Skip to main content

TIGA-CUB-manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5–11 with treatment-resistant conduct disorders and their primary carers: results from a randomised controlled feasibility trial

Edginton, Elizabeth; Walwyn, Rebecca; Twiddy, Maureen; Wright-Hughes, Alex; Tubeuf, Sandy; Reed, Sadie; Smith, Alix; Stubbs, Laura; Birtwistle, Jacqueline; Abraham, Sarah Jane; Ellis, Lynda; Midgley, Nick; Hughes, Tom; Wallis, Paul; Cottrell, David

Authors

Elizabeth Edginton

Rebecca Walwyn

Alex Wright-Hughes

Sandy Tubeuf

Sadie Reed

Alix Smith

Laura Stubbs

Jacqueline Birtwistle

Sarah Jane Abraham

Lynda Ellis

Nick Midgley

Tom Hughes

Paul Wallis

David Cottrell



Abstract

Background: Parenting programmes are recommended for conduct disorders in 5–11 year olds, but ineffective for 25–33%. A feasibility trial was needed to determine whether a confirmatory trial of second-line, manualised short-term psychoanalytic child psychotherapy (mPCP) versus treatment as usual (TaU) is practicable.

Method: This was a two-arm, pragmatic, parallel-group, multi-centre, individually-randomised controlled feasibility trial with blinded outcome assessment. Child–primary carer dyads were recruited from National Health Service Child and Adolescent Mental Health Services and mPCP delivered by routine child psychotherapists.

Results: Thirty-two dyads (50% of eligible, 95% CI 37 to 63%) were recruited, with 16 randomised to each arm. Eleven (69%) completed ≥50% of 12 week mPCP and 13 (81%). Follow-up was obtained for 24 (75%) at 4 months and 14/16 (88%) at 8 months. Teacher follow-up was 16 (50%) ≥1 session. Manual adherence was good. Baseline candidate primary outcomes were 37.4 (SD 11.4) and 18.1 (SD 15.7) on the Child Behaviour Checklist/Teacher Report Form externalising scale and 102.8 (SD 28.4) and 58.8 (SD 38.9) on the total score. Health economics data collection was feasible and the trial acceptable to participants.

Conclusion: Recruitment, teacher follow-up and the manual need some refinement. A confirmatory trial is feasible, subject to funding of research child psychotherapists.

Journal Article Type Article
Publication Date Nov 14, 2018
Journal Journal of Child & Adolescent Mental Health
Print ISSN 1728-0583
Electronic ISSN 1728-0591
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 30
Issue 3
Pages 167-182
APA6 Citation Edginton, E., Walwyn, R., Twiddy, M., Wright-Hughes, A., Tubeuf, S., Reed, S., …Cottrell, D. (2018). TIGA-CUB-manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5–11 with treatment-resistant conduct disorders and their primary carers: results from a randomised controlled feasibility trial. Journal of Child and Adolescent Mental Health, 30(3), 167-182. doi:10.2989/17280583.2018.1532433
DOI https://doi.org/10.2989/17280583.2018.1532433
Keywords Pediatrics, Perinatology, and Child Health; Developmental and Educational Psychology; Clinical Psychology; Psychiatry and Mental health
Publisher URL https://www.tandfonline.com/doi/abs/10.2989/17280583.2018.1532433
Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline....cope&journalCode=rcmh20

Files

Article (538 Kb)
PDF

Copyright Statement
© The Author(s)Open Access article distributed under the terms of the Creative CommonsAttribution License [CC BY 4.0] (http://creativecommons.org/licenses/by/4.0)





You might also like



Downloadable Citations