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Published on: April 24, 2014
[The prevention of externalizing disturbances]
Anja Görtz-Dorten1,2, Charlotte Hanisch3, Christopher Hautmann1
1AKiP Köln, Ausbildungsinstitut für Kinder- und Jugendlichenpsychotherapie, Uniklinik, Köln.
Preventing externalizing disturbances in children, such as attention deficit-hyperactivity disorder, requires a multimodal approach. Interventions should target family and school environments, incorporating child-focused strategies for peer issues.
Area of Science:
- Child and adolescent psychology
- Developmental psychopathology
- Preventive interventions
Background:
- Externalizing disturbances (attention deficit-hyperactivity disorder, oppositional defiant disorder, conduct disorder) are prevalent in children and adolescents.
- These conditions are stable over time and impose significant individual and economic burdens.
- Effective prevention strategies are crucial to mitigate long-term negative outcomes.
Purpose of the Study:
- To review the current state of research on the prevention of externalizing disturbances.
- To discuss evidence-based, German-language prevention programs.
- To identify optimal intervention approaches for reducing externalizing symptoms.
Main Methods:
- Systematic review and meta-analysis of existing research.
- Analysis of evidence-based prevention programs.
- Focus on interventions targeting family, school, and child-specific factors.
Main Results:
- A multimodal prevention approach is recommended, similar to effective treatment strategies.
- Interventions focusing on the family and (pre-)school environments show particular promise.
- Child-focused interventions are vital for addressing peer-related behavioral problems.
Conclusions:
- Comprehensive parent-based and (pre-)school-based preventive interventions are essential.
- Integrating child-based approaches and parent group interventions can enhance effectiveness.
- Large-scale studies are needed to rigorously evaluate the impact of these combined interventions.
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