A Pilot Controlled Trial of Relaxation Training Combined with a Video Game Reinforcing Emotional Regulation to Improve Anger Management in Children and Adolescents.

Biofeedback Child aggression Emotion regulation Intervention

Journal

Research on child and adolescent psychopathology
ISSN: 2730-7174
Titre abrégé: Res Child Adolesc Psychopathol
Pays: United States
ID NLM: 101773609

Informations de publication

Date de publication:
23 Oct 2024
Historique:
accepted: 07 10 2024
medline: 23 10 2024
pubmed: 23 10 2024
entrez: 23 10 2024
Statut: aheadofprint

Résumé

Untreated anger and aggression in youth confer heightened risk for subsequent psychosocial problems. However, engaging youth in treatment for anger can be difficult given barriers to accessing care and high rates of attrition. This study examined whether learning relaxation skills and practicing them using a videogame, whose operation was contingent upon keeping heart rate close to baseline levels, could help children learn to manage anger and aggression. Youth ages 7-17 with elevated levels of anger (N = 39) were randomized to receive the active video game condition or a control game that displayed heart rate but did not stop the game if heart rate became elevated. Youth underwent baseline screening, 6 treatment sessions, and follow-up assessments at 2-weeks and 3-months. Compared to the control condition, children in the active condition demonstrated significantly greater improvements in clinician-rated aggression severity (d = 1.48) and youth-rated emotion dysregulation (d = 3.46) at 2-weeks post-treatment. The active group maintained these improvements at 3-month follow-up, but no longer significantly differed from the control group. Intervention effects were nonsignificant for parent-reported emotion dysregulation and aggression. In addition, the intervention group youth, but not control group, experienced increased time with heart rate below baseline over the course of the 6 sessions. Findings suggest a promising brief intervention for reducing aggression and emotion dysregulation in children while they are waiting for longer-term outpatient therapy. Clinical Trial Registration Number: NCT03270813.

Identifiants

pubmed: 39441503
doi: 10.1007/s10802-024-01259-w
pii: 10.1007/s10802-024-01259-w
doi:

Banques de données

ClinicalTrials.gov
['NCT03270813']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Dupont Warren Research Fellowship
ID : Dupont Warren Research Fellowship
Organisme : Livingston Research Award
ID : Livingston Research Award
Organisme : American Academy of Child and Adolescent Psychiatry
ID : American Academy of Child and Adolescent Psychiatry

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Carrie Vaudreuil (C)

Sage Therapeutics Inc, Cambridge, MA, USA.

Madelaine R Abel (MR)

Child Cognitive Behavioral Therapy Program, Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Warren 719, Boston, MA, 02114, USA. mabel1@mgh.harvard.edu.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA. mabel1@mgh.harvard.edu.

Yvonne Barnett (Y)

Pikeville Medical Center, Pikeville, KY, USA.

Maura DiSalvo (M)

Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Boston, MA, USA.

Dina R Hirshfeld-Becker (DR)

Child Cognitive Behavioral Therapy Program, Department of Psychiatry, Massachusetts General Hospital, 55 Fruit Street, Warren 719, Boston, MA, 02114, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

Classifications MeSH