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Development and Application of an Innovative Transdiagnostic Treatment Approach for Pediatric Irritability
Jessica L Hawks1, Sarah M Kennedy1, Jacob B W Holzman2
1University of Colorado.
Insights
This pilot study adapted a unified protocol to treat irritability in children, finding it feasible and acceptable. The approach showed promise for reducing pediatric irritability and disruptive behaviors.
Area of Science:
- Child Psychology
- Clinical Psychology
- Psychopathology
Background:
- Pediatric irritability is increasingly recognized as a significant symptom across childhood disorders.
- Existing treatments often fail to address both child and contextual factors contributing to irritability.
- There is a need for evidence-based interventions for pediatric irritability.
Purpose of the Study:
- To adapt the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) for pediatric irritability.
- To evaluate the feasibility and acceptability of the adapted UP-C in a clinical sample.
- To gather preliminary evidence on the efficacy of the adapted UP-C for irritability and disruptive behaviors.
Main Methods:
- A pilot study involving 19 children (ages 8-12) with primary irritability or disruptive behaviors.
- Adaptation of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C).
- Assessment of feasibility, acceptability, and preliminary outcomes.
Main Results:
- The adapted UP-C was found to be feasible and acceptable for children with irritability.
- Preliminary evidence suggests the treatment may improve outcomes for pediatric irritability.
- The approach showed potential for reducing disruptive behaviors in the study sample.
Conclusions:
- The adapted UP-C is a promising intervention for pediatric irritability.
- Future research should explore larger trials to confirm efficacy.
- This approach offers a potential avenue for addressing child and contextual factors in treatment.
Abstract:
Recent work has drawn attention to the previously underrecognized role that irritability plays in childhood psychopathology. Despite increased recognition of the clinical importance of pediatric irritability as a transdiagnostic symptom dimension, there is a lack of evidence-based treatments for this population that simultaneously and equitably addresses both child and contextual (e.g., parental) factors implicated in the development and maintenance of associated emotional and behavioral difficulties. In the current pilot study, we adapted the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) for the treatment of pediatric irritability in a sample of 19 children (ages 8 to 12) with primary presenting concerns of irritability and/or disruptive behaviors. Results supported the feasibility and acceptability of this treatment and provided preliminary evidence that such an approach may yield improved outcomes for symptoms of pediatric irritability and disruptive behaviors. Implications of these findings for future research and clinical interventions for pediatric irritability are discussed.
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