Teatro-terapia: un approccio originale per la gestione del comportamento dirompente del bambino

2021 ◽  
Vol 24 (9) ◽  
pp. 261-269
Author(s):  
Andrea Andolina ◽  
Luca Ronfani ◽  
Aldo Skabar
Keyword(s):  
Drama Therapy ◽  
Pharmacological Intervention ◽  
Disruptive Behaviour ◽  
Multimodal Approach ◽  
Behavioural Treatment ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Typical Treatment ◽  
Therapy Intervention

Aggressive behaviours are the main problem in children with disruptive behaviour disorders. In the majority of cases an oppositional defiant disorder (ODD), often in comorbidity with ADHD, is diagnosed. In these cases the most effective intervention is the multimodal one that includes behavioural treatment for the child, counselling for parents (parent training) and teachers (teacher training) and, if needed, a pharmacological intervention. Drama therapy experiences have proved useful in various fields of medicine. It has been hypothesized that this type of intervention facilitates the development of communication skills, mutual social interaction and recognition of emotions. A group of children with ADHD-ODD comorbidity underwent a brief, intensive drama therapy intervention whose results were compared with those of a control population who received a typical treatment. The reduction in aggressive behaviour was significant and was confirmed at the follow up three months later. Drama therapy is a promising intervention, whose role should not be underestimated in the context of a multimodal approach.

scholarly journals Adding the Coping Power Programme to parent management training: the cost-effectiveness of stacking interventions for children with disruptive behaviour disorders

2020 ◽  
Author(s):  
Camilla Nystrand ◽  
Maria Helander ◽  
Pia Enebrink ◽  
Inna Feldman ◽  
Filipa Sampaio
Keyword(s):  
Cost Effectiveness ◽  
Management Training ◽  
Parent Management Training ◽  
Disruptive Behaviour ◽  
Net Benefit ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Coping Power ◽  
Parent Management

Abstract Parent management training (PMT) programmes and child cognitive behavioural therapy are recommended approaches for treatment of oppositional defiant disorder in children, and combining these may be effective. However, little is known regarding the economic efficiency of this additive effect. A within-trial cost-effectiveness analysis was carried out in Sweden including 120 children aged 8–12 who screened positive for disruptive behaviour disorders, within a psychiatric care setting, and their parents. They were randomly assigned to either the Swedish group-based PMT Comet, or to an enhanced version, where an additional child component was provided, the Coping Power Programme (CPP). Child behaviour problems as well as healthcare and educational resource use were measured at baseline, post-test and at two-year follow-up. A net benefit regression framework was used to estimate differences in costs and health outcomes between the two intervention arms during the two-year period. Comet with CPP cost on average 820 EURO more per family than Comet only. At the 2-year follow-up, there were 37% recovered cases of ODD in Comet with CPP, in comparison to 26% in the Comet only arm. At a willingness-to-pay of approximately 62,300 EURO per recovered case of ODD, Comet with CPP yielded positive net benefits, in comparison to Comet only. Offering children the CPP simultaneously as their parents receive PMT, in comparison to only providing PMT, yields clinically relevant gains. Despite the relatively small cost for CPP, investment in combining PMT and CPP should be guided by resource prioritisation. Trial registration number: ISRCTN10834473, date of registration: 23/12/2015

scholarly journals Implementation and evaluation of a curriculum on the assessment and treatment of disruptive behaviour disorders

2021 ◽  
Author(s):  
Asif Doja ◽  
Tamara Pringsheim ◽  
Brendan F Andrade ◽  
Lindsay Cowley ◽  
Sarah A Healy ◽  
...  
Keyword(s):  
Atypical Antipsychotics ◽  
Disruptive Behaviour ◽  
Hyperactivity Disorder ◽  
Disruptive Mood Dysregulation Disorder ◽  
Post Evaluation ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Adequate Education ◽  
Assessment And Treatment ◽  
Paediatric Practice

Abstract Disruptive behaviour disorders (DBDs)—which can include or be comorbid with disorders such as attention-deficit hyperactivity disorder, oppositional defiant disorder, conduct disorder and disruptive mood dysregulation disorder—are commonly seen in paediatric practice. Given increases in the prescribing of atypical antipsychotics for children and youth, it is imperative that paediatric trainees in Canada receive adequate education on the optimal treatment of DBDs. We describe the development, dissemination, and evaluation of a novel paediatric resident curriculum for the assessment and treatment of DBDs in children and adolescents. Pre–post-evaluation of the curriculum showed improved knowledge in participants.

scholarly journals Desordenes en funciones ejecutivas y síntomas de desorden de comportamiento adaptativo en niños preescolares

2014 ◽  
Vol 13 (4) ◽  
Author(s):  
Eva Angelina Araujo Jiménez ◽  
Ma. Claustre Jané Ballabriga ◽  
Albert Bonillo Martin ◽  
Connie Capdevilla i Brophy
Keyword(s):  
Executive Function ◽  
Executive Functioning ◽  
Conduct Disorder ◽  
Oppositional Defiant Disorder ◽  
Attention Deficit ◽  
Disruptive Behaviour ◽  
Cross Sectional ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders

The Executive Function is a set of cognitive processes that are developed from the earliest ages. Recent studies in children with disruptive behaviour disorders suggest the presence of effects on the executive functioning. The aim of this study is to know the association among symptoms of Attention Deficit with Hyperactivity Disorder, Oppositional Defiant Disorder, and Conduct Disorder, and Executive Function in children from 3 to 6 years old. Method: A descriptive cross-sectional study was conducted. An assessment was performed on a sample of 444 subjects from Spain; it was made through an inventory for parents and teachers to estimate the capacity of Executive Function. Results: a relation between the symptoms of Attention Deficit with Hyperactivity Disorder, Oppositional Defiant Disorder, Conduct Disorder, and the Executive Function deficit was found. The presence of symptoms of Attention Deficit with Hyperactivity Disorder inattentive type is associated with deficiencies in all areas of Executive Function, which does not occur with other symptoms. Conclusion: It is important to know the specific characteristics of each symptomatology by taking into account their executive functioning, in order to achieve accurate diagnoses in the clinical setting, as well as appropriate therapy according to the deficiencies presented by children.

scholarly journals Prevalence of attention-deficit/hyperactivity and other disruptive behaviour disorder symptoms among primary school-age children in Kayseri, Turkey

2017 ◽  
Vol 46 (1) ◽  
pp. 122-134 ◽  
Author(s):  
Vesile Senol ◽  
Demet Unalan ◽  
Raziye Peksen Akca ◽  
Mustafa Basturk
Keyword(s):  
Primary School ◽  
Low Income ◽  
Attention Deficit ◽  
School Age Children ◽  
Disruptive Behaviour ◽  
School Age ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Dsm Iv ◽  
Primary School Age

Objectives This study aimed to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD), and their influencing factors on primary school-age children. Methods This cross-sectional study was conducted among 2045 students, 7–15 years old, who were randomly selected from seven schools in Kayseri, Turkey, in 2012. Participants were stratified by socioeconomic status. Data were collected using the Turgay DSM-IV-Based Child and Adolescent Behavioural Disorders Screening and Rating Scale (T-DSM-IV-S). For statistical analyses, the t-test and analysis of variance were used. Results Rates of disruptive behaviour disorders (DBDs) among children were as follows: ADHD, 6.2%; CD, 14.4%; and ODD, 6.7%. The prevalence of ADHD was higher in boys and children whose mothers were homemakers and from poorly-educated and low-income families, compared with their peers. CD was more prevalent among boys and children 13–15 years old, whose parents had low income levels and were separated. ODD was higher in boys and children whose mothers were homemakers. Conclusions Our findings suggest that the overall prevalence of DBDs in our study area is 27.4%, which is similar to the pooled worldwide prevalence. Adverse family factors are closely associated with the prevalence of DBDs.

Using the Achenbach Child Behaviour Checklist in the differential diagnosis of disruptive behaviour disorders

1997 ◽  
Vol 14 (4) ◽  
pp. 136-138 ◽  
Author(s):  
Thomas P Kelly ◽  
Paul McArdle
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Differential Diagnosis ◽  
Conduct Disorder ◽  
Attention Deficit ◽  
Child Behaviour ◽  
Disruptive Behaviour ◽  
Child Behaviour Checklist ◽  
Hyperactivity Disorder ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders

AbstractObjective: The report considers the utility of the Achenbach Child Behaviour Checklist in the differential diagnosis of the disruptive behaviour disorders.Method: Subscale scores on the parent completed Achenbach Child Behaviour Checklist were compared for three of 15 boys, the first diagnosed with attention deficit hyperactivity disorder, the second diagnosed with oppositional defiant disorder and a third non-clinical control.Result: The attention subscale of the Achenbach Child Behaviour Checklist was found to have a high level of sensitivity to children diagnosed with attention deficit hyperactivity disorder, but relatively poor specificity. The delinquent subscale was found to have limited sensitivity for oppositional defiant/conduct disorder group, but high levels of specificity. The aggressive subscale were found to have relatively high sensitivity for the oppositional defiant/conduct disorder group and relatively high specificity.Conclusion: The Achenbach Child Behaviour Checklist is useful in distinguishing between children with disruptive behaviour disorders and a non-clinical sample. The aggressive subscale appears to have potential clinical utility in the differential diagnosis of the disruptive behaviour disorders.

scholarly journals Functional MRI studies in disruptive behaviour disorders

2011 ◽  
Vol 21 (1) ◽  
pp. 31-33 ◽  
Author(s):  
M. Bellani ◽  
M. Garzitto ◽  
P. Brambilla
Keyword(s):  
Disruptive Behaviour ◽  
Functional Magnetic Resonance ◽  
Imaging Studies ◽  
Subcortical Structures ◽  
Social Rules ◽  
Affective Stimuli ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Neural Dysfunctions ◽  
Shed Light

Aggressive or antisocial behaviours with violations of social rules are the main features of disruptive behaviour disorders (DBDs), which are developmental diseases and include conduct disorder and oppositional defiant disorder. In the last decade, several efforts have been made to shed light on the biological underpinnings of DBDs. In this context, the main findings of functional magnetic resonance imaging studies in DBD are reported here. There are indications of neural dysfunctions in response to affective stimuli, especially regarding medial and orbitofrontal prefrontal cortex and connected subcortical structures.

Factor structure and cultural factors of disruptive behaviour disorders symptoms in Italian children

2006 ◽  
Vol 21 (6) ◽  
pp. 410-418 ◽  
Author(s):  
Alessandro Zuddas ◽  
Gian Marco Marzocchi ◽  
Jaap Oosterlaan ◽  
Pina Cavolina ◽  
Bernadette Ancilletta ◽  
...  
Keyword(s):  
Factor Structure ◽  
Discriminant Validity ◽  
Disruptive Behaviour ◽  
Normal Children ◽  
Disruptive Disorders ◽  
Oppositional Defiant ◽  
Italian Regions ◽  
Disruptive Behaviour Disorders ◽  
Dsm Iv ◽  
Italian Children

AbstractObjective:Poor parent and teacher awareness for attention-deficit/hyperactivity disorder (ADHD) and the scepticism of many clinicians on the prevalence of the disorder, make Italy an interesting environment in which to verify neuropsychological constructs generated in a predominantly Northern American cultural contest. The aim of the study was to verify, by factor confirmatory analysis, the empirical validity of the DSM constructs underlying the diagnostic criteria for developmental disruptive behaviour disorders in Italian school-age children.Methods:Scores for DSM-IV inattention and hyperactivity/impulsivity, for oppositional defiant disorder (ODD) and for conduct disorder (CD) symptoms in 6–12 years old Italian children were analysed from 1575 parent and 1085 teacher forms of the disruptive behaviour disorders questionnaires collected in four different Italian regions.Results:Reliability indicates high internal consistencies for both parent and teacher rating of inattention, hyperactivity/impulsivity, and oppositionality, but not for conduct problems. In accordance with the literature, a relatively low inter-rater convergent and discriminant validity correlation was observed comparing measures obtained by between parents and teachers. Confirmatory factor analysis of both parent and teacher data showed a better fit for a four-factor model, indicating a factor structure in accordance with the DSM-IV taxonomy. When completed by parents and teachers of clinically assessed ADHD, dyslexic or normal children, the disruptive behavioural disorder questionnaires showed a significant predictive diagnostic value.Conclusion:Although an informant variance higher that dimensional (trait) variance was observed, the study provides support for DSM-IV taxonomy for developmental disruptive disorders, showing construct validity of ADHD. ODD and CD could also be distinguished from each other.

Risperidone and weight change in children with learning disability. A retrospective study

2011 ◽  
Vol 26 (S2) ◽  
pp. 897-897
Author(s):  
M. Narayan ◽  
U. Ahmed ◽  
C.R. Bachu ◽  
S. Read
Keyword(s):  
Learning Disabilities ◽  
Weight Gain ◽  
Disruptive Behaviour ◽  
Disruptive Behaviour Disorders ◽  
Pearson's R ◽  
Diagnostic Samples ◽  
The Mean ◽  
One Year ◽  
Pearson’S R

AimRisperidone has been recommended for the management of disruptive behaviour disorders in children with learning disabilities. This study explored the effects of Risperidone on absolute body weight in children with learning disabilities who received Risperidone for disruptive behaviour disorders.MethodologyData was collected for children (n = 70) with learning disabilities who were prescribed Risperidone for disruptive behaviour disorders in out patient clinic. Weight, height and BMI were recorded at the first appointment and at the follow up for up to one year. Data was analysed to find any changes in weight and BMI during the course of treatment with Risperidone.ResultsMean weight gain for the sample was 6.1 kg (sd = 2.7), 1.7 kg more than expected in one year which was statistically significant (t = 6.2, df = 69, p < 0.001). Mean BMI change was 1.51 kg; significantly larger than the mean expected BMI change of 0.62 of this sample (t = 4.98, df = 1.6, P = 0.001). Change in BMI was more for girls, 2.17 (sd = 1.00) compared with boys 1.36 (sd = 1.18), but this was not significant (t = 1.90, df = 49, p = 0.06). There is no significant relationship between Risperidone dose and weight gain (Pearson's r = 0.21, p = 0.42) and BMI (Pearson's r = 0.03, p = 1.00).ConclusionRisperidone should be used with caution in children where weight gain could have long lasting impact. Prescribing clinicians should obtain baseline measures of weight, height, BMI and monitor them at regular intervals. Emphasis should be placed on life style interventions such as diet, physical activities etc. Further comparable studies with larger sample sizes using more homogenous diagnostic samples are needed.

State Empathy in Young Male Adolescents with Disruptive Behaviour Disorders

2008 ◽  
Author(s):  
Minet de Wied ◽  
Anton van Boxtel ◽  
Walter Matthys ◽  
Wim Meeus
Keyword(s):  
Young Male ◽  
Disruptive Behaviour ◽  
Male Adolescents ◽  
Disruptive Behaviour Disorders
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