Oppositional Defiant Disorder In Children Research Articles

Aggressive behaviors and oppositional defiant disorder: An analysis of the relationship between aggressive behaviors in childhood

Child development is a period of learning processes, which is why dysfunctional behaviors are common. However, these behaviors may exist situationally or, depending on their persistence, may constitute oppositional defiant disorder. The aim of this article was to carry out a systematic review of studies focusing on certain aggressive behaviors in childhood and the possibility of a relationship with the diagnosis of ODD (Oppositional Defiant Disorder), seeking to identify their causes and repercussions from early diagnosis. The search for articles was carried out in the Scielo; Lilacs; BVS databases during the months of March to May, using the terms: "Oppositional Defiant Disorder", "Childhood", "Aggressiveness" and "Behavior". Thus, this is a systematic review of the literature of an exploratory and descriptive nature in the year 2023. The final database included in the analysis consisted of 7 articles published from 2019 to 2023. However, the selected studies show a clear relationship between the influence of context on the development of oppositional defiant disorder in childhood, so children who develop in environments with aggressive communication tend to be more likely to be diagnosed with ODD (Oppositional Defiant Disorder).

Risk and Protective Factors of Oppositional Defiant Disorder in Children with Stuttering: Unraveling Familial Dynamics

Purpose: The current study aimed to explore the role of familial conflict, psychological distress, and problem-resolution techniques on the prevalence of Oppositional Defiant Disorder (ODD) in stuttering children. Methodology: This investigation employed a correlational research design. The sample comprised six-year-old children and their mothers from Mashhad. The study included 196 preschoolers (106 girls and 90 boys) selected through convenience sampling. The Oppositional Defiant Disorder Rating Scale (ODDRS), Family Environment Scale (FES), Family Distress Index (FDI), and Family Problem-Solving Communication (FPSC) were utilized for data collection. A linear regression analysis was performed with SPSS version 27 to assess the interrelations among the variables. Findings: The analysis identified family conflict (β=0.35), distress (β=0.39), and problem-solving strategies (β=-0.40) as significant predictors of ODD symptomatology. Notably, family conflict and distress were positively correlated with ODD symptoms, whereas problem-solving strategies were inversely related. These factors collectively accounted for 49% of the variance in ODD symptomatology. Conclusion: This research contributes to the existing literature by amalgamating various familial elements—conflict, distress, and problem-solving strategies—into an integrated framework to better comprehend the etiology of ODD in children.

Yoga and music intervention reduces inattention, hyperactivity/impulsivity, and oppositional defiant disorder in children's consumer with comorbid ADHD and ODD.

To analyze the impact of yoga and music intervention on child consumers, we selected 60 eligible child consumers from yoga and music companies. This preliminary study used a randomized controlled design to investigate whether a 16-week combined yoga and music intervention improves attention, hyperactivity/impulsivity, and oppositional defiant disorder (ODD) in 60 children with attention-deficit/hyperactivity disorder (ADHD) comorbid with ODD aged 4-6 years. It also preliminarily identified which intervention is best for these children among three types: combined yoga and music, yoga-only, and musiconly interventions. We used both the parent- and teacher-rated MTA SNAP-IV ADHD Rating Scale for data collection. We found that the combined yoga and music intervention had a positive effect on inattention, hyperactivity/impulsivity, and ODD in children with comorbid ADHD and ODD. The combined yoga and music intervention was the most effective in reducing inattention (in repeated measures ANOVA effect size, 0.9; followed by the yoga- and the music-only interventions, respectively), hyperactivity/impulsivity (effect size, 0.92), and ODD behaviors (effect size, 0.93) in children with comorbid ADHD and ODD. Thus, the combined yoga and music intervention was the most effective and had a more comprehensive effect on children with combined ADHD and ODD compared with the two other interventions (i.e., yoga- and music-only interventions). Our findings provide preliminary evidence for the use of combined yoga and music interventions on a daily basis as a safe and effective adjunctive treatment for children with comorbid ADHD and ODD. The children in the article refer to child consumers of yoga and music companies.

Development of symptoms of oppositional defiant disorder from preschool to adolescence: the role of bullying victimization and emotion regulation.

Childhood oppositional defiant disorder (ODD) is associated with adverse outcomes which can continue to impair life well into adulthood. Identifying modifiable etiological factors of ODD is therefore essential. Although bullying victimization and poor emotion regulation are assumed to be risk factors for the development of ODD symptoms, little research has been conducted to test this possibility. A sample (n = 1,042) from two birth cohorts of children in the city of Trondheim, Norway, was assessed biennially from age 4 to 14 years. Parents and children (from age 8) were assessed with clinical interviews to determine symptoms of ODD, children reported on their victimization from bullying, and teachers reported on children's emotion regulation. Oppositional defiant disorder symptoms increased from age 4 to 6, from age 8 to 10, and then started to wane as children entered adolescence. A Random Intercept Cross-Lagged Panel Model revealed that increased emotion regulation predicted a reduced number of ODD symptoms across development (β = -.15 to -.13, p < .001). This prediction was equally strong for the angry/irritable and argumentative/defiant dimensions of ODD. No longitudinal links were observed between bullying victimization and ODD symptoms. Improving emotion regulation skills may protect against ODD symptoms throughout childhood and adolescence.

Comparing the effectiveness of child-centered cognitive behavioral therapy (CCBT) and mother-child attachment therapy on the symptoms of oppositional defiant disorder

Objective: This research aimed to compare the effectiveness of child-centered cognitive behavioral therapy (CCBT) and mother-child attachment therapy on the symptoms of oppositional defiant disorder. Method: In terms of the purpose of the present research, it was a quasi-experiment with a pre-test and post-test design with two experimental groups and a control group and a two-month follow-up period. The statistical population of the research included all children aged 10 to 12 years who referred to a counseling center in the 8th district of Tehran in 2022, 30 people were randomly selected in two experimental groups (10 people each) and one group Control (10 people) were assigned. The research tools include the Children’s Symptoms Inventory (CSI-4), child-centered cognitive behavioral therapy protocol based on Kendall &amp; Hedtke's coping cat program (2006) and mother-child attachment-based therapy (MCAT) protocol derived from Purnell (2004) and King &amp; Newham (2008). Results: The findings indicate that both treatments were effective on oppositional defiant disorder. The efficacy of both was stable in the follow-up phase according to the Bonferroni post hoc test. The results of data analysis show that there is no significant difference between their effectiveness and both are equally effective (p&lt;0.05). Conclusion: It can be concluded that MCAT and CCBT were effective in the treatment of children's oppositional defiant disorder. Therefore, it is suggested that specialists use these two approaches in therapy.

Predictors and Moderators Two Treatments of Oppositional Defiant Disorder in Children

ABSTRACT Objective The aim of this study was to examine predictors and moderators of behavioral improvement in children with Oppositional Defiant Disorder (ODD) following treatment with Parent Management Training (PMT) and Collaborative and Proactive Solutions (CPS). Initial problem severity, inconsistent discipline, parental attributions of child misbehavior, and child lagging cognitive skills were examined. Method One hundred and forty-five children aged between 7 and 14 (103 males, M = 8.88 years, ethnicity representative of the wider Australian population) were randomly assigned to PMT and CPS. Assessment was conducted at baseline, post-intervention, and at 6-month follow-up, using independently rated semi-structured diagnostic interviews and parent-ratings of ODD symptoms. Using an intent-to-treat sample in this secondary analysis (Murrihy et al., 2022), linear regressions and PROCESS (Hayes, 2017) were used to examine these predictors and possible moderators of treatment. Results Higher pre-treatment levels of conduct problems, lagging skills, and inconsistent discipline predicted poorer behavioral outcomes following both treatments. The only characteristic that moderated treatment outcome was child-responsible attributions – mothers who were more likely to attribute their child’s problematic behaviors to factors in the child had significantly poorer outcomes in PMT than CPS at 6-month follow-up. Conclusions CPS may be a more beneficial treatment than PMT for families who have been identified as having higher levels of child-responsible attributions before commencing treatment for ODD. While tentative, this provides promising insights as to how treatment outcomes for children with ODD may be improved.

Irritability and Emotional Impulsivity as Core Feature of ADHD and ODD in Children

The categorical approach of diagnosing mental disorders entails the problem of frequently occurring comorbidities, suggesting a more parsimonious structure of psychopathology. In this study, we therefore aim to assess how affective dysregulation (AD) is associated with attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children. To assess AD in children aged 8–12 years (n = 391), we employed the parent version of a newly constructed parent rating scale. Following item reduction, we conducted exploratory and confirmatory factor analyses to establish a factorial structure of AD. One core dimension was identified, comprising irritability and emotional impulsivity, and two smaller dimensions, comprising positive emotionality and exuberance. Subsequently, we examined five different latent factor models – a unidimensional model, a first-order correlated factor model, a second-order correlated factor model, a traditional bifactor model, and a bifactor S-1 model, in which the first-order factor AD-Irritability/Emotional Impulsivity (II) was modeled as the general reference factor. A bifactor S-1 model with the a priori defined general reference domain AD-II provided the best fit to our data and was straightforward to interpret. This model showed excellent model fit and no anomalous factor loadings. This still held true, when comparing it to bifactor S-1 models with ADHD/ODD-related reference factors. Differential correlations with emotion regulation skills and the established Parent Proxy Anger Scale validate the interpretation of the different dimensions. Our results suggest that irritability/emotional impulsivity might be a common core feature of ADHD and ODD.

Predictors of Stimulant Medication Continuity in Children with Attention-Deficit/Hyperactivity Disorder.

The objective of this study was to examine the simultaneous impact of patient-related and parent-related factors, medication-related factors, and health care system-related factors on attention-deficit/hyperactivity disorder (ADHD) medication continuity. Stimulant-naïve children (N = 144, M age = 8 yrs, 71% male) with ADHD completed a methylphenidate (MPH) trial and were followed for 1 year after trial completion and return to community care. Multivariable analysis investigated predictors of (1) having at least 1 filled ADHD prescription after return to community care versus none and (2) having more days covered with medicine after return to community care. Predictors included race; age; sex; income; baseline ADHD symptom severity; MPH trial experience; child and parent mental health conditions; and parent beliefs about ADHD, ADHD medications, and therapeutic alliance. One hundred twenty-one children (84%) had at least 1 filled ADHD medication prescription (mean = 178 d covered by medication) in the year after return to community care. Multivariable models found that a weaker perceived clinician-family working alliance predicted not filling any ADHD prescriptions. Among those who filled ≥1 prescription, factors linked to fewer days of ADHD medication coverage included child sociodemographic factors (non-White race, older age, being female, and lower income), lower parent beliefs that the child's ADHD affects their lives, and higher parent beliefs that medication is harmful, while child oppositional defiant disorder and parental ADHD predicted having more days of medication coverage. Child demographic factors, parent beliefs, and medication-related factors are associated with continuation of ADHD medication. These findings may facilitate the development of effective strategies to improve ADHD medication continuity for children from diverse groups.

Impact of mothers’ IPV-PTSD on their capacity to predict their child’s emotional comprehension and its relationship to their child’s psychopathology

ABSTRACT Background Previous studies demonstrated that when the violence-exposed child becomes a mother and interacts with her own child during early sensitive periods for social-emotional development, she may have difficulties providing sensitive responsiveness to the child’s emotional communication. Such difficulties place the child’s development of emotional comprehension (EC) and related self-regulation at risk. The aim of this study was to examine how mothers’ interpersonal violence-related posttraumatic disorder (IPV-PTSD) would affect their children’s EC and their own ability to predict their children’s EC. We also investigated how mothers’ predictive ability would correlate with child psychopathology. Methods Sixty-one mother–child dyads (36 with IPV-PTSD) participated in this study. Children’s (mean age = 7.0 years, SD = 1.1) EC was assessed with the Test of Emotion Comprehension (child TEC) and their psychopathology as reported by the mother was assessed with the Child Behaviour Checklist (CBCL) and as evaluated by a clinician using selected modules of the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS). Mothers were measured for IPV-PTSD with the Clinician Administered PTSD Scale (CAPS) and for their capacity to predict their child’s emotional comprehension (mother-responding-as-child TEC; mTEC). Results We found no significant between-group differences in children’s level of EC. Maternal PTSD was associated with lower scores on the mTEC, however. Reduced maternal scores on the mTEC were significantly associated with maternal report of increased aggressive child behaviour and with depression symptoms on the K-SADS. Further, scores on the mTEC interacted with maternal report of child aggression on child oppositional defiant disorder (ODD) symptoms on the K-SADS. Conclusion These findings support that improving maternal emotional comprehension may help reduce child risk for psychiatric morbidity in this population.

Journal Digest: Post-COVID Depression; Locus Coeruleus and Alzheimer’s; CY-BOCS Reliability; and More

Journal Digest: Post-COVID Depression; Locus Coeruleus and Alzheimer’s; CY-BOCS Reliability; and More

Association of Maternal Depressive Symptoms During the Perinatal Period With Oppositional Defiant Disorder in Children and Adolescents

An association between perinatal maternal depression and risk of oppositional defiant disorder (ODD) in offspring has not been established. Identifying early determinants of ODD can help inform preventative intervention efforts. To investigate the association between maternal perinatal depressive symptoms and the risk of ODD in offspring aged 7 to 15 years. This population-based longitudinal birth cohort study used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), in Bristol, UK. All pregnant women residents in Avon, UK, with expected delivery dates from April 1, 1991, to December 31, 1992, were invited to participate in the study. The study cohort ranged from approximately 8000 (at 7 years of age) to 4000 (at 15 years of age) mother-offspring pairs. Data were analyzed from November 2020 to July 2021. Maternal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS) antenatally at 18 and 32 weeks of gestation and postnatally at 8 weeks and 8 months. This study primarily used a cutoff score of 12 or more on the EPDS to identify mothers with symptoms of depression, and the continuous EPDS scores were used to confirm the results of the main analyses. Offspring ODD at 7, 10, 13, and 15 years of age were diagnosed using the parent-reported Development and Well-Being Assessment. Of 7994 mother-offspring pairs for whom data were available on offspring ODD at 7 years, 4102 offspring (51.3%) were boys. The mean (SD) age of mothers was 28.6 (4.6) years. Maternal antenatal depressive symptoms (measured at 32 weeks of gestation) were associated with offspring ODD (adjusted odds ratio [AOR], 1.75; 95% CI, 1.33-2.31). Offspring of mothers with postpartum depressive symptoms at 8 weeks and 8 months were more than 2 times more likely to have a diagnosis of ODD over time (AOR at 8 weeks, 2.24 [95% CI, 1.74-2.90]; AOR at 8 months, 2.04 [95% CI, 1.55-2.68]), and maternal persistent depressive symptoms were associated with a 4-fold increased risk of offspring ODD (AOR, 3.59; 95% CI, 1.98-6.52). These findings suggest that perinatal depressive symptoms are associated with ODD in offspring and further support the need for early identification and management of prenatal and postnatal depression in women of childbearing age.

Maternal perinatal depressive symptoms and oppositional-defiant disorder in children and adolescents

IntroductionThere is evidence that maternal perinatal depression is associated with adverse neurodevelopmental and mental health outcomes in children. No study has yet examined the association between maternal depressive symptoms during pregnancy and the postpartum period and the risk of oppositional-defiant disorder (ODD) in children and adolescents.ObjectivesThis study aimed to investigate whether there is an association between perinatal depressive symptoms and the risk of ODD in offspring from age 7 to 15 years.MethodsWe used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based prospective birth cohort study in the UK. Offspring ODD at the age of 7, 10, 13 and 15 years were assessed by using parental reports the Development and Well-Being Assessment (DAWBA). We applied Generalized Estimating Equation (GEE) modelling to examine associations across the four time points.ResultsMaternal postnatal depressive symptoms were associated with more a two-fold increased risk of ODD overall. Third trimester depressive symptoms (measured at 32 weeks of gestation) increased risk of ODD by 72%. Offspring of mothers who had depressive symptoms both during pregnancy and in the first year of postpartum period have a four-fold increased risk of ODD over time (adjusted OR = 3.59 (1.98-6.52).Conclusions Offspring of mothers with perinatal depressive symptoms are at an increased risk of developing behavioural disorders.

Childhood mental health and juvenile delinquency: A within-family comparison

IntroductionChild metal health is associated with prospective delinquent outcomes. However, this association might be confounded by genetic and other shared factorsObjectivesWe aimed to examine the association between the behavioral symptoms of Attention-Deficit/Hyperactivity Disorder, conduct disorder, depression, and oppositional defiant disorder in childhood (age 4-12) and the prospective delinquent outcomes as measured by lifetime illicit drug use, criminal activities, and victimization prior to age 18, using the nationally representative U.S. survey that allowed us to compare siblings in the same mother.Methods Aged-adjusted subscales or ADHD, conduct disorder, depression, and ODD were obtained from the mother-reported survey responses. Within-family analyses were performed to control for family-specific unobserved factors as well as child-specific observed factors.ResultsAntisocial scores in childhood were strongly associated with lifetime arrest, probation, and incarceration as well as lifetime illicit drug use in adolescence. ADHD scores are associated with lifetime victimization in physical attack and rape, but not with criminal activities or illicit drug use.ConclusionsConduct disorder consistently increases lifetime illicit drug use and criminal activities independently of genetic factors and gender. ADHD is not associated with lifetime illicit drug use or criminal activities, but is associated with lifetime victimization. No significant gender differences are found although anxiety/depression symptoms are often positively associated with delinquent outcomes only among females.

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

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

The Psychosocial Outcome of Conduct and Oppositional Defiant Disorder in Children With Attention Deficit Hyperactivity Disorder.

Attention deficit hyperactivity disorder (ADHD) is one of the most common mental disorders diagnosed in children below the age of 12 years. It is characterized by hyperactivity, inattention, and impulsive behavior. ADHD affects the social, academic, and psychological aspects of children and adolescents. Children with ADHD struggle with school tasks and performance. They have lower grades than their peers and have difficulties interacting with their friends.Oppositional defiant disorder (ODD) is a mental disorder characterized by disruptive behavior, a pattern of angry and irritable mood, argumentative, and vindictive behavior. Children with ODD struggle with forming friendships and have problems at school. Conduct disorder (CD) is divided into the childhood onset and the adolescent onset types. The childhood onset is associated with poor outcomes in adulthood, an increase in criminal behavior, violence, and progression to antisocial behavior. Children with CD are at increased risk for substance use disorders (SUD) and antisocial personality disorder. The current literature review is aiming to provide an overview of the psychosocial impact of comorbid ODD and CD in children with ADHD. The results of this study review showed the comorbidity of ODD and CD is very strong. ODD is a strong predictor of CD in boys. The presence of comorbid ODD and ADHD in children is a significant predictor of adolescent onset CD. The comorbidity of ADHD with ODD and CD worsens symptom severity and is associated with high psychosocial dysfunction. Children with ADHD and comorbid ODD and CD have difficulties with school, friends, and trouble with the police.

Comparing the Effectiveness of the Triple P-Positive Parenting Program and Parenting Program of Acceptance and Commitment Therapy on Parent-Child Relationship and Self-efficacy of Mothers With Oppositional Defiant Disorder Children

Comparing the Effectiveness of the Triple P-Positive Parenting Program and Parenting Program of Acceptance and Commitment Therapy on Parent-Child Relationship and Self-efficacy of Mothers With Oppositional Defiant Disorder Children

Comparison of the Effectiveness of Positive Parenting Program Training and Acceptance and Commitment based Parenting Training on Mothers' Aggression and Symptoms of Oppositional Defiant Disorder in Children

Comparison of the Effectiveness of Positive Parenting Program Training and Acceptance and Commitment based Parenting Training on Mothers' Aggression and Symptoms of Oppositional Defiant Disorder in Children

Family Risk Factors Associated With Oppositional Defiant Disorder Symptoms, Depressive Symptoms, and Aggressive Behaviors Among Chinese Children With Oppositional Defiant Disorder.

Family factors including parental emotion dysregulation and harsh parenting practices place children at high risk for malfunctioning in emotion regulation, depressive symptoms, and aggressive behaviors. This study investigated the associations among parental emotion dysregulation, harsh parenting practices (i.e., emotional abuse and corporal punishment), and child emotion regulation and child oppositional defiant disorder (ODD) symptoms and co-occurring depressive symptoms and aggressive behaviors. Participants included 239 parent–child dyads from 14 primary schools in Mainland China. All children were diagnosed with ODD. Parental emotion dysregulation, harsh parenting practices, and child emotion regulation were reported by parents; child ODD symptoms were reported by parents and teachers; child depressive symptoms were reported by children; and child aggressive behaviors were reported by teachers. Data indicated that parental emotion dysregulation was related to child ODD symptoms in the home and depressive symptoms indirectly through harsh parenting practices and child emotion regulation. Harsh parenting practices were related to child ODD symptoms in the home directly and indirectly through child emotion regulation. Moreover, emotional abuse was associated with child depressive symptoms directly and indirectly through child emotion regulation. Our findings highlighted the need for prevention and intervention targeting parent emotion dysregulation and harsh parenting practices among children with ODD.

Maternal Elaborative Language in Shared Emotion Talk with ODD Children: Relationship to Child Emotion Competencies.

While maternal elaborative reminiscing has been found to be positively connected to children's emotion competencies, little is known about how the quality of maternal talk during mother-child talk about shared emotion events relates to emotional competencies in children with disruptive behavioural disorders. In this study of 68 four to eight year-olds with oppositional defiant disorder and 34 children without a diagnosis there was no evidence of differences between mothers of oppositional defiant disorder (ODD) children and mothers of non-ODD children in their use of emotion descriptors and open-ended questions when discussing emotion events with their child. After controlling for child age, gender, expressive verbal abilities and number of conversational turns, the more the mothers used these devices the poorer child's ability to generate causes for emotions and the lower the child's emotion regulation ability. The association for child emotion regulation was moderated by child's diagnostic status with a notable relationship for ODD mother-child dyads but not for the other group. The implications of the findings for the conceptualisation of mother-child talk and its relationship to the development of emotion competencies in children with disruptive behavioural problems are discussed.

Longitudinal dyadic analyses of emotion dysregulation and mother–child relationship quality in Chinese children with teacher‐reported oppositional defiant disorder

AbstractThis study examined whether and how mothers' and children's perceptions of mother–child relationship quality mediated associations between mothers' and children's initial emotion dysregulation and children's emotion dysregulation and oppositional defiant disorder (ODD) symptoms 2 years later. The participants were 155 Chinese children with teacher‐reported ODD and their mothers derived from a three‐wave (2 years apart) longitudinal study. A multiple‐informant approach and a dyadic analysis approach (i.e., actor–partner interdependent modeling) were used. The results revealed that (a) mothers' and children's emotion dysregulation was significantly related to their own and their partners’ concurrent perceptions of relationship quality; (b) mothers' and children's perceptions of relationship quality from Wave 1 to Wave 2 were stable but were also interdependent, such that one's own perception of relationship quality at Wave 1 related to the partner's perception at Wave 2; and (c) relationship quality at the two waves interdependently mediated the associations between mothers' and children's emotion dysregulation at Wave 1 and children's emotion dysregulation and ODD symptoms at Wave 3. Implications for family intervention programs targeting maternal and child emotion dysregulation and strengthening mother–child relationship quality for children with ODD were discussed.