Effekt av psykososiale tiltak for barn og ungdom med komorbide problemer: Systematisk oversikt

Effectiveness of psychosocial intervention for children and adolescents with comorbid problems: a systematic review

Riosa, P. B. McArthur, B. A. Preyde, M.
Child and Adolescent Mental Health
Background: Comorbidity is common among child clinical samples. Reviews on effective intervention for comorbid problems are lacking. Method: Based on a literature search of three databases (PsycINFO, MEDLINE and ERIC), initial data analysis was carried out on 865 studies; of these, 10 randomised trials fully met study inclusion criteria and were subject to final analysis, with quality assessments and effect sizes calculated. Results: Overall, effect sizes for externalising (M = 1.12) and internalising (M = 1.09) outcomes were large. Effect sizes were large for family-based (M = 1.80) compared to individual (M = 0.78) and group-based (M = 0.54) interventions. Studies with homotypic comorbidity (M = 1.18) displayed larger treatment effect sizes than ones with heterotypic comorbidity (M = 0.54). Conclusions: While the overall quality ratings of the reviewed studies varied from mediocre to good, with a variety of measures used across studies to assess the same outcomes, findings suggest that current interventions are effective for reducing internalising and externalising problems in children with comorbidity. More substantive evidence for the beneficial effects of psychosocial interventions for children with comorbid problems may arise as more robust studies, which more explicitly address and describe comorbidity, become available.

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Type of intervention

Treatment and Child Welfare Interventions


Mental Health Problems and Disorders

Behavior Problems

Behavioral Disorders

Emotional Problems

Depression and Depressed Mood

Anxiety Problems

Anxiety and Anxiousness


Autism Spectrum Disorder

Other Problems



Psychological Treatments

Family Therapy

Parent Guidance / Therapy

Cognitive Behavioral Therapy, Behavioral Therapy and Cognitive Therapy

Psychodynamic/Interpersonal Therapy

The organization of interventions

Group Interventions

Age group

Preschool Aged Children (3-5 years)

School Aged Children (6-12 years)

Adolescents (13-18 years)

Age not specified

More information
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