Disruptive behavior disorders (DBDs) are among the primary reasons for child and youth referrals to mental health services and are linked to poor adult outcomes including antisocial behavior disorder. Research indicates a high incidence of internalizing problems in those with DBDs and those who have DBDs with cooccurring internalizing problems may have more severe later outcomes. Interventions targeted at internalizing symptoms have been found to also reduce comorbid externalizing problems. The impact of treatments for DBDs on comorbid internalizing disorders is not known. Databases PsycINFO, EMBASE and MEDLINE were systematically searched based on the Cochrane guidelines for systematic reviews. Records were independently reviewed by two reviewers. 12 papers were deemed eligible. A quality assessment of the selected studies was conducted independently by both reviewers. The 12 studies included 1334 young people with a mean age of 5 years. The parent training interventions assessed were the Incredible Years (6/12 studies), Triple-P (5/12) and Tuning In To Kids (1/12). 11 of the 12 studies reported significant reductions in primary externalizing behavior problems and DBDs. 7 studies reported significant reductions in internalizing symptoms. Mechanisms of change, clinical implications and directions for future research are discussed.

破坏性行为障碍 (DBD) 是儿童和青少年转诊到心理健康服务的主要原因之一，并与包括反社会行为障碍在内的不良成人结果有关。研究表明，DBD 患者的内化问题发生率很高，而那些同时发生内化问题的 DBD 可能会产生更严重的后期结果。已经发现针对内化症状的干预措施也可以减少共病外化问题。DBDs 治疗对合并内化障碍的影响尚不清楚。数据库 PsycINFO、EMBASE 和 MEDLINE 基于 Cochrane 系统评价指南进行了系统搜索。记录由两名审查员独立审查。12篇论文被认为符合条件。两位评审员独立对所选研究进行质量评估。这 12 项研究包括 1334 名平均年龄为 5 岁的年轻人。评估的家长培训干预措施是不可思议的岁月（6/12 研究）、Triple-P（5/12）和调教孩子（1/12）。12 项研究中有 11 项报告显着减少了主要的外化行为问题和 DBD。7 项研究报告内化症状显着减少。讨论了变化的机制、临床意义和未来研究的方向。12 项研究中有 11 项报告显着减少了主要的外化行为问题和 DBD。7 项研究报告内化症状显着减少。讨论了变化的机制、临床意义和未来研究的方向。12 项研究中有 11 项报告显着减少了主要的外化行为问题和 DBD。7 项研究报告内化症状显着减少。讨论了变化的机制、临床意义和未来研究的方向。