Brock University, ON, Canada.
Behav Modif. 2025 Jan;49(1):117-153. doi: 10.1177/01454455241262414. Epub 2024 Jul 26.
This review evaluated single-case experimental design research that examined challenging behavior interventions utilizing punishment elements. Thirty articles published between 2013 and 2022 met study inclusion criteria. Study quality was also assessed. Through multiple levels of analysis (e.g., descriptive statistics, non-parametric statistics), we examined (a) participant and study trends, (b) differential outcomes related to temporal reinforcement approaches (antecedent, consequent, or combined reinforcement) applied alongside punishment element(s), (c) differential outcomes related to the punishment type (negative, positive) applied alongside reinforcement, and (d) effect sizes associated with study rigor across peer-reviewed and gray literature. Our results may tentatively suggest that, for certain situations, concurrently applying punishment with antecedent reinforcement approaches may coincide with significantly larger effect sizes compared to combined temporal reinforcement approaches, while positive punishment applied concurrently with reinforcement may coincide with larger but non-significant intervention effects. Most featured articles met rigor criteria, but larger effects were seen in peer-reviewed literature.
本综述评估了利用惩罚元素的针对挑战性行为干预的单案例实验设计研究。在 2013 年至 2022 年间发表的 30 篇文章符合研究纳入标准。研究质量也进行了评估。通过多层次分析（例如，描述性统计，非参数统计），我们检查了：（a）参与者和研究趋势，（b）与惩罚元素一起应用的时间强化方法（前因、后果或联合强化）的差异结果，（c）与强化一起应用的惩罚类型（消极、积极）的差异结果，以及（d）同行评议文献和灰色文献中研究严谨性的效应大小。我们的结果可能初步表明，对于某些情况，同时应用惩罚与前因强化方法可能与组合时间强化方法相比具有更大的效应量，而同时应用强化与正惩罚可能会产生更大但非显著的干预效果。大多数特色文章都符合严谨性标准，但在同行评议文献中看到了更大的效果。
