What works in the psychological treatment of child conduct problems? An umbrella review of meta-analytic studies

  1. Estrella Romero 1
  2. María Álvarez-Voces 1
  3. Beatriz Díaz-Vázquez 1
  4. Laura López-Romero 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

Revista:
Revista de Psicología Clínica con Niños y Adolescentes

ISSN: 2340-8340

Ano de publicación: 2023

Título do exemplar: Estado de los tratamientos psicológicos infanto-juveniles

Volume: 10

Número: 1

Tipo: Artigo

DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Outras publicacións en: Revista de Psicología Clínica con Niños y Adolescentes

Resumo

¿Qué funciona en el tratamiento psicológico de los problemas de conducta en niños? Revisión umbrella de estudios meta-analíticos. Los problemas de conducta (PC) son un foco prioritario de atención en la psicología clínica infantil. Este estudio presenta una revisión umbrella de meta-análisis sobre la eficacia del tratamiento/prevención indicada de los PC infantiles (rango de edad media hasta 12 años). Siguiendo un protocolo registrado, se buscaron meta-análisis (enero 2002 a marzo 2022) en Web of Science, PsycINFO, PROSPERO y The Cochrane Library. Nueve meta-análisis cumplieron con los criterios requeridos y sus características y hallazgos fueron descritos sistemáticamente; además, con RStudio se calcularon los tamaños del efecto (TEs) ponderados. Se realizaron análisis de heterogeneidad, sesgo de publicación, calidad (AMSTAR-2) y credibilidad. El entrenamiento parental fue la intervención más estudiada, con un TE medio ponderado de d = -.49 (IC del 95%: -.67 a -.32), y se identificaron diversos moderadores de eficacia, incluyendo características individuales (gravedad de los PC), familiares (desventaja económica) y de intervención (formato de administración). También se analizaron los resultados de la terapia de juego centrada en el niño, d = -.34 (IC del 95%: -.40 a -.28), pero el reducido número de meta-análisis y la debilidad detectada por la evaluación de la calidad sugieren la necesidad de considerar con cautela los efectos agrupados. En general, la evidencia es sugestiva de eficacia del tratamiento de los PC, específicamente del entrenamiento parental. No obstante, la eficacia parece ser moderada, los índices de heterogeneidad elevados y las evaluaciones de calidad de los meta-análisis no suelen ser óptimas. Este estudio sugiere varias vías para reforzar el conocimiento en este campo.

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