Raising a young child with challenging behavior can have a significant impact on families’ well-being and family functioning. Despite advancements in the field, there is a paucity of research focused on effective ways to address their unique experiences. This qualitative meta-synthesis aims to identify the needs of families with young children who exhibit challenging behavior to inform more robust and responsive family-centered practices. Using a constant comparative approach, we used axial coding to examine six studies involving 49 families and a critical appraisal approach to evaluate their strengths and weaknesses, based on recommendations articulated by the Cochrane Collaboration. We determined that six major themes were most salient: (a) the family system, (b) families’ self-concept, (c) families’ capacity, (d) families’ social and emotional needs, (e) families’ experiences with professionals, and (f) families’ initial concerns. Our findings indicate that studies were conducted with acceptable rigor and all studies established credibility and trustworthiness of their results. The importance of family-centered practices, parenting interventions, and addressing the mental health needs of families are discussed.

抚养具有挑战性行为的幼儿会对家庭的福祉和家庭功能产生重大影响。尽管该领域取得了进展，但很少有研究专注于解决他们独特经历的有效方法。这种定性元综合旨在确定有幼儿的家庭的需求，这些家庭表现出具有挑战性的行为，以告知更强大和响应性更强的以家庭为中心的实践。根据 Cochrane 协作网提出的建议，我们使用持续比较方法，使用轴向编码检查了涉及 49 个家庭的六项研究，并使用批判性评估方法来评估其优势和劣势。我们确定六个主题最为突出：(a) 家庭系统，(b) 家庭的自我概念，(c) 家庭的能力，(d) 家庭的社会和情感需求，(e) 家庭与专业人士的经历，以及 (f) 家庭最初的担忧。我们的研究结果表明，研究是在可接受的严谨性下进行的，所有研究都建立了其结果的可信度和可信度。讨论了以家庭为中心的做法、育儿干预和解决家庭心理健康需求的重要性。