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Study aims to tame the 'extinction burst' in child behavior therapy

NCT ID NCT05925101

First seen May 07, 2026 · Last updated Jun 19, 2026 · Updated 13 times

Summary

This study looks at a common problem in behavior therapy for children with severe aggression or self-injury: sometimes, when therapists stop rewarding problem behaviors (called extinction), the child's behavior briefly gets worse before improving. This 'extinction burst' can be dangerous. Researchers will test 40 children aged 3-17 to see how often this happens and whether changing how rewards are given can reduce the risk. The goal is to make therapy safer and more predictable.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Children's Specialized Hospital-Rutgers University Center for Autism Research, Education, and Services

    RECRUITING

    Somerset, New Jersey, 08873, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

behavioral intervention (extinction-based therapy)

What this could lead to

If successful, this could help therapists predict and reduce the temporary increase in problem behavior that sometimes occurs when starting treatment, making therapy safer and more effective.

What could go wrong

This is a small, early-stage study with only 40 children, so findings may not apply to everyone. The research focuses on understanding a side effect, not on testing a new cure or treatment.

Conditions

The condition(s) this trial relates to.

Aggression Problem Behavior Self-Injurious Behavior

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.