Effectiveness of Psychosocial Interventions for Youth With Mild Intellectual Disabilities or Borderline Intellectual Functioning and Externalising Problems: A Multilevel Meta-Analysis
Publication date
2025-09
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Abstract
OBJECTIVES: This meta-analysis examined the effectiveness of psychosocial interventions for youth with mild intellectual disabilities or borderline intellectual functioning (MID-BIF) and externalising problems. METHODS: We assessed 2221 studies for eligibility and included seven studies containing 14 effect sizes. We used a multilevel modelling approach to analyse the data and calculated two different types of effect sizes: one for controlled trials and one for intervention pre-test to post-test effects (across all studies). RESULTS: Both controlled trial effect sizes (g = 0.49) and pre-test to post-test effect sizes were significant (g = 0.53). We were unable to detect heterogeneity of effects because of the small number of eligible studies. The risk of bias was generally high. DISCUSSION: Results suggest that psychosocial interventions decrease externalising problems among youth with MID-BIF. Effect sizes appear similar to those for youth without MID-BIF. We discuss recommendations for how the field can move forward.
Keywords
borderline intellectual functioning, externalising problems, intellectual disabilities, meta-analysis, psychosocial intervention, Rehabilitation, Arts and Humanities (miscellaneous), Neurology, Clinical Neurology, Psychiatry and Mental health
Citation
Kühl, E, Koning, I M, Deković, M, Thomaes, S & Liber, J M 2025, 'Effectiveness of Psychosocial Interventions for Youth With Mild Intellectual Disabilities or Borderline Intellectual Functioning and Externalising Problems : A Multilevel Meta-Analysis', Journal of Intellectual Disability Research, vol. 69, no. 9, pp. 795-808. https://doi.org/10.1111/jir.70014