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Updated: Oct 2, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Effectiveness of Child-Focused Interventions for Externalizing Behavior: a Rapid Evidence Review.
M Kuhn1,2, E Gonzalez3,4, L Weil5
1Seattle Children's Hospital and Research Institute, Seattle, WA, USA. michelle.kuhn@seattlechildrens.org.
Behavior management training (BMT) combined with social skills interventions effectively treats children's externalizing behavior. Other child-focused approaches like CBT and play therapy show less consistent results, suggesting social skills plus BMT is a promising treatment option.
Area of Science:
- Child Psychology
- Behavioral Science
- Evidence-Based Interventions
Background:
- Parent behavior management training (BMT) is an established, evidence-based treatment for childhood externalizing behavior.
- Community providers often utilize child-focused interventions, but their comparative effectiveness against BMT is unclear.
- Existing research lacks clarity on whether child-focused treatments are sufficient alternatives or additions to BMT.
Purpose of the Study:
- To compare the effectiveness of BMT with common child-focused interventions for externalizing behavior.
- To evaluate cognitive behavioral (CBT), social skill (SS), and play/dynamic therapy (PT) approaches.
- To inform clinical practice and policy regarding treatment options for externalizing behaviors.
Main Methods:
- A rapid evidence review of studies published from 2000 onwards.
- Searches conducted in PubMed, PsychINFO, and Web of Science for English-language articles.
- Inclusion criteria: children aged 12 and under, child-focused behavioral treatment, and externalizing behavior outcomes. 30 studies were coded (13 CBT, 10 SS, 7 PT).
Main Results:
- Social skills interventions paired with BMT demonstrated effectiveness in improving externalizing problems, with moderate effect sizes.
- Individual social skills interventions showed promise but require further evaluation against standard care.
- CBT interventions yielded moderate effects compared to waitlists but were less consistent against active controls. Play therapy effects were inconsistent.
Conclusions:
- Social skills interventions combined with BMT are supported as a child-focused treatment with probable efficacy for externalizing problems.
- The findings suggest that integrating social skills training with BMT may be a preferred approach in community practice.
- Further research is needed to clarify the efficacy of individual social skills, CBT, and play therapy interventions.
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