Evidence-Based Psychotherapy for Disruptive Behavior Disorders.

Area of Science:

• Child and Adolescent Psychiatry
• Behavioral Psychology
• Evidence-Based Practice

Background:

• Disruptive Behavior Disorder (DBD), encompassing oppositional defiant disorder and conduct disorder, is prevalent in youth.
• Effective psychotherapies are crucial for managing these common externalizing disorders.

Purpose of the Study:

• To identify evidence-based psychotherapies for DBD.
• To summarize the empirical foundations and characteristics of these interventions.

Main Methods:

• Systematic review of randomized controlled trials and systematic reviews.
• Searches conducted on PubMed, PsycINFO, and Google Scholar.
• Focus on guidelines from NICE, APA, and AHRQ.

Main Results:

• Six interventions show strong empirical support: Incredible Years, Triple P, Parent-Child Interaction Therapy, Parent Management Training-Oregon Model, Multisystemic Therapy, and Treatment Foster Care-Oregon Model.
• These programs emphasize parent-centered behavioral interventions.
• Multisystemic and community-based approaches are advised for severe adolescent antisocial behavior.

Conclusions:

• Parent-based behavioral therapies require further dissemination and validation in Korea.
• Future research should focus on long-term follow-up and digital/telehealth adaptations for accessibility.
• Strengthening scalable, evidence-based behavioral interventions is key for Korean youth with DBD.