Prevention of Oppositional Defiant and Conduct Disorders in Preschool Children
Oppositional Defiant DisorderConduct DisorderOppositional defiant and conduct disorders are the most frequent bases for referral of children and adolescents. These disorders are difficult to treat among school-aged children and adolescents. When they become adults they are likely to manifest depressive disorders, substance abuse or dependence, and criminal behavior. These disorders are also two of the costly childhood disorders. The aim of the study is to assess the preventive effect of parent management training in preschool children at risk for oppositional defiant and conduct disorders because of high aggression scores on a parent questionnaire. It is hypothesized that given the relatively restricted costs of the intervention and the substantial costs of burden associated with these children, the intervention will be cost saving.
Study of Cognition and Control in Youths
Attention Deficit Hyperactivity DisorderOppositional Defiant Disorder1 moreThe purpose of this study is to learn more about the functioning of particular types of regions of the brain, specifically, those related to externalizing disorders such as Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiance Disorder (ODD), and Conduct Disorder (CD). Brain function of children and adolescents with externalizing disorders such as ADHD, ODD, and CD will be compared to the brain function of those without. Functional Magnetic Resonance Imaging (fMRI) will be used to monitor brain activity at work and at resting states.
Effects of Atypical Antipsychotics on Brain Function in Children and Teens With Conduct Disorders...
Conduct DisorderfMRIBackground: - Some children and teenagers have conditions known as conduct disorders. They often have long-term chronic behavior problems, such as defiant behavior or violence. Conduct disorders are often treated with antipsychotic medication. Researchers want to study two types of newer antipsychotics (aripiprizole and risperidone) for children and adolescents with conduct disorders. They will look at how these drugs affect brain activity. To do so, they will give brain activity tests using magnetic resonance imaging (MRI). The tests will compare the results from healthy volunteer children and teens to those of others with behavior problems. Objectives: - To see how atypical antipsychotics affect brain activity of children and teenagers with conduct disorders. Eligibility: Children and teenagers between 10 and 18 years of age who have a conduct disorder and are taking aripiprizole. Children and teenagers between 10 and 18 years of age who have a conduct disorder and are taking risperidone. Children and teenagers between 10 and 18 years of age who have a conduct disorder and are not taking an atypical antipsychotic. Healthy volunteers between 10 and 18 years of age. Design: Participants will be screened with a physical exam and medical history. Parents/guardians will be asked questions about their child s feelings, experiences, and behavior. Participants will also answer questions about their feelings and moods. This study will involve two visits. Each visit will involve MRI scanning. At the first visit, participants will have memory and thinking tests. The tests will involve making decisions or playing games. Some of these tests will use MRI scanning to look at brain activity. The second visit will be 3 to 5 months after the first visit. The tests from the first visit will be repeated.
Teenagers, Drug Addiction, and Reward and Impulse Control
AdolescentsConduct Disorder1 moreBackground: - The risk for becoming addicted to drugs varies from person to person, even among those who use similar drugs in a similar way. Studies suggest that certain personality traits seen in people with drug addiction may be present before drug use. These traits include responding differently to rewards or impulsivity. Early use of drugs (before age 15) is also associated strongly with drug addiction later in life. Researchers want to study teenagers with and without certain behavioral problems, including those who have used drugs and those who have not. This may help them better understand behaviors that might predict future drug addiction. Objectives: - To understand brain function in teenagers who may be at a higher risk than others to drug addiction. Eligibility: Teenagers between 13 and 17 years of age who fit into one of four groups: Have never or rarely used drugs Have never or rarely used drugs and have conduct or behavior disorders Have used drugs on many occasions Have used drugs on many occasions and have conduct or behavior disorders Design: Participants will be screened with a medical history, and physical and neurological exams. They will also have blood and urine tests. Participants will answer questions about past drug use and any current medications. They will also have a breathalyzer and carbon monoxide breath test to check for recent drug and alcohol use. This study requires four visits to the clinical center for magnetic resonance imaging (MRI) scans and other tests. The first study visit will include training for the MRI scans. Participants will practice the tasks in front of a computer and in a mock (fake) MRI machine. Participants will also be asked several questions about their personality and past experiences. Researchers will test changes to tryptophan and dopamine levels. Both of these chemicals affect decision making and brain function. On the three study visits, participants will have the following tests in a randomly selected order. One study will be done at each visit. MRI scans with changes to dopamine and tryptophan levels MRI scans with changes to dopamine only (with placebo) MRI scans with changes to tryptophan only (with placebo) Participants will be monitored with frequent blood draws and other tests during the study visits....
Mobile Health Solutions for Behavioral Skill Implementation Through Homework
Oppositional DefiantConduct DisorderThe primary purpose of this study is to develop a mobile health (mHealth) application that will both advance theory in and clinical practice of homework (HW) implementation. The mobile health application will enhance the existing evidence informed curriculum of a Multiple Family Group model (called 4 Rs and 2 Ss for Strengthening Families Model) for families with children who have disruptive behavior disorders. This mobile application consists of two primary components that will support engagement and integration of the model's core concepts in family life. The first component focuses on delivering homework via a highly engaging, multiplayer, interactive, cooperative, and skill-building game platform aimed at improving the "Design" and "Do" process of homework.The second component focuses on targeting factors putatively related to poor HW implementation within the "Do" process.
National Child Traumatic Stress Network (NCTSN) Quality Improvement Initiative Database
Post Traumatic Stress DisorderAnxiety3 moreTrauma-informed treatment will improve emotional regulation and behavior.
Investigation of Psychophysiological Correlation of Aggression and Response to Aversive Stimuli...
Conduct DisorderADHD1 moreThis study investigates the psychophysiological correlations of aggression and response to aversive stimuli in a population of 133 children clinically diagnosed with conduct disorder (CD) and/or attention-deficit/hyperactivity disorder (ADHD). Data was gathered about participants' level of aggression through the Reactive-Proactive Aggression Questionnaire (RPQ). The stimuli that were presented to the participants included 1) a loud sound, 2) threatening photographs from the International Affective Picture System (IAPS), and 3) the Trier Social Stress Task (TSST). Participants' psychophysiological features of heart rate and galvanic skin conductance were measured and analyzed in relation to their RPQ scores and clinical diagnosis.
Reliability and Validity of the MINI International Neuropsychiatric Interview for Children and Adolescents...
Major DepressionMania12 moreThe primary aims of this study are to assess: The inter-rater and test-retest reliability of the MINI-KID The validity of the standard MINI-KID interview in relation to the parent rated pencil/paper version (MINI-KID-P) and th longer clinician rated "Schedule for Affective Disorders and Schizophrenia for School Aged Children-Present and Lifetime Version (K-SADS-PL) and "expert opinion" (when available). Secondary aims will include evaluating the concordance between: The Children's Global Assessment Scale (a required part of the K-SADS) with the clinician-rated Sheehan Disability Scale (to be administered with the MINI-KID) as a measure of illness severity.
Brain Changes in Children and Adolescents With Behavioral Problems
Attention Deficit Disorder With HyperactivityMental Disorders Diagnosed in Childhood1 morePurpose: This study will examine brain activity in children age 10-18 with disruptive behavior problems, including conduct disorder (CD), oppositional defiant disorder (ODD), and attention deficit hyperactivity disorder (ADHD), compared with children without behavioral problems. Our goal is to examine differences in how emotions, social situations, and problem-solving situations are processed in the brain across these groups of children.
Neurodevelopmental Disorders in Youth With Criminal Behaviors
Attention Deficit Disorder With HyperactivityAutistic Spectrum Disorder1 moreDescribe the prevalence of neurodevelopmental disorders among youth with criminal behaviors Explore the relationship between specific neurodevelopmental disorders and the rates and types of crime Examine the roles of psychiatric comorbidities and sociodemographic factors in juvenile criminality