Eyberg Sheila M, Nelson Melanie M, Boggs Stephen R
Department of Clinical and Health Psychology, University of Florida, Gainesville, FL 32610, USA.
J Clin Child Adolesc Psychol. 2008 Jan;37(1):215-37. doi: 10.1080/15374410701820117.
This article reviews the literature from 1996 to 2007 to update the 1998 Brestan and Eyberg report on evidence-based psychosocial treatments (EBTs) for child and adolescent disruptive behavior, including oppositional defiant disorder and conduct disorder. Studies were evaluated using criteria for EBTs developed by the task force on promotion and dissemination of psychological procedures (Chambless et al., 1998; Chambless et al., 1996). Sixteen EBTs were identified in this review, up from 12 in the earlier report, and 9 "possibly efficacious" treatments (Chambless & Hollon, 1998) were identified as well. This article describes the EBTs and their evidence base and covers research on moderators and mediators of treatment outcome, as well as the clinical representativeness and generalizability of the studies. Best practice recommendations from the current evidence base also are offered, as well as calls for future research that increases understanding of the moderators and mechanisms of change for children and adolescents with disruptive behavior disorders.
本文回顾了1996年至2007年的文献，以更新1998年布雷斯唐和艾伯格关于针对儿童和青少年破坏性行为（包括对立违抗障碍和品行障碍）的循证心理社会治疗（EBTs）的报告。研究采用心理程序推广与传播特别工作组制定的EBTs标准进行评估（钱布利斯等人，1998年；钱布利斯等人，1996年）。本综述确定了16种EBTs，多于早期报告中的12种，还确定了9种“可能有效”的治疗方法（钱布利斯和霍隆，1998年）。本文描述了这些EBTs及其证据基础，涵盖了对治疗结果的调节因素和中介因素的研究，以及研究的临床代表性和普遍性。还提供了基于当前证据的最佳实践建议，以及呼吁开展未来研究，以增进对破坏性行为障碍儿童和青少年的调节因素和改变机制的理解。
