Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder : A feasibility study
(2017) In BMC Psychiatry 17(1).- Abstract
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... (More)
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).
(Less)
- author
- Bjureberg, Johan ; Sahlin, Hanna ; Hellner, Clara ; Hedman-Lagerlöf, Erik ; Gratz, Kim L. ; Bjärehed, Jonas LU ; Jokinen, Jussi ; Tull, Matthew T. and Ljótsson, Brjánn
- organization
- publishing date
- 2017-12-28
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Emotion regulation, Emotion regulation individual therapy, Mediation, Nonsuicidal self-injury disorder, Self-harm
- in
- BMC Psychiatry
- volume
- 17
- issue
- 1
- article number
- 411
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85039904169
- pmid:29282024
- ISSN
- 1471-244X
- DOI
- 10.1186/s12888-017-1527-4
- language
- English
- LU publication?
- yes
- id
- c4436444-9de0-401e-9026-692101b56f9d
- date added to LUP
- 2018-01-25 06:47:23
- date last changed
- 2024-06-10 07:05:47
@article{c4436444-9de0-401e-9026-692101b56f9d,
abstract = {{<p>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).</p>}},
author = {{Bjureberg, Johan and Sahlin, Hanna and Hellner, Clara and Hedman-Lagerlöf, Erik and Gratz, Kim L. and Bjärehed, Jonas and Jokinen, Jussi and Tull, Matthew T. and Ljótsson, Brjánn}},
issn = {{1471-244X}},
keywords = {{Emotion regulation; Emotion regulation individual therapy; Mediation; Nonsuicidal self-injury disorder; Self-harm}},
language = {{eng}},
month = {{12}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Psychiatry}},
title = {{Emotion regulation individual therapy for adolescents with nonsuicidal self-injury disorder : A feasibility study}},
url = {{http://dx.doi.org/10.1186/s12888-017-1527-4}},
doi = {{10.1186/s12888-017-1527-4}},
volume = {{17}},
year = {{2017}},
}