The Role Of Learning In The Development, Maintenance, And Treatment Of Paediatric Obsessive-Compulsive Disorder
Funder
National Health and Medical Research Council
Funding Amount
$189,604.00
Summary
Obsessive-compulsive disorder (OCD) in children is a severely debilitating mental health problem affecting between 0.5 and 1% of the population at any point in time. Children with OCD frequently experience high functional impairment as a result of their symptoms, including deteriorating school performance and poor peer relationships. Family life is often disrupted, causing significant distress and hardship to parents and siblings. However, little research attention has been paid to how families ....Obsessive-compulsive disorder (OCD) in children is a severely debilitating mental health problem affecting between 0.5 and 1% of the population at any point in time. Children with OCD frequently experience high functional impairment as a result of their symptoms, including deteriorating school performance and poor peer relationships. Family life is often disrupted, causing significant distress and hardship to parents and siblings. However, little research attention has been paid to how families affect and are affected by this disabling condition. This research examines the role of learning in the development, maintenance and treatment of OCD. Specifically, the study aims to: 1. explore the way in which children with OCD process threatening information 2. investigate the influence of parents on children's processing of OCD-relevant information 3. develop and implement the world's first randomised control trial of cognitive-behavioural plus parent training (CBT + PT) for childhood OCD 4. evaluate parent-assisted treatment in comparison to a standard cognitive-behavioural treatment (CBT) and a placebo control 5. examine the long-term maintenance of each type of treatment The outcomes of this project will be: 1. an improved understanding of OCD in children, and their families 2. an increased knowledge of the relationship between parenting processes and OCD symptomatology 3. the development and dissemination of an evidence-based treatment for childhood OCDRead moreRead less
Parenting Style As A Mediator Of Psychosocial Risk Factors And Childhood Externalizing Behaviour Problems
Funder
National Health and Medical Research Council
Funding Amount
$113,160.00
Summary
It is imperative that effective interventions be developed and evaluated for children with externalising disorders (e.g. oppositional disorder, attention deficit order and conduct disorder). The prevalence of these problems in the community is high, the prognosis of children is poor, and externalising problems are passed on across successive generations in the same family. Childhood externalising problems are also one of the most costly behavioural disorders for society. Many studies have examin ....It is imperative that effective interventions be developed and evaluated for children with externalising disorders (e.g. oppositional disorder, attention deficit order and conduct disorder). The prevalence of these problems in the community is high, the prognosis of children is poor, and externalising problems are passed on across successive generations in the same family. Childhood externalising problems are also one of the most costly behavioural disorders for society. Many studies have examined the nature and course of externalising problems in older children and adolescents. However, little attention has been paid to the early onset of externalising disorders amongst preschool and early school-age children. Whilst the relationships between family risk factors (e.g. marital discord and maternal depression), parental management styles and children's behaviour problems are widely recognised, the exact nature and direction of these relationships remains largely unknown. This proposal will provide new information about the mechanism through which family risk factors such as marital discord or parental distress influence the onset and persistence of externalising problems in young children, via their effects on parents' behaviour management techniques. This information can then be used to instruct early intervention efforts for parents and families of children at risk of developing externalising behaviour problems.Read moreRead less
Acute Stress Disorder And Posttraumatic Stress Disorder In Injured Children
Funder
National Health and Medical Research Council
Funding Amount
$125,000.00
Summary
The aim of this project is to develop the means to identify acute reactions to trauma that will predict chronic posttraumatic stress disorder (PTSD) in children after a traumatic injury. This project will conduct the first prospective analysis of acute stress disorder and chronic traumatic stress symptoms in children, develop diagnostic guidelines to identify acutely traumatized children who are at risk of PTSD, and identify biological, cognitive, and familial factors that mediate PTSD developme ....The aim of this project is to develop the means to identify acute reactions to trauma that will predict chronic posttraumatic stress disorder (PTSD) in children after a traumatic injury. This project will conduct the first prospective analysis of acute stress disorder and chronic traumatic stress symptoms in children, develop diagnostic guidelines to identify acutely traumatized children who are at risk of PTSD, and identify biological, cognitive, and familial factors that mediate PTSD development following trauma. Two hundred children (aged 7 - 12 years) who are admitted to hospital following a traumatic injury will be assessed for acute disorder within one month of the accident. They will be also be assessed for heart rate, blood pressure, memory patterns, and family responses during the initial assesment. Parents will also be assessed for their trauma reactions. All participants will be re-assessed at 6-months posttrauma, and again at 18-months posttrauma. These findings will establish the means to identify acutely traumatized children who are at risk of PTSD and open up opportunities for early intervention and prevention of PTSD.Read moreRead less
Prevention Of Childhood Anxiety: A Parent-focused Approach, Targeting The School Transition
Funder
National Health and Medical Research Council
Funding Amount
$60,220.00
Summary
The prevention of mental health problems in young people warrants research. Anxiety is a common problem amongst children, resulting in academic and relationship difficulties across the lifespan. The project investigates the effectiveness of an anxiety prevention strategy designed to optimise school adjustment in anxious and withdrawn preschool aged children making the transition to formal schooling. The intervention is parent-focused. Parents will be taught anxiety management strategies. They wi ....The prevention of mental health problems in young people warrants research. Anxiety is a common problem amongst children, resulting in academic and relationship difficulties across the lifespan. The project investigates the effectiveness of an anxiety prevention strategy designed to optimise school adjustment in anxious and withdrawn preschool aged children making the transition to formal schooling. The intervention is parent-focused. Parents will be taught anxiety management strategies. They will also be taught to decrease the use of overprotective or threat communicative responses, to model and reinforce non-anxious behaviour, and to coach children in active problem solving. The prevention of childhood anxiety will have important cost savings in the long term, relating to reduction in the costs associated with school adjustment difficulties and mental health treatments for children, as well as reductions in distress amongst individuals and their families. If the present program proves successful with children at risk of anxiety, it may have the potential to be offered within the education system as a universal transitional program.Read moreRead less
A Prospective Study Of Traumatic Stress In Children Involved In Motor Vehicle Accidents
Funder
National Health and Medical Research Council
Funding Amount
$185,889.00
Summary
Motor vehicle accidents (MVAs) are relatively frequent major life trauma that represent significant life threatening experiences. Not surprisingly evidence suggests that MVAs represent a frequent trigger for the development of post traumatic stress disorder (PTSD), although studies have typically focussed upon adult survivors. Local statistics indicate a significant proportion of children will experience a MVA of sufficient severity to warrant attendance at hospital. This project is of significa ....Motor vehicle accidents (MVAs) are relatively frequent major life trauma that represent significant life threatening experiences. Not surprisingly evidence suggests that MVAs represent a frequent trigger for the development of post traumatic stress disorder (PTSD), although studies have typically focussed upon adult survivors. Local statistics indicate a significant proportion of children will experience a MVA of sufficient severity to warrant attendance at hospital. This project is of significance because it will provide badly needed information about the prevalence and course of emotional and behavioural problems in children following exposure to a serious MVA. More broadly the study should provide valuable information on post-traumatic stress responses in children. Furthermore, it will enable us to identify the factors that place children at particular risk of developing psychological problems following a MVA. This will provide information to help design of interventions to prevent the development of PTSD and other forms of psychopathology following MVAs. Such data will also permit identification of those children who are at particular risk of psychological morbidity after MVA trauma and for whom preventive interventions are most likely to be beneficial.Read moreRead less
Prevention Of Anxiety And Depression In Children - Development And Evaluation Of A Universal Lifeskills Program
Funder
National Health and Medical Research Council
Funding Amount
$274,094.00
Summary
The purpose of this study is to develop and evaluate a universal school-based mental health promotion program aimed at preventing anxiety and depression in upper primary school students. The program will build on validated methods of increasing resilience and optimism in young people (Jaycox et al., 1994; Clarke et al., 1995; Dadds et al., 1997; Roberts et al., 1998, Shochet et al., 1998). No other prevention programs have addressed both anxiety and depression, nor have they integrated their pro ....The purpose of this study is to develop and evaluate a universal school-based mental health promotion program aimed at preventing anxiety and depression in upper primary school students. The program will build on validated methods of increasing resilience and optimism in young people (Jaycox et al., 1994; Clarke et al., 1995; Dadds et al., 1997; Roberts et al., 1998, Shochet et al., 1998). No other prevention programs have addressed both anxiety and depression, nor have they integrated their programs into the school curriculum. The universal Aussie Optimism Program will teach optimistic thinking styles and positive self-talk, self-efficacy, coping strategies and social problem solving to children preparing for their transition to high school. It will be designed in modular format to fit with Australian primary school terms and the K-10 Health and Physical Education curriculum. It is designed to be implemented by teachers, plus a family module will be developed to be used as an adjunct to the classroom program. The program is targeted at a developmental stage just prior to the increase in depression symptomatology in early adolescence. The program has the potential to promote the mental health of children on a larger scale than previous programs, to reduce the incidence of anxiety and depression in young people and to increase their resilience to life's stresses.Read moreRead less