Oppositional Defiant Disorder With Familial Setting Clinical Trial
Official title:
Observational Study on Intrafamilial Oppositional Defiant Disorder (IODD) in Children and Adolescents
Oppositional Defiant Disorder (ODD) is defined in the Diagnostic and Statistical Manual of
Mental Disorders, Fifth Edition (DSM 5) as: "A pattern of angry/irritable mood,
argumentative/defiant behavior, or vindictiveness lasting at least 6 months exhibited during
interaction with at least one individual who is not a sibling." "The disturbance in behavior
is associated with distress in the individual or others in his or her immediate social
context (e.g., family, peer group, work colleagues), or it impacts negatively on social,
educational, occupational, or other important areas of functioning." Children with "classic"
oppositional defiant disorder, except for mild forms, show symptoms in several settings (at
home, at school, with peers).
In this study, the investigators will consider the specifics of children presenting
"intrafamilial" oppositional defiant disorder (IODD). These children's symptoms are confined
to only one setting: the home. Therefore, the aim of this study will be to characterize
children with intrafamilial oppositional defiant disorder. The investigators want to
understand the differences between IODD and classical forms of ODD in terms of psychiatric
comorbidities, medical histories and cognitive abilities. They also investigate what
clinicians currently do to help these families.
Definition: Extended description of the protocol, including more technical information (as
compared to the Brief Summary), if desired. Do not include the entire protocol; do not
duplicate information recorded in other data elements, such as Eligibility Criteria or
outcome measures.
Limit: 32,000 characters.
Child-to-parent violence was kept secret for a long time. Searchers don't know much about
this type of domestic violence, however they recently tried to investigate more on the
subject. Bousquet et al. carried out a review of literature on the subject, and grouped the
articles that they found. There was only one study concerned with children with Intrafamilial
Oppositional Defiant Disorder (IODD) which is called in the study Oppositional Defiant
Disorder with family tyranny (Delaunay et al., 2008).
IODD is described in the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM) as a
mild form of Oppositional Defiant Disorder (ODD). This term characterizes children that meet
the criteria for ODD ("a pattern of angry/irritable mood, argumentative/defiant behavior, or
vindictiveness") but their symptoms are confined to only one setting: the home. Therefore,
the aim of this study is to characterize Intrafamilial ODD children and the particularities
of their families.
Nowadays, new treatment strategies exist in Montpellier, designed to be used as group
therapies. In these groups, non-violent resistance methods are taught to the parents. The
efficiency of this therapy is currently being studied. To improve this therapy and to offer
appropriate therapies to the children themselves, it is important to improve the
acknowledgement of these "tyrannical children". This is the aim of this study. To reach this
goal, the investigators will compare the medical records of the children with IODD to those
of the children with classic ODD.
On one hand, they expect children with IODD to be more anxious and smarter than children with
"classic" ODD. On the other hand, they expect they will have had diseases that changed
interactions with their parents. They also assume they will come from small families: i.e.
they may be an only child, educated by a single parent, or they may have wealthy parents.
Finally, they hypothesize that clinicians won't treat the children with IODD the same way as
those with "classic" ODD.
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