Actively Recruiting

Phase Not Applicable
Age: 12Years - 18Years
All Genders
ID07456631

ACTsocially: Acceptance and Commitment Therapy for Adolescents with Oppositional Defiant Disorder and Social Anxiety Disorder to Change Internalizing and Externalizing Symptoms

Led by University of Coimbra · Updated on 2026-03-10

54

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University of Coimbra

Lead Sponsor

F

Foundation for Science and Technology, Portugal

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying adolescents with Oppositional Defiant Disorder (ODD) and Social Anxiety Disorder (SAD), two conditions marked by problematic social functioning but with different outward symptoms. This research aims to evaluate the effects of Acceptance and Commitment Therapy (ACT), a behavioral approach that targets underlying psychological processes common to both disorders, to see if it can improve social fears, disruptive behavior, and mental health in these adolescents. The project includes three clinical trials to test ACT's impact and similarities in treating these disorders during adolescence. The intervention, called ACTsocially, is a structured face-to-face program consisting of 11 weekly sessions of about 50 minutes each. The sessions include mindfulness exercises, reviews of prior sessions, psychoeducation, metaphors, experiential activities, and commitments for the following week. Participants include adolescents diagnosed with ODD or SAD, with some receiving ACTsocially and others serving as control groups. Assessments are conducted before and after the intervention, as well as at 3- and 6-month follow-ups. Participants will be involved in assessments measuring changes in social fears, disruptive and aggressive behaviors, psychological flexibility, and overall mental health at baseline, after 11 weeks, and during follow-up visits. The study uses questionnaires and interviews to track these outcomes and evaluates whether improvements last over time. The research team also monitors safety and adherence, ensuring that adolescents and their guardians provide informed consent and understand participation is voluntary. The study is sponsored by the University of Coimbra and runs until September 2027.

CONDITIONS

Brief Title

ACTsocially: The (Dis)Similarities of ACT for Changing Internalizing and Externalizing Symptomatology in Adolescence

Who Can Participate

Age: 12Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Main diagnosis of Oppositional Defiant Disorder (ODD) or Social Anxiety Disorder (SAD)
  • Aged between 12 and 18 years
  • Consent provided by adolescent and parent/legal guardian
  • Meeting diagnostic criteria for either ODD or SAD as applicable
Not Eligible

You will not qualify if you...

  • Impaired cognitive development based on school records
  • Presence of psychotic symptoms
  • Diagnosis of autism spectrum disorder
  • Currently receiving psychological intervention for a psychiatric condition

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - 11 weeks

Participants receive the ACTsocially intervention consisting of 11 weekly 50-minute face-to-face sessions focused on Acceptance and Commitment Therapy to improve psychological flexibility and social functioning.

Weekly visits for 11 weeks (in-person)

Follow-up

Duration - 6 months

Participants are assessed to examine the stability of treatment effects at 3 and 6 months after the intervention ends.

2 visits (in-person) at 3 and 6 months post-intervention

Trial Site Locations

Total: 1 location

1

FPCEUC

Coimbra, Portugal

Actively Recruiting

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Research Team

F

Francisca Alves M.Sc.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Frequently Asked Questions

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Published Research Related To This Trial

Disentangling Components of Flexibility via the Hexaflex Model: Development and Validation of the Multidimensional Psychological Flexibility Inventory (MPFI).

Jaci L Rolffs, Ronald D Rogge, Kelly G Wilson

https://pubmed.ncbi.nlm.nih.gov/27152011

Measures of aggression and victimization in portuguese adolescents: Cross-cultural validation of the Revised Peer Experience Questionnaire.

Andreia N Queirós, Paula Vagos

https://pubmed.ncbi.nlm.nih.gov/27427943

The Disruptive Behavior Disorders Rating Scale: Updated Factor Structure, Measurement Invariance, and National Caregiver Norms.

Whitney D Fosco, Dara E Babinski, Daniel A Waschbusch

https://pubmed.ncbi.nlm.nih.gov/36881692

Effectiveness of Acceptance and Commitment Therapy on Interpersonal Problems and Psychological Flexibility in Female High School Students With Social Anxiety Disorder.

Sayedeh Monireh Azadeh, Hamid Kazemi-Zahrani, Mohammad Ali Besharat

https://pubmed.ncbi.nlm.nih.gov/26493425

The role of the acceptance and commitment therapy in the treatment of social anxiety: An updated scoping review.

Elisabetta Caletti, Chiara Massimo, Sara Magliocca...

https://pubmed.ncbi.nlm.nih.gov/35537544

A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems.

Jacqueline G L A-Tjak, Michelle L Davis, Nexhmedin Morina...

https://pubmed.ncbi.nlm.nih.gov/25547522

Considering Meta-Analysis, Meaning, and Metaphor: A Systematic Review and Critical Examination of "Third Wave" Cognitive and Behavioral Therapies.

Sona Dimidjian, Joanna J Arch, Rebecca L Schneider...

https://pubmed.ncbi.nlm.nih.gov/27993339