Given the high rates of co-occurrence of psychopathology within families, it is important to identify and characterize interventions that simultaneously reduce both parent and child symptoms, and improve parenting quality. This is needed as intervention development is increasingly moving toward integrated interventions that target some combination of parent and child mental health, and parenting behavior. Even so, much remains unknown regarding which treatment components provide maximum benefit for parent symptoms, child symptoms, and parenting behavior. This systematic review identified and characterized psychotherapeutic interventions that report improvements in each of three outcomes: parent symptoms, child symptoms and parenting behavior. Fifty-six unique interventions were eligible for review, of which 25 reported improvements in all three outcomes. All 25 of these interventions directly intervened on parenting behavior, often as the sole target of the intervention. Few interventions improved all three outcomes in samples in which parents, children or both met clinical-level thresholds of psychopathology. Additional research is needed to better understand the bi-directional and transactional influences of treatment on family members, and to better inform the development of interventions for dually disordered parent-child dyads across a range of diagnostic profiles.

鉴于家庭中精神病理学的高并发率，识别和描述同时减少父母和孩子症状并提高育儿质量的干预措施非常重要。这是必要的，因为干预措施的发展正越来越多地转向针对父母和儿童心理健康以及养育行为的某种组合的综合干预措施。即便如此，关于哪些治疗成分为父母症状、儿童症状和养育行为提供最大益处，仍有很多未知之处。该系统评价确定并描述了心理治疗干预措施，这些干预措施报告了三种结果中的每一种都有所改善：父母症状、儿童症状和养育行为。56 项独特的干预措施符合审查条件，其中 25 个报告了所有三个结果的改善。所有 25 项干预措施都直接干预育儿行为，通常是干预措施的唯一目标。在父母、儿童或两者都达到精神病理学临床水平阈值的样本中，很少有干预措施能改善所有三种结果。需要进一步的研究来更好地了解治疗对家庭成员的双向和交易影响，并更好地为在一系列诊断概况中针对双重障碍亲子二元组的干预措施的开发提供信息。