SLEEP-COPE: Sleep Intervention for Oppositional Children

Inclusion criteria

• Child ages 8-12 with ODD (prior diagnosis) and insomnia
• Child and parent English proficiency.

Insomnia:

• complaints of difficulties falling asleep, staying asleep, or early morning awakening by child report or parent observation for 3+ mos
• daytime dysfunction (mood, cognitive, social, academic) due to insomnia
• baseline diaries and actigraphy indicate >30 mins. of sleep onset latency, wake after sleep onset, or early morning awakening (time between last awakening and out of bed time) on 6+ nights

Exclusion criteria

• Parent unable to provide informed consent or child unable to provide assent
• Family unwilling to accept random assignment
• Child/parent participation in another randomized research project
• Parent unable to complete forms or implement treatment procedures due to cognitive impairment
• Child untreated medical comorbidity, including other sleep disorders (e.g., apnea, epilepsy, psychotic disorders, suicidal ideation/intent, [frequent] parasomnias)
• Child psychotropic or other medications that alter sleep with the exceptions of stimulants, sleep medications, and/or melatonin
• Child participation in non-pharmacological treatment (including CBT) for sleep outside current trial
• Parent report of inability to undergo Holter Monitoring or actigraphy (e.g., extreme sensitivity, behavioral outbursts)
• Other conditions adversely affecting trial participation