{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T07:22:52Z","timestamp":1787556172946,"version":"build-2736575974"},"reference-count":143,"publisher":"SAGE Publications","issue":"13-14","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Offender Ther Comp Criminol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    This meta-analysis examined the effectiveness of experiential interventions in reducing persistent externalizing behavior among adolescents and adults, and whether integrating cognitive-behavioral therapy (CBT) components enhances outcomes. Following PRISMA guidelines, a systematic search of ERIC, MEDLINE, PsycINFO, and Ovid identified 39 studies, yielding 123 effect sizes (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    = 2,323). A three-level meta-analytic model with moderator analyses was conducted. Experiential interventions showed a significant medium effect in favor of the interventions compared to control conditions (\n                    <jats:italic toggle=\"yes\">g<\/jats:italic>\n                    = 0.66). Interventions integrating CBT produced larger effects (\n                    <jats:italic toggle=\"yes\">g<\/jats:italic>\n                    = 0.83) than those without CBT (\n                    <jats:italic toggle=\"yes\">g<\/jats:italic>\n                    = 0.43), with the strongest effects for responsive CBT (\n                    <jats:italic toggle=\"yes\">g<\/jats:italic>\n                    = 1.04 vs.\n                    <jats:italic toggle=\"yes\">g<\/jats:italic>\n                    = 0.59). Treatment fidelity and active system involvement significantly moderated outcomes. Findings support integrating CBT within experiential approaches while ensuring high treatment fidelity and system involvement. Clinicians should combine CBT with experiential techniques and engage others to enhance responsiveness and therapeutic safety.\n                  <\/jats:p>","DOI":"10.1177\/0306624x261445116","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:10:44Z","timestamp":1778112644000},"page":"1437-1474","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiential Interventions for Externalizing Behavior: A Multilevel Meta-Analysis of Adolescents and Adults"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6569-4010","authenticated-orcid":false,"given":"Larissa M.","family":"Hoogsteder","sequence":"first","affiliation":[{"name":"Forensic Outpatient Treatment Center de Waag, Utrecht, The Netherlands"},{"name":"University of Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maartje W.","family":"Kapteijns","sequence":"additional","affiliation":[{"name":"Forensic Outpatient Treatment Center de Waag, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hester L.","family":"van der Veld","sequence":"additional","affiliation":[{"name":"Forensic Outpatient Treatment Center de Waag, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina T. 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