Emotion Regulation Treatment for Irritability and Disruptive Behavior: A Preliminary Investigation

Behavior Therapy
|May 7, 2026
PubMed

Insights

This study piloted a new emotion regulation intervention for children with oppositional-defiant disorder (ODD). The intervention showed promise in reducing ODD symptoms and improving children's emotion regulation skills.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Oppositional-defiant disorder (ODD) is heterogeneous, with a subtype exhibiting angry/irritable mood linked to anxiety and mood disorders.
  • Current treatments for ODD focus on parenting strategies, neglecting direct intervention for children's emotional regulation difficulties.
  • There is a need for emotion-focused treatments addressing the emotional dysregulation common in ODD.

Purpose of the Study:

  • To develop and pilot a novel emotion regulation intervention for children with ODD.
  • To assess the feasibility and preliminary efficacy of this emotion-focused approach.
  • To explore the intervention's impact on disruptive behaviors and emotion regulation skills.

Main Methods:

  • A nonconcurrent multiple baseline design was used.
  • Seven children (ages 8-11) and their caregivers participated in a 13-week intervention.
  • Measures included tantrum behavior, mood, and emotion regulation, alongside treatment fidelity and satisfaction.

Main Results:

  • The intervention was feasible, supported by high participant satisfaction and treatment fidelity.
  • Preliminary efficacy was observed in reducing symptoms of oppositional-defiant disorder.
  • Initial evidence suggests improvement in children's emotion regulation difficulties.

Conclusions:

  • Emotion regulation-focused interventions show promise for children with ODD.
  • Further research is warranted to validate and refine these emotion-focused treatments.
  • Targeting children's emotion regulation may be a crucial component in ODD treatment.

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