Understanding Friendships in Adolescents After Maltreatment

This study, called "B.F.F.s?", aims to understand how friendships affect teenagers aged 13 to 17, especially those who have experienced child maltreatment (abuse or neglect). We want to see if different friendship experiences change the risk for future problems like mental health issues or being victimized again. Participants will come to the University of South Carolina with a parent/caregiver and a best friend. They will complete questionnaires and have their heart rate activity (Respiratory Sinus Arrhythmia or RSA) measured. After a mild stress test, some teens will talk with their friend about it, while others will wait alone. We will then look at their mental health (using the Youth Self Report and Child Behavior Checklist) six months later to see how friendships might help or hurt their well-being. This study is currently unclear about its recruitment status and plans to enroll 120 participants.

Study design
This is an interventional study where participants are randomly assigned to discuss a stressor with a friend or wait alone. It plans to enroll 120 participants.
What's involved
You will attend an initial visit with your primary caregiver and a best friend. During this visit, you will complete questionnaires, have a device record your heart rate, and participate in a stress test.
Compensation
Not stated in the trial record.
Follow-up
Your mental health will be assessed again six months after the initial visit.

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NCT05893459

Beneficial or Fostering Future Struggles (B.F.F.s)? Characterizing the Role of Friends in the Development of 13- to 17-Year-Old Adolescents

UNKNOWN
NAAges 13–17InterventionalBasic science
University of South Carolina
~120 participants
Updated 2024-07-16 on ClinicalTrials.gov
What's tested:Debrief

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Respiratory sinus Arrhythmia (RSA) activity
Measured over Baseline
+4 more outcomes measured
Child Maltreatment
Interpersonal Relations
Victimisation
Psychopathology
Electrocardiography
1 sites across 1 states
South Carolina1

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Eligibility criteria

Inclusion

13 to 17 years old at first study visit
Qualify as either maltreated (endorses history of maltreatment - physical abuse, sexual abuse, emotional maltreatment, or neglect and/or has substantiated record of child maltreatment per Department of Social Services \[DSS\] records) or non-maltreated (denies history of maltreatment and/or no substantiated record of child maltreatment per DSS records)
Parent participating in the study visit is a non-offending caregiver (no record of substantiated maltreatment against the adolescent participant)
Participant identifies a best friend who is not a sibling or previous/current romantic partner who can accompany them to the study visit
Participant, caregiver, and friend are fluent in written and spoken English

Exclusion

\<13 or \>17 at time of first study visit
No available non-offending parent or guardian/caregiver to participate in the study
No best friend identified to accompany the participant to the study
Participant, caregiver, or friend is not fluent in written and spoken English
  • Respiratory sinus Arrhythmia (RSA) activityBaseline

    RSA activity, including resting RSA (prior to Trier Social Stress Test \[TSST\] procedure), RSA reactivity (difference between RSA activity during stressor exposure and resting RSA), and RSA recovery (difference between RSA activity during 5 minutes post stressor exposure whether during debriefing with friend or in isolation and RSA activity during stressor exposure).

  • Youth Self Report (YSR)6 Month Follow Up from Baseline

    YSR, which is completed by the adolescent and assesses the participant's internalizing (e.g., anxious, depressed) and externalizing (e.g., aggression, rule-breaking behavior) symptoms. Scale scores are reported for Internalizing and Externalizing symptoms and higher scores indicate greater symptoms and a worse outcome. Possible raw scores range from 0 to 62 for Internalizing Symptoms and 0 to 60 for Externalizing Symptoms. Raw scores are transformed to standardized T scores normed by age and gender ranging from 26 to 100 for Internalizing and 25 to 100 for Externalizing.

  • Child Behavior Checklist (CBCL)6 Month Follow-Up from Baseline

    CBCL, which is a parallel form to the YSR completed by the caregiver and assesses the participant's internalizing (e.g., anxious, depressed) and externalizing (e.g., aggression, rule-breaking behavior) symptoms. Scale scores are reported for Internalizing and Externalizing symptoms and higher scores indicate greater symptoms and a worse outcome. Possible raw scores range from 0 to 62 for Internalizing Symptoms and 0 to 66 for Externalizing Symptoms. Raw scores are transformed to standardized T scores normed by age and gender ranging from 31 to 100 for Internalizing and 30 to 100 for Externalizing.

  • University of California, Los Angeles Posttraumatic Stress Disorder Reaction Index (UCLA PTSD-RI) for the Diagnostic and Statistical Manual of Mental Disorders -5th Edition (DSM-5) Total Score6 Month Follow-Up from Baseline

    UCLA PTSD Reaction Index for the DSM-5, which is completed by the adolescent participant and their caregiver and provides an overall PTSD symptom based on DSM-5 criteria. Total score ranges from 0 to 80 and higher scores indicating greater symptoms and a worse outcome.

  • Juvenile Victimization Questionnaire (JVQ) total score6 Month Follow-Up from Baseline

    JVQ, which is completed by the adolescent participant and assesses experiences with five areas of youth victimization (i.e., conventional crime, peer and sibling victimization, maltreated, sexual victimization, and witnessing and indirect victimization) that has occurred within the past six months since the first study visit. A count of total experiences endorsed ranging from 0 to 34 is computed with a higher score indicating more victimization and a worse outcome.