Cognitive-Behavioral Therapy for Disruptive Behavior in Children and Adolescents (RDoC-CBT)
Disruptive Behavior, Aggression, Anger
About this trial
This is an interventional treatment trial for Disruptive Behavior focused on measuring child, cognitive behavioral therapy, CBT, aggression, disruptive behavior, treatment, frustrative non-reward, irritability
Eligibility Criteria
Inclusion Criteria:
- Boys and girls, 8 to 16 years of age.
- T-Score > 65 on the parent-rated Aggressive Behavior Scale of the Child Behavior Checklist (CBCL).
- Unmedicated or on stable medication for aggression, ADHD, anxiety, or depression for at least 6 weeks, with no planned changes for duration of study.
- Children can speak English sufficiently enough to participate in CBT and study assessments.
- Children should have 1) no metal medical implants, 2) a body weight of less than 250 lbs. and 3) no claustrophobia. [These are necessitated by the safety requirements of the fMRI.]
- Children should be able to meet fMRI data quality requirements at baseline [to enable pre- to post-treatment comparison.]
- Families can commute to the Yale Child Study Center in New Haven, CT for weekly visits.
Exclusion Criteria:
- IQ below 85.
- Children across various DSM diagnoses will be eligible for participation. However, significant levels of psychopathology that require immediate clinical attention such as severe depression or psychosis will be exclusionary because it will require alternative treatments.
- Significant medical condition such as heart disease, hypertension, liver or renal failure, pulmonary disease, seizure disorder, brain injury based on medical history which can interfere with participation in the study.
- Concurrent psychotherapy can continue, but CBT for aggression is exclusionary. Subjects will be asked not to initiate any new child psychotherapy during the study.
Sites / Locations
- Yale University
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Cognitive-Behavioral Therapy for Anger and Aggressive Behavior
Supportive Psychotherapy (SPT)
CBT is a behavioral intervention that consists of 12 weekly sessions. During CBT children are taught various skills for coping with frustration and parents are taught various strategies for managing situations that can be anger provoking for their child.
SPT consists of 12 sessions that are focused on discussing peer relationships and family functioning with a goal of enhancing subjective well-being