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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Emotion Regulation Treatment for Irritability and Disruptive Behavior: A Preliminary Investigation
K Amber Turner1, Bradley A White2, Thomas H Ollendick3
1Belmont University.
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.
Abstract:
Children with oppositional-defiant disorder (ODD) represent a heterogeneous group. Within this group, a subtype of ODD has been identified for children with primarily angry/irritable mood symptoms who are at risk for developing mood and anxiety disorders. Despite the prevalence of anger and mood difficulties in children with ODD, evidence-based treatments for disruptive behavior disorders have primarily emphasized providing caregivers more effective parenting strategies to address oppositional and defiant behaviors, rather than directly targeting children's difficulties with emotions. To address the dearth of emotion-focused treatments for ODD, a novel emotion regulation intervention was developed and piloted. Using a nonconcurrent multiple baseline design, 7 children ages 8-11 (3 male, 4 female; all non-Hispanic White) were enrolled in a 13-week intervention with their caregivers. Tantrum behavior, mood, and emotion regulation measures were administered throughout treatment. Treatment feasibility was supported by participant satisfaction ratings as well as high levels of treatment fidelity. Multiple measures support the preliminary efficacy of the intervention in reducing symptoms of ODD as well as initial efficacy in improving child emotion regulation difficulties. Overall, results support further research into emotion regulation-focused interventions for ODD.
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