Abstract
Cognitive deficits are a key risk factor for severe and persistent antisocial behavior (ASB); however, whether improving cognitive functioning reduces ASB remains unclear. To address this question, we conducted a systematic review and meta-analysis of cognitive training interventions among individuals displaying ASB.We searched PubMed, PsycINFO, and Web of Science for studies published between 1990 and 2023. Of 529 records screened and 54 full-texts assessed, we identified 14 studies including a total of 601 participants (age M = 39.12, SD = 9.33, 84 % male). Most studies aimed at improving multiple cognitive domains. Cognitive training yielded moderate reductions in ASB (g = 0.59, p < .001 in pre-post studies; g = 0.36, p = .003 in controlled trials). Effect sizes were larger for interventions targeting social cognition. Cognitive improvements were moderate in pre-post studies (g = 0.51, p < .001) but non-significant in controlled trials (g = 0.11, p = .27).Cognitive training holds promise as a complementary approach for reducing ASB, but greater theoretical and measurement precision is needed to elucidate the mechanisms driving behavioral change. Future research directions include anchoring interventions on cognitive models of ASB, aligning treatment and assessment targets, and evaluating treatment moderators, scalability, and transfer effects.
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