Objective: The present study identifies and summarizes treatment effects for children and adolescent conduct problems based on accrued meta-analytic studies. Method: Systematic search and coding procedures were used to summarize studies from 1980 to 2007. Results: A total of 26 meta-analytic reviews composed of nearly 2,000 studies revealed substantial variation in effect sizes. The majority (45%) of effect sizes was small to medium in magnitude (d < .36). In terms of the distribution of effect sizes (n = 125), the mean is d = 0.43 (SD = 0.32). Conclusion: Although there is considerable variation in effect sizes, the results seem to demonstrate evidence for equifinality. Furthermore, these effects are sturdy across a number of interrelated outcomes. Practitioners who work with children and adolescents should be aware of the range of evidence-based treatments available for conduct problems. Limitations of taking stock of treatment outcome literature via meta-analyses are highlighted.
References marked with an asterisk indicate studies included in the review of meta-analyses.
2.
*Ang, R.P., & Hughes, J.N. ( 2001). Differential benefits of skills training with antisocial youth based on group composition: A meta-analytic investigation. School Psychology Review, 31, 164-185.
3.
*Ang, R.P., Woldbeck, T.F., & Hughes, J.N. ( 1999, April). Impact of modality on skills training for youth with externalizing problems: A meta-analysis. Paper presented at the biennial meeting of Society for Research in Child Development, Albuquerque, NM. Retrieved February 27, 2007, from EBSCOhost ERIC database .
4.
*Bender, K., Springer, D.W., & Kim, J.S. ( 2006). Treatment effectiveness with dually diagnosed adolescents: A systematic review. Brief Treatment and Crisis Intervention , 6, 177-205.
5.
*Bennett, D.S., & Gibbons, T.A. ( 2000). Efficacy of cognitive-behavioral interventions for anti-social behavior: A meta-analysis. Child and Family Behavior Therapy , 22, 1-15.
6.
Biglan, A., Brennan, P.A., Foster, S.L., & Holder, H.D. ( 2005). Helping adolescents at risk: Prevention of multiple problem behaviors. New York: Guilford.
7.
*Bradley, M.C., & Mandell, D. ( 2005). Oppositional defiant disorder: A systematic review of evidence of intervention effectiveness. Journal of Experimental Criminology, 1, 343-365.
8.
Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. ( 2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17-30.
9.
Cohen, J. ( 1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillside, NJ: Lawrence Erlbaum.
10.
Cohen, M. ( 1998). The monetary value of saving a high-risk youth. Journal of Quantitative Criminology, 14, 5-33.
11.
Colditz, G.A., Miller, J.N., & Mosteller, F. ( 1989). How study design affects outcomes in comparisons of therapy . Statistical Medicine, 8, 441-466.
12.
*Conner, D., Glatt, S.J., Lopez, I.D., Jackson, D., & Melloni, R.H. ( 2002). Psychopharmacology and aggression: A meta-analysis of stimulant effects of overt/covert aggression-related behaviors in ADHD. American Academy of Child and Adolescent Psychiatry, 41, 253-261.
13.
*Derzon, J.H., & Lipsey, M.W. ( 2002). A meta-analysis of the effectiveness of mass communication for changing substance-use knowledge, attitudes, and behavior. In W. D. Crano, S. Oskamp , & M. Burgoon (Eds.), Mass media and drug prevention: Classic and contemporary theories (pp. 231-258). Hillside, NJ: Lawrence Erlbaum.
14.
Devine, E.C., & Cook, T.D. ( 1983). A meta-analytic analysis of effects of psychoeducational intervention on length of post-surgical hospital stay. Nursing Research, 32, 267-274.
15.
*DuBois, D.L., Holloway, B.E., Valentine, J.C., & Cooper, H. ( 2002). Effectiveness of mentoring programs for youth: A meta-analytic review. American Journal of Community Psychology, 30, 157-197.
16.
Elliott, D.S., Huizinga, D., & Menard, S. ( 1989). Multiple problem youth: Delinquency, substance use, and mental health problems. New York: Springer-Verlag.
17.
Farrington, D.P., & Welsh, B.C. ( 2007). Saving children from a life of crime: Early risk factors and effective interventions. New York: Oxford University Press.
18.
Hagan, J., & Dinovitzer, R. (1999). Collateral consequences of imprisonment for children, communities, and prisoners. In M. Tonry & J. Petersilia (Eds.), Prisons (pp. 121-162). Chicago: University of Chicago Press.
*Garrett, C.J. ( 1985). Effects of residential treatment on adjudicated delinquents: A meta-analysis. Journal of Research in Crime and Delinquency , 22, 287-308.
21.
*Gonzalez, J.E., Nelson, J.R., Gutkin, T.B., Saunders, A., Galloway, A., & Shwery, C.S. ( 2004). Rational emotive therapy with children and adolescents: A meta-analysis. Journal of Emotional and Behavioral Disorders , 12, 222-235.
22.
Gøtzsche, P.C., Hróbjartsson, A., Maric, K., & Tendal, B. ( 2007). Data extraction errors in meta-analyses that use standardized mean difference. Journal of American Medical Association, 298, 430-437.
23.
Hunt, M. ( 1997). How science takes stock. New York : Russell Sage.
24.
Hunter, J.E., & Schmidt, F.L. ( 2004). Methods of meta-analysis: Correcting error and bias in research findings. Thousand Oaks, CA: Sage.
25.
Karnik, N.S., & Steiner, H. ( 2007). Evidence for interventions for young offenders. Child and Adolescent Mental Health, 12, 154-159.
26.
*Landenberger, N.A., & Lipsey, M.W. ( 2005). The positive affects of cognitive-behavioral programs for offenders: A meta-analysis of factors associated with effective treatment . Journal of Experimental Criminology, 1, 451-476.
27.
*Latimer, J. ( 2001). A meta-analytic examination of youth delinquency, family treatment, and recidivism. Canadian Journal of Criminology , 43, 237-253.
28.
*Lipsey, M.W. ( 1992). The effect of treatment of juvenile delinquents: Results from meta-analysis. In F. Lösel, D. Bender, & T. Bliesener (Eds.), Psychology and law: International perspectives (pp. 131-143). Berlin: Walter de Gruyter.
29.
*Lipsey, M.W., & Wilson, D.B. ( 1998). Effective interventions with serious juvenile offenders: A synthesis of research. In R. Loeber & D. P. Farrington (Eds.), Serious and violent juvenile offenders: Risk factors and successful interventions (pp. 313-345). Thousand Oaks, CA: Sage.
30.
Marlowe, D.B. ( 2006). When "what works" never did: Dodging the "scarlet M" in correctional rehabilitation. Criminology and Public Policy , 5, 339-346.
31.
Mauer, M. ( 2002). Mass imprisonment and disappearing voters. In M. Mauer & M. Chesney-Lind (Eds.), Invisible punishment: The collateral consequences of mass imprisonment (pp. 50-58). New York: Free Press.
32.
*Maughan, D.R., Christiansen, E., Jenson, W.R., Olympia, D., & Clark, E. ( 2005). Behavioral parent training as a treatment for externalizing behaviors and disruptive behavior disorders: A meta-analysis. School Psychology Review, 34, 267-286.
33.
*McCart, M.R., Priester, P.E., Davies, H.D.W., & Azen, R. ( 2006). Differential effectiveness of behavioral parent-training and cognitive-behavioral therapy for antisocial youth: A meta-analysis. Journal of Abnormal Child Psychology, 34, 527-543.
34.
McClellan, J.M., & Hamilton, J.D. (2006). An evidence-based approach to an adolescent with emotional and behavioral dysregulation. Journal of the American Academy of Child & Adolescent Psychiatry, 45, 489-493.
35.
Miller, T.R., Fisher, D.A., & Cohen, M.A. ( 2001). Costs of juvenile violence: Policy implications. Pediatrics, 107, 1-7.
36.
Moher, D., Cook, D.J., Eastwood, S., Olkin, I., Rennie, D., & Stroup, D.F. ( 1999). Improving the quality of reports of meta-analyses of randomised controlled trials: The Quorom statement. Lancet , 354, 1896-900.
37.
Moffitt, T.E. ( 1993). Adolescent-limited and life-course persistent antisocial behavior: A developmental taxonomy. Psychological Review, 100, 674-701.
38.
Najaka, S.S., Gottfredson, D.C., & Wilson, D.B. ( 2001). A meta-analytic inquiry into the relationship between selected risk factors and problem behavior. Prevention Science , 2, 257-271.
39.
Petrosino, A., Turpin-Petrosino, C., & Buehler, J. ( 2003). Scared straight and other juvenile awareness programs for preventing juvenile delinquency: A systematic review of the randomized experimental evidence. Annals of the American Academy of Political and Social Science, 589, 41-62.
40.
*Reitzell, L.R., & Carbonell, J.L. (2006). The effectiveness of sexual offender treatment for juveniles as measured by recidivism. A meta-analysis. Sex Abuse, 18, 401-421.
41.
*Robinson, T.R., Smith, S.W., Miller, M.D., & Brownell, M.T. (1999). Cognitive behavior modifications of hyperactivity-impulsivity and aggression: A meta-analysis of school-based studies. Journal of Educational Psychology, 9, 195-203.
42.
Shadish, W.R., Matt, G.E., Navarro, A.M., & Phillips, G. ( 2000). The effects of psychological therapies under clinically representative conditions: A meta-analysis. Psychological Bulletin, 126, 512-529.
43.
*Shadish, W.R., Montgomery, L.M., Wilson, P., Wilson, M.R., Bright, I., & Okwumabua, T. ( 1993). Effects of family and martial psychotherapies: A meta-analysis . Journal of Consulting and Clinical Psychology, 61, 992-1002.
44.
Smith, T.W. ( 2006). Measurement in health psychology research. In H. S. Friedman & R. C. Silver (Eds.), Foundations of health psychology (pp. 19-51). New York: Oxford University Press.
45.
*Stage, S.A., & Quiroz, D.R. ( 1997). A meta-analysis of interventions to decrease disruptive classroom behavior in public education settings. School Psychology Review, 26, 333-368.
46.
Thomas, C.R. ( 2006). Evidence-based practice for conduct disorder symptoms . Journal of the American Academy of Child & Adolescent Psychiatry, 45, 109-114.
47.
Tinsley, H.E.A., & Weiss, D.J. ( 2000). Interrater reliability and agreement. In H. E. A. Tinsley & S. D. Brown (Eds.), Handbook of applied multivariate statistics and mathematical modeling (pp. 96-124). New York: Academic Press.
48.
Travis, J. ( 2005). But they all come back: Facing the challenges of prisoner reentry. Washington, DC: Urban Institute Press.
49.
*Vaughn, M.G., & Howard, M.O. ( 2004). Adolescent substance abuse treatment: A synthesis of controlled experiments. Research on Social Work Practice, 14, 325-335.
50.
*Wilson, D.B., MacKenzie, D.L., & Mitchell, F.N. (2005). Effects of correctional boot camps on offending. A Campbell Collaboration systematic review. Retrieved April 2, 2007, http://www.colorado .edu/cspv/blueprints/
51.
*Wilson, S.J., & Lipsey, M.W. ( 2000). Wilderness challenge program for delinquent youth: A meta-analysis of outcome evaluation. Evaluation and Program Planning, 23, 1-12.
52.
*Wilson, S.J., Lipsey, M.W., & Derzon, J.H. ( 2003). The effects of school-based intervention programs on aggressive behavior: A meta-analysis. Journal of Consulting and Clinical Psychology, 71, 136-149.
53.
*Wilson, S.J., Lipsey, M.W., & Soydan, H. ( 2003). Are mainstream programs for juvenile delinquency less effective with minority youth than majority youth? A meta-analysis of outcomes research. Research on Social Work Practice, 13, 3-26.
54.
*Woolfenden, S.R., Williams, K., & Peat, J.K. ( 2007). Family and parenting interventions for conduct disorder and delinquency: A meta-analysis of randomised controlled trials. Archives of Disease in Childhood, 86, 251-256.
