Weisz J R, Jensen P S
Department of Psychology, Franz Hall, University of California, Los Angeles 90095, USA.
Ment Health Serv Res. 1999 Sep;1(3):125-57. doi: 10.1023/a:1022321812352.
Decades of intervention research have produced a rich body of evidence on the effects of psychotherapies and pharmacotherapies with children and adolescents. Here we summarize and critique that evidence. We review findings bearing on the efficacy of psychosocial treatments and medications under controlled experimental conditions. We also report evidence, where available, on the effectiveness of both classes of treatment with clinically referred youth treated in real-world clinical contexts. In general, the large body of evidence on efficacy contrasts sharply with the small base of evidence on effectiveness. Addressing this gap through an enriched research agenda could contribute importantly to linking scientific inquiry and clinical practice-to the benefit of both ventures. This is one element of a multifaceted agenda for future research and for synthesis of research, which will require the interplay of multiple disciplines related to child and adolescent mental health.
数十年来的干预研究已经产生了大量关于心理治疗和药物治疗对儿童及青少年影响的证据。在此，我们对这些证据进行总结和批判性分析。我们回顾了在对照实验条件下有关心理社会治疗和药物疗效的研究结果。我们还报告了在现实临床环境中对临床转诊的青少年进行这两类治疗的有效性证据（如有）。总体而言，大量关于疗效的证据与少量关于有效性的证据形成了鲜明对比。通过丰富的研究议程来弥合这一差距，对于将科学探究与临床实践联系起来——对这两项事业都有益——可能会有重要贡献。这是未来研究及研究综合多方面议程的一个要素，这将需要与儿童和青少年心理健康相关的多个学科之间的相互作用。
