Better Understand Children and Adolescents' Intrafamilial Oppositional Defiant Disorder
Condition: Oppositional Defiant Disorder With Familial Setting
MeSH terms: Attention Deficit and Disruptive Behavior Disorders
Study type: Observational

Summary: 
      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.
    

Detailed description: 
      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.

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      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.
    

Intervention name(s): Semi-directive interview (Kiddy Sads); SDQ questionnaires (strenghs and difficulties questionnaire)
Intervention type(s): Other; Other
Intervention description(s): semi-directive interview (Kiddy Sads) conducted as part of the care; SDQ questionnaires (strenghs and difficulties questionnaire) conducted as part of the care
Observational model: Case-Control
Time perspective: Retrospective
Sampling method: Non-Probability Sample
Study population: 
        Subjects include:

          -  Patients diagnosed with ODD during a day evaluation at one of our unit cares: UDS
             (Unité de Diagnostic et de Soins) or UPP (Unité de Prévention Pédosychiatrique); both
             units are headed by the Pr Diane Purper-Ouakil CHU Saint Eloi Montpellier.

          -  Patients included in the " REACT " study conducted at CHU Saint Eloi Montpellier, and
             diagnosed with ODD during the pre-study visit.
      
Keywords: Oppositional defiant disorder; Family; Disruptive, impulse control and conduct disorders; Anxiety disorder; Intrafamilial disruptive behaviours disorder