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Parental and Familial Predictors and Moderators of Parent Management Treatment Programs for Conduct Problems in Youth
Clinical Child and Family Psychology Review ( IF 7.410 ) Pub Date : 2020-10-19 , DOI: 10.1007/s10567-020-00330-4
Anna Dedousis-Wallace 1, 2 , Sophia A Drysdale 1 , John McAloon 2 , Thomas H Ollendick 3
Affiliation  

Despite the established efficacy of Parent Management Training (PMT) for conduct problems in youth, evidence suggests that up to half of all treated youth still display clinical levels of disruptive behavior post-treatment. The reasons for these unsatisfactory outcomes are poorly understood. The aim of the present review was to provide an updated analysis of studies from the past 15 years that examined parental and familial predictors and moderators of improvement in PMT for conduct problems. A systematic literature review of indicated prevention (children with conduct problem symptoms) and intervention (children with clinical diagnoses) studies published between 2004 and 2019 was conducted. This 15-year time period was examined since the last systematic reviews were reported in 2006 and summarized studies completed through mid-2004 (see Lundahl et al. in Clin Psychol Rev 26(1):86–104, 2006; Reyno and McGrath in J Child Psychol Psychiatry 47(1):99–111, 2006). Risk of bias indices was also computed (see Higgins et al. in Revised Cochrane risk of bias tool for randomized trials (RoB 2.0), University of Bristol, Bristol, 2016) in our review. A total of 21 studies met inclusion criteria. Results indicated that a positive parent–child relationship was most strongly associated with better outcomes; however, little additional consistency in findings was evident. Future PMT research should routinely examine predictors and moderators that are both conceptually and empirically associated with treatment outcomes. This would further our understanding of factors that are associated with poorer treatment outcome and inform the development of treatment components or modes of delivery that might likely enhance evidence-based treatments and our clinical science. Protocol Registration Number: PROSPERO CRD42017058996.



中文翻译:

针对青少年行为问题的家长管理治疗计划的家长和家庭预测因素和主持人

尽管家长管理培训 (PMT) 对青少年行为问题已确立疗效,但有证据表明,多达一半的接受治疗的青少年在治疗后仍表现出临床水平的破坏性行为。人们对这些不令人满意的结果的原因知之甚少。本综述的目的是提供对过去 15 年研究的最新分析,这些研究检查了父母和家庭对行为问题改善 PMT 的预测因素和调节因素。对 2004 年至 2019 年间发表的指示性预防(有品行问题症状的儿童)和干预(有临床诊断的儿童)研究进行了系统的文献综述。自 2006 年报告上一次系统评价以来,对这 15 年的时间段进行了审查,并总结了 2004 年中期完成的研究(参见 Lundahl 等人在 Clin Psychol Rev 26(1):86-104, 2006 中;Reyno 和 McGrath 在J Child Psychol Psychiatry 47(1):99–111, 2006)。在我们的评论中,我们还计算了偏倚风险指数(参见 Higgins 等人的修订版 Cochrane 随机试验偏倚风险工具 (RoB 2.0),布里斯托尔大学,2016 年)。共有 21 项研究符合纳入标准。结果表明,积极的亲子关系与更好的结果最密切相关;然而,调查结果几乎没有明显的一致性。未来的 PMT 研究应该定期检查在概念上和经验上与治疗结果相关的预测因素和调节因素。这将进一步了解与较差治疗结果相关的因素,并为可能加强循证治疗和我们的临床科学的治疗成分或交付方式的发展提供信息。协议注册号:PROSPERO CRD42017058996。

更新日期:2020-10-19
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