_0443

Identifier Type: -

Identifier Source: org_study_id