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| Sponsor: | National Institute of Mental Health (NIMH) |
|---|---|
| Information provided by: | National Institutes of Health Clinical Center (CC) |
| ClinicalTrials.gov Identifier: | NCT00001233 |
Purpose
A conduct disorder is characterized by repetitive and persistent patterns of behavior where the basic rights of others and rules are violated.
This study investigates characteristics of children and their surroundings (environments) that place them at risk for the development of disruptive behavior disorders and associated disorders of anxiety and mood. Children ages 4 - 5 with moderate (subclinical) and severe (clinical) rates of misconduct during the preschool period are compared to low risk children. Children and their families were recruited from 1989-1991 and are being studied at five specific times:
Researchers will look closely at biological, intellectual, emotional, and behavioral factors that are thought to protect against and/or increase the risk of developing a conduct problem. These factors have been studied in older children and are shown to be associated with disruptive behavior disorders.
The goals of this research study are;
| Condition |
|---|
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Attention Deficit and Disruptive Behavior Disorders Child Behavior Disorders Passive-Aggressive Personality Disorder |
| Study Type: | Observational |
| Official Title: | A Longitudinal Study of Children at Risk for Disruptive Behavior Disorders: Transitions From Early Childhood to Middle Childhood and Adolescence |
| Estimated Enrollment: | 900 |
| Study Start Date: | December 1988 |
| Estimated Study Completion Date: | December 2000 |
This study investigates characteristics of children and their environments that place them at risk for the development of disruptive behavior disorders and co-morbid internalizing problems (anxiety and mood disorders). Children ages 4-5 with moderate (subclinical) and high (clinical) rates of misconduct during the preschool period are compared with low risk children. Children and their families are studied again at four later time points: (a) early childhood (6-7 yrs.), (b) middle childhood (9-10 yrs.), (c) early adolescence (13-14 yrs.), and (d) mid-adolescence (15-16 yrs.). Assessments of children include dimensions of biological, cognitive, affective, emotional and behavioral functioning, that have been identified in research with older children as putative risk and protective factors in the development of conduct problems. Socialization experiences within and outside the family, also hypothesized to influence developmental trajectories are examined. Currently, Time 4 assessments are being conducted, with three-quarters of the research subjects tested. Behavior problems show significant stability across the first three time periods. However, some children improve over time, changes that result, in part, from more optimal environmental conditions. Different patterns of emotion dysregulation, ANS, and HPA activity in antisocial preschool children predict different types of externalizing problems at later time points. Behavior problems and their correlates differ for young disruptive boys and girls: Oppositional, aggressive girls are more likely to have co-morbid internalizing problems, and emotion regulation patterns that may decrease risk for continued antisocial behavior, but increase risk for depression and anxiety later in development.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Preschool age children with conduct problems and normal preschool age children used for control.
Contacts and Locations
More Information
| Study ID Numbers: | 880217, 88-M-0217 |
| Study First Received: | November 3, 1999 |
| Last Updated: | March 3, 2008 |
| ClinicalTrials.gov Identifier: | NCT00001233 History of Changes |
| Health Authority: | United States: Federal Government |
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Adolescence Aggressivity Anger Developmental Psychopathology Disruptive Behavior Disorders |
Early Onset Aggression Emotion Regulation Family Violence Preschool Conduct Problems |
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Passive-Aggressive Personality Disorder Child Behavior Disorders Pathologic Processes Disease |
Mental Disorders Mental Disorders Diagnosed in Childhood Attention Deficit and Disruptive Behavior Disorders Personality Disorders |