caa a22 4500 445320680 CHVBK 20180317142703.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s10488-010-0332-x doi (NATIONALLICENCE)springer-10.1007/s10488-010-0332-x Improvement in Symptoms Versus Functioning: How Do Our Best Treatments Measure Up? [Elektronische Daten] [Kimberly Becker, Bruce Chorpita, Eric Daleiden] We examined the effects of redefining standards of evidence for treatments targeting childhood mental health problems by expanding outcomes beyond symptom reduction to include functioning. Over 750 treatment protocols from 435 randomized controlled trials were rated based on empirical evidence. Nearly two-thirds (63.9%) demonstrated at least a minimum level of evidence for reducing symptoms; however, only 18.8% of treatments demonstrated evidence for reducing functional impairment. Of those treatments with empirical support for symptom reduction, the majority did not demonstrate empirical support for improvement in functioning because measures of functioning were not included in the studies in which these treatments were tested. However, even when measures of functioning were included, it was much more difficult for treatments to achieve improvement. Among treatments that achieved improvement in functioning, the most notable were Collaborative Problem Solving for disruptive behavior and Cognitive Behavioral Therapy plus Medication for traumatic stress because they demonstrated no support for symptom reduction but good support for improvement in functioning. Results are discussed within the context of evaluating the standards of evidence for treatments and the opportunity to move towards a multidimensional framework whose utility has the potential to exceed the sum of its parts. Springer Science+Business Media, LLC, 2011 Childhood treatments nationallicence Standards of evidence nationallicence Symptoms nationallicence Functioning nationallicence Becker Kimberly Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 111 Market Place, Suite 901, 21205, Baltimore, MD, USA aut Chorpita Bruce Department of Psychology, The University of California, UCLA, 1285 Franz Hall, Box 951563, 90095-1563, Los Angeles, CA, USA aut Daleiden Eric PracticeWise, LLC, 285 Wilson Ave, 32937, Satellite Beach, FL, USA aut Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/6(2011-11-01), 440-458 0894-587X 38:6<440 2011 38 10488 https://doi.org/10.1007/s10488-010-0332-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10488-010-0332-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Becker Kimberly Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 111 Market Place, Suite 901, 21205, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Chorpita Bruce Department of Psychology, The University of California, UCLA, 1285 Franz Hall, Box 951563, 90095-1563, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Daleiden Eric PracticeWise, LLC, 285 Wilson Ave, 32937, Satellite Beach, FL, USA aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Springer US; http://www.springer-ny.com 38/6(2011-11-01), 440-458 0894-587X 38:6<440 2011 38 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer