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Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study
BACKGROUND: Nonsuicidal self-injury (NSSI) is a serious health risk behavior that forms the basis of a tentative diagnosis in DSM-5, NSSI Disorder (NSSID). To date, established treatments specific to NSSI or NSSID are scarce. As a first step in evaluating the feasibility, acceptability, and utility...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745918/ https://www.ncbi.nlm.nih.gov/pubmed/29282024 http://dx.doi.org/10.1186/s12888-017-1527-4 |
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author | Bjureberg, Johan Sahlin, Hanna Hellner, Clara Hedman-Lagerlöf, Erik Gratz, Kim L. Bjärehed, Jonas Jokinen, Jussi Tull, Matthew T. Ljótsson, Brjánn |
author_facet | Bjureberg, Johan Sahlin, Hanna Hellner, Clara Hedman-Lagerlöf, Erik Gratz, Kim L. Bjärehed, Jonas Jokinen, Jussi Tull, Matthew T. Ljótsson, Brjánn |
author_sort | Bjureberg, Johan |
collection | PubMed |
description | BACKGROUND: Nonsuicidal self-injury (NSSI) is a serious health risk behavior that forms the basis of a tentative diagnosis in DSM-5, NSSI Disorder (NSSID). To date, established treatments specific to NSSI or NSSID are scarce. As a first step in evaluating the feasibility, acceptability, and utility of a novel treatment for adolescents with NSSID, we conducted an open trial of emotion regulation individual therapy for adolescents (ERITA): a 12-week, behavioral treatment aimed at directly targeting both NSSI and its proposed underlying mechanism of emotion regulation difficulties. METHODS: Seventeen girls (aged 13–17; mean = 15.31) with NSSID were enrolled in a study adopting an uncontrolled open trial design with self-report and clinician-rated assessments of NSSI and other self-destructive behaviors, emotion regulation difficulties, borderline personality features, and global functioning administered at pre-treatment, post-treatment, and 6-month follow-up. Measures of NSSI and emotion regulation difficulties were also administered weekly during treatment. RESULTS: Ratings of treatment credibility and expectancy and the treatment completion rate (88%) were satisfactory, and both therapeutic alliance and treatment attendance were strong. Intent-to-treat analyses revealed significant improvements associated with large effect sizes in past-month NSSI frequency, emotion regulation difficulties, self-destructive behaviors, and global functioning, as well as a medium effect size in past-month NSSI versatility, from pre- to post-treatment. Further, all of these improvements were either maintained or further improved upon at 6-month follow-up. Finally, change in emotion regulation difficulties mediated improvements in NSSI over the course of treatment. CONCLUSIONS: Results suggest the acceptability, feasibility, and utility of this treatment for adolescents with NSSID. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02326012, December 22, 2014, retrospectively registered). |
format | Online Article Text |
id | pubmed-5745918 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57459182018-01-03 Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study Bjureberg, Johan Sahlin, Hanna Hellner, Clara Hedman-Lagerlöf, Erik Gratz, Kim L. Bjärehed, Jonas Jokinen, Jussi Tull, Matthew T. Ljótsson, Brjánn BMC Psychiatry Research Article BACKGROUND: Nonsuicidal self-injury (NSSI) is a serious health risk behavior that forms the basis of a tentative diagnosis in DSM-5, NSSI Disorder (NSSID). To date, established treatments specific to NSSI or NSSID are scarce. As a first step in evaluating the feasibility, acceptability, and utility of a novel treatment for adolescents with NSSID, we conducted an open trial of emotion regulation individual therapy for adolescents (ERITA): a 12-week, behavioral treatment aimed at directly targeting both NSSI and its proposed underlying mechanism of emotion regulation difficulties. METHODS: Seventeen girls (aged 13–17; mean = 15.31) with NSSID were enrolled in a study adopting an uncontrolled open trial design with self-report and clinician-rated assessments of NSSI and other self-destructive behaviors, emotion regulation difficulties, borderline personality features, and global functioning administered at pre-treatment, post-treatment, and 6-month follow-up. Measures of NSSI and emotion regulation difficulties were also administered weekly during treatment. RESULTS: Ratings of treatment credibility and expectancy and the treatment completion rate (88%) were satisfactory, and both therapeutic alliance and treatment attendance were strong. Intent-to-treat analyses revealed significant improvements associated with large effect sizes in past-month NSSI frequency, emotion regulation difficulties, self-destructive behaviors, and global functioning, as well as a medium effect size in past-month NSSI versatility, from pre- to post-treatment. Further, all of these improvements were either maintained or further improved upon at 6-month follow-up. Finally, change in emotion regulation difficulties mediated improvements in NSSI over the course of treatment. CONCLUSIONS: Results suggest the acceptability, feasibility, and utility of this treatment for adolescents with NSSID. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02326012, December 22, 2014, retrospectively registered). BioMed Central 2017-12-28 /pmc/articles/PMC5745918/ /pubmed/29282024 http://dx.doi.org/10.1186/s12888-017-1527-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Bjureberg, Johan Sahlin, Hanna Hellner, Clara Hedman-Lagerlöf, Erik Gratz, Kim L. Bjärehed, Jonas Jokinen, Jussi Tull, Matthew T. Ljótsson, Brjánn Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
title | Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
title_full | Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
title_fullStr | Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
title_full_unstemmed | Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
title_short | Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
title_sort | emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder: a feasibility study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745918/ https://www.ncbi.nlm.nih.gov/pubmed/29282024 http://dx.doi.org/10.1186/s12888-017-1527-4 |
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