Female youth with oppositional defiant disorder (ODD) and conduct disorder (CD) are an under studied and underserved population at high risk for poor adjustment in later life. Stadler et al. (2024) attempt to redress this situation for adolescent females with CD or ODD with an adapted version of the skills training program START NOW. They describe the results of an ambitious randomized control trial, comparing START NOW with standard care in youth welfare settings in Germany, Switzerland, and The Netherlands. The findings appear promising, but the paper is especially valuable for the spotlight it shines on the needs of this underserved population and those caring for them, together with the importance of undertaking such trials despite their challenges. This commentary seeks to encourage readers to engage with the START NOW trial.

中文翻译：

---

前进。使用 START NOW 技能培训计划治疗患有 ODD 和 CD 的女性青年 – 对 Stadler 等人（2024 年）的评论


患有对立违抗性障碍 （ODD） 和品行障碍 （CD） 的女性青年是研究不足和服务不足的人群，在以后的生活中适应不良的风险很高。Stadler 等人（2024 年）试图通过技能培训计划 START NOW 的改编版本来纠正患有 CD 或 ODD 的青春期女性的这种情况。他们描述了一项雄心勃勃的随机对照试验的结果，将 START NOW 与德国、瑞士和荷兰青年福利机构的标准护理进行了比较。这些发现似乎很有希望，但该论文特别有价值，因为它关注了这一服务不足人群和照顾他们的人的需求，以及尽管面临挑战但仍进行此类试验的重要性。本评论旨在鼓励读者参与 START NOW 试用版。