Efficacy of cognitive behavioral therapy on aggressive behavior in children with attention deficit hyperactivity disorder and emotion dysregulation: study protocol of a randomized controlled trial

Abstract

Background Attention deficit hyperactivity disorder (ADHD) is frequently associated with emotional dysregulation (ED). ED is characterized by excessive and inappropriate emotional reactions compared to social norms, uncontrolled and rapid shifts in emotion, and attention focused on emotional stimuli. Few studies have evaluated non-pharmacological interventions to improve ED in children with ADHD. The current randomized controlled trial assesses the efficacy of a cognitive behavioral therapy (CBT) intervention compared with a theater-based intervention (TBI) in children with ADHD and ED. Methods Sixty-eight 7- to 13-year-old children with ADHD and ED will be recruited and randomly assigned to the CBT or TBI group. CBT aims to reduce ED by teaching anger management strategies. TBI seeks to reduce ED by improving emotion understanding and expression through mimics and movement. In both groups, children participate in 15 1-h sessions, and parents participate in 8 sessions of a parent management program. The primary outcome measure is the change in the “Aggression” sub-score of the Child Behavior Checklist (CBCL). Secondary outcome measures include overall impairment (Children’s Global Assessment Scale, Strengths and Difficulties Questionnaire), personality profile (Hierarchical Personality Inventory for Children), executive function (Behavioral Rating Inventory of Executive Function), quality of life (Kidscreen-27), parental stress (Parenting Stress Index, 4th edition), parental depression (Beck Depression Inventory-II), and impact of child disorders on the quality of the family life (Parental Quality of Life and Developmental Disorder). Discussion Children with ADHD and ED are at risk of functional impairment and poor outcomes and have specific therapeutic needs. This randomized controlled trial wants to assess non-pharmacological treatment options for this population. Trial registration Clinicaltrials.gov. NCT03176108. Registered on June 5, 2017.

Cognitive Behavior Therapy (CBT) pada anak yang mengalami Attention Deficit Hyperactivity Disorder (ADHD): Sebuah tinjauan literatur

“…Kegigihan ADHD di masa dewasa adalah masalah klinis yang serius, hal ini dikatakan juga pada penelitian sebelumnya bahwa attention deficit hyperactivity disorder (ADHD) pada anak-anak dikaitkan dengan hiperaktif dan impulsif, masalah perhatian, dan kesulitan dengan interaksi sosial (Storebø, 2019). Attention deficit hyperactivity disorder (ADHD) adalah suatu gangguan perkembangan saraf kompleks dengan prevalensi diperkirakan 5,3% selama bertahuntahun (Vacher, Romo, Dereure, Soler, Picot, & Purper-Ouakil, 2022).…”

Efficacy of Cognitive Behavioral Therapy and Methylphenidate in the Treatment of Attention Deficit Hyperactivity Disorder in Children and Adolescents: A Systematic Review

“…Study participants: The studies included were performed in seven countries; the United States, Taiwan, Norway, Australia, the Netherlands, Denmark, and France [6,7,11,[14][15][16][17][18][19][20][21][22][23][24]. The total number of participants recorded was 2,098.…”

“…One study assessed MPH and CBT in the included articles [18]. Six studies centered on CBT [15][16][17][18]23,24], while nine researchers centered on MPH administration [6,7,11,14,[18][19][20][21][22]. The dosage of MPH was different in each of the nine studies.…”

“…The CBT interventions in six studies included in this review had different measures of assessing the effectiveness of the ADHD treatment [15][16][17][18]23,24]. The study observed that CBT improved ADHD symptoms (Table 3).…”

Psychoeducation with The Small Group Discussion Approach Increases Knowledge of Parents in Caring for Children with Autism and Aggressive Behavior

“…In addition, in East Java, it was estimated that 152 children with autism in 2015. There is no report on the incidence of autism with aggressive behavior, but symptoms of aggressive behavior often appear in autistic children, so the number continues to increase every year (14,15). The preliminary survey was conducted at the children's development outpatient clinic of the Menur Mental Hospital, Surabaya (16,17).…”