Clinical practice guidelines (CPG) provide a framework for evidence-based practice; however, few studies have assessed the methodological quality of CPGs relevant to child and youth mental health. This study was a systematic review of CPGs for the assessment, prevention and treatment of disruptive behavior, including attention-deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), conduct disorder (CD) and aggression in children and youth. Systematic review identified 29 CPGs meeting inclusion criteria that were appraised using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) validated tool. Twenty-two guidelines addressed ADHD, 2 CD, 1 ODD, 2 for Behavior Disorders collectively and 2 for Aggression. Among the 29 guidelines, two that were developed for ADHD (NICE 2013a; Spanish Ministry of Health, 2010) and one practice guideline developed for CD (NICE 2013b) met high quality criteria; one guideline for behavior disorders (Gorman et al. 2015), two for ADHD (AAP 2011a, b; SIGN 2009a, b, c, d, e), and two for aggression (Knapp et al. 2012; Scotto Rosato et al. 2012a, b) met minimum quality criteria. Findings from this review provide important information for clinicians and organizations who want to utilize guidelines to implement best-practice clinical services for children and youth with disruptive behavior.

中文翻译：

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对具有破坏性行为的儿童和青少年的临床实践指南的系统评价和评估：严格的开发和使用建议。

临床实践指南（CPG）提供了基于证据的实践框架；但是，很少有研究评估与儿童和青少年心理健康相关的CPG的方法学质量。这项研究是对CPG的系统评价，用于评估，预防和治疗破坏性行为，包括注意缺陷多动障碍（ADHD），对立违抗性障碍（ODD），行为障碍（CD）和儿童和青少年的攻击性。系统审查确定了29个符合纳入标准的CPG，这些CPG使用《研究与评价指南评估II》（AGREE II）验证的工具进行了评估。22条指南涉及多动症，2张CD，1张ODD，2条关于行为障碍的集体指南和2条关于侵略性的指南。在这29条指南中，有2条是针对多动症制定的（NICE 2013a；西班牙卫生部，（2010年）和为CD制定的一项实践指南（NICE 2013b）符合高质量标准；一项针对行为障碍的指南（Gorman等人，2015年），两项针对多动症（AAP 2011a，b; SIGN 2009a，b，c，d，e），两项针对侵略性（Knapp等人，2012年; Scotto Rosato等人。 2012a，b）达到最低质量标准。该评价的发现为希望利用指南为具有破坏性行为的儿童和青少年实施最佳实践临床服务提供了重要的信息。