ABSTRACT

Objective: The purpose of this Brief Report is to synthesize the current evidence base examining moderators of psychosocial intervention response for children and adolescents with conduct problems (CP). We also provide directions for future research.

Method: We focused on four categories of psychosocial interventions for the prevention and/or treatment of CP: (1) parent management training (PMT) for children, (2) other family-based interventions for adolescents, (3) youth skills training, and (4) multicomponent interventions (i.e., family-based intervention plus skills training). Emphasis is placed on findings from meta-analyses.

Results: Moderation analyses have occurred more frequently for PMT than for other types of interventions. Variables for which there was consistent evidence for positive moderation included higher initial severity of CP, father engagement, higher maternal depressive symptoms, individual administration (vs. group), and treatment/targeted prevention approaches (vs. universal prevention). Variables where there was evidence for no moderation (demonstrating generalizability) included child diagnostic status and family risk in PMT, and diagnostic status and intervention setting for skills training. However, for some variables, evidence of moderation was dependent on intervention type.

Conclusions: Future research should examine multiple moderators in combination; incorporate innovative techniques such as integrative data analyses, individual participant data, and class-based modeling, which may identify moderator effects that are undetected by more traditional variable-oriented moderation analyses; and conduct moderated mediation models for informing developmental theory on the interplay of risk and protective factors.

摘要

目标：本简要报告的目的是综合当前的证据基础，检查对有品行问题 (CP) 的儿童和青少年的心理社会干预反应的调节因素。我们还为未来的研究提供方向。

方法：我们专注于预防和/或治疗 CP 的四类社会心理干预措施：（1）针对儿童的家长管理培训（PMT），（2）针对青少年的其他基于家庭的干预措施，（3）青年技能培训， (4) 多元干预（即基于家庭的干预加技能培训）。重点放在荟萃分析的结果上。

结果：与其他类型的干预措施相比，PMT 的适度分析发生得更频繁。有一致证据表明积极缓和的变量包括 CP 的初始严重程度较高、父亲参与度较高、母亲抑郁症状较高、个体给药（与小组相比）和治疗/靶向预防方法（与普遍预防相比）。有证据表明无节制（证明普遍性）的变量包括 PMT 中的儿童诊断状态和家庭风险，以及技能培训的诊断状态和干预设置。然而，对于某些变量，适度的证据取决于干预类型。

结论：未来的研究应该结合检查多个调节器；结合创新技术，如综合数据分析、个体参与者数据和基于类别的建模，这些技术可以识别更传统的面向变量的调节分析无法检测到的调节效应；并进行调节中介模型，为发展理论提供有关风险和保护因素相互作用的信息。