Kaminski Jennifer W, Claussen Angelika H, Sims Rebekah S, Bhupalam Sivapriya
Office of Policy, Performance, and Evaluation, Policy Analysis and Engagement Office, Centers for Disease Control and Prevention.
National Center on Birth Defects and Developmental Disabilities, Division of Human Development and Disability, Centers for Disease Control and Prevention.
J Clin Child Adolesc Psychol. 2024 Oct 15:1-30. doi: 10.1080/15374416.2024.2405988.
We reviewed the available evidence on psychosocial treatments for disruptive behaviors in children, as an update to Kaminski and Claussen (2017), focusing on children up to age 12 years. Search strategies, study inclusion, and treatment classification followed the procedures developed by Southam-Gerow and Prinstein (2014). Of the 44 included studies from 2016 to 2021, only 9 impacted previous results, either by increasing the level of evidence (for two treatment families) or documenting evidence for a new treatment family (four new treatment families). All three treatment families classified as Level 1: Well Established are parent-focused and now include Group parent behavior therapy + group child behavior therapy (previously classified as Probably Efficacious), in addition to Group parent behavior therapy and Individual parent behavior therapy with child participation (already classified as Well Established). Fifteen treatment families were classified as Level 2: Probably Efficacious, eight were classified as Level 3: Possibly Efficacious. Given the variability of programs in each treatment family, the evidence is for the overall treatment approach and may not apply to each program with those characteristics. Data were insufficient to examine outcomes in relation to participant characteristics. The information can be used to improve dissemination, implementation, and uptake of effective treatment, and inform research on improving access barriers.
我们回顾了关于儿童破坏性行为心理社会治疗的现有证据，作为对卡明斯基和克劳森（2017年）的更新，重点关注12岁及以下儿童。搜索策略、研究纳入和治疗分类遵循了索瑟姆-杰罗和普林斯坦（2014年）制定的程序。在2016年至2021年纳入的44项研究中，只有9项对先前的结果产生了影响，要么是通过提高证据水平（针对两个治疗类别），要么是记录了新治疗类别的证据（四个新治疗类别）。所有三个被归类为1级：已充分确立的治疗类别都是以父母为中心的，现在包括团体父母行为疗法+团体儿童行为疗法（先前归类为可能有效），此外还有团体父母行为疗法和有儿童参与的个体父母行为疗法（已归类为已充分确立）。15个治疗类别被归类为2级：可能有效，8个被归类为3级：可能有效。鉴于每个治疗类别中项目的多样性，证据是针对整体治疗方法的，可能不适用于具有这些特征的每个项目。数据不足以检查与参与者特征相关的结果。这些信息可用于改善有效治疗的传播、实施和采用，并为改善获取障碍的研究提供信息。
