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. 2024 Oct;65(10):1401-1402.
doi: 10.1111/jcpp.14024. Epub 2024 May 27.

Moving forward. Use of the START NOW skills training program for female youth with ODD and CD - a commentary on Stadler et al. (2024)

Gail Tripp  1
Affiliations

Moving forward. Use of the START NOW skills training program for female youth with ODD and CD - a commentary on Stadler et al. (2024)

Gail Tripp. J Child Psychol Psychiatry. 2024 Oct.

Abstract

Female youth with oppositional defiant disorder (ODD) and conduct disorder (CD) are an under studied and underserved population at high risk for poor adjustment in later life. Stadler et al. (2024) attempt to redress this situation for adolescent females with CD or ODD with an adapted version of the skills training program START NOW. They describe the results of an ambitious randomized control trial, comparing START NOW with standard care in youth welfare settings in Germany, Switzerland, and The Netherlands. The findings appear promising, but the paper is especially valuable for the spotlight it shines on the needs of this underserved population and those caring for them, together with the importance of undertaking such trials despite their challenges. This commentary seeks to encourage readers to engage with the START NOW trial.

Keywords: Adolescence; RCT design; conduct disorder; intervention; oppositional defiant disorder (ODD).

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References

    1. Fairchild, D., Hawes, D.J., Frick, P.J., Copeland, W.E., Odgers, C.L., Franke, B., … & De Brito, S.A. (2019). Conduct disorder. Nature Reviews Disease Primers, 5, 43.
    1. Freitag, C.M., Konrad, K., Stadler, C., De Brito, S.A., Popma, A., Herpertz, S.C., … & Fairchild, G. (2018). Conduct disorder in adolescent females: Current state of research and study design for the FemNat‐CD consortium. European Child and Adolescent Psychiatry, 27, 1077–1093.
    1. Kersten, L., Pratzlich, M., Mannstadt, S., Ackerman, K., Kohls, G., Oldenholf, H., … & Stadler, C. (2016). START NOW – A comprehensive skills training program for female adolescents with oppositional defiant and conduct disorders: Study protocol for a cluster‐randomized controlled trial. Trials, 17, 568.
    1. Konrad, K., Kohls, G., Baumann, S., Bernhard, A., Martinelli, A., Ackermann, K., … & Freitag, C.M. (2022). Sex differences in psychiatric comorbidity and clinical presentation in youths with conduct disorder. Journal of Child Psychology and Psychiatry, 63, 218–228.
    1. Stadler, C., Freitag, C.M., Popma, A., Nauta‐Jansen, L., Konrad, K., Unternaehrer, E., … & Kersen, L. (2024). START NOW: A cognitive behavioral skills training for adolescent girls with conduct or oppositional defiant disorder – A randomized clinical trial. Journal of Child Psychology and Psychiatry, 65, 316–327.

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