Kaess, Michael and Edinger, Alexandra and Fischer-Waldschmidt, Gloria and Parzer, Peter and Brunner, Romuald and Resch, Franz (2020) Effectiveness of a brief psychotherapeutic intervention compared with treatment as usual for adolescent nonsuicidal self-injury: a single-centre, randomised controlled trial. EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 29 (6). pp. 881-891. ISSN 1018-8827, 1435-165X
Full text not available from this repository. (Request a copy)Abstract
Although nonsuicidal self-injury (NSSI) is a clinically significant behavior, evidence-based, specific, time-, and cost-effective treatment approaches are lacking. The aim of this study was to compare the efficacies of a brief cognitive-behavioral psychotherapy manual, the Cutting Down Programme (CDP), and treatment as usual (TAU) in the treatment of adolescent NSSI. We conducted a single-centre randomised controlled trial (RCT). Eligible participants were aged 12-17 years engaging in repetitive NSSI (at least 5 times within the past 6 months). We randomly allocated 74 participants to CDP (n = 37) or TAU (n = 37; in a 1:1 ratio). Outcome measures were administered before treatment (T0), directly after CDP or 4 months after baseline evaluation in the TAU group (T1), and another 6 months later (T2; primary endpoint). Primary outcome was a 50% reduction in NSSI frequency within the past 6 months at 10-month follow-up (T2). Regarding the primary outcome, there were no significant differences between the CDP (n = 26; 70.3%) and TAU group [n = 27; 73.0%;chi(2)(1) = 0.07;p = 0.797]; NSSI frequency within the past 6 months was significantly reduced at T2 [chi(2)(1) = 12.45;p < 0.001] with no between-group difference [chi(2)(1) = 0.14;p = 0.704]. However, we found a significant group x point of measurement interaction [chi(2)(2) = 7.78;p = 0.021] regarding NSSI within the last month indicating at T1. CDP was equally effective and achieved faster recovery compared to a significantly more intensive TAU in treating adolescent NSSI. The CDP could provide a brief and pragmatic first treatment within a stepped-care model for NSSI in routine clinical care. Clinical Trial RegistrationThe trial was prospectively registered in the German Registry of Clinical Trials (; DRKS00003605) and is now complete.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DIALECTICAL BEHAVIOR-THERAPY; INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW; PERSONALITY-DISORDER; HARMING BEHAVIOR; DSM-IV; RELIABILITY; THOUGHTS; VALIDITY; ADULTS; MINI; Nonsuicidal self-injury; Randomised controlled trial; Adolescents; Psychotherapy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Mar 2021 07:23 |
| Last Modified: | 23 Mar 2021 07:23 |
| URI: | https://pred.uni-regensburg.de/id/eprint/44469 |
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