BACKGROUND: Manualized cognitive-behavioural therapy (MCBT) approaches to treating adolescent anxiety and depression have been shown to be effective in recent years, as have MCBT for adult self-harm (SH). AIMS: This paper describes the rationale for, development and pilot evaluation of the efficacy of a novel manualized CBT package for adolescent self-harm (SH). It also addresses the acceptability of this treatment package to therapists and patients. METHOD: Twenty-five adolescents (aged 12-18 years) presenting to a Community Child and Adolescent Mental Health Service (CAMHS) in Greater London with SH behaviour began the "Cutting Down" programme and 16 (64%) completed the treatment. Outcomes were assessed at baseline, at the end of treatment and at 3 month follow up. RESULTS: Significant reductions in self-harm behaviour, depression symptoms and trait anxiety were reported. There was no change in state anxiety or in levels of parental expressed emotion as perceived by the adolescent. CONCLUSION: These pilot findings provide preliminary support for the efficacy and acceptability of this time-limited CBT package for adolescents who self-harm.
BACKGROUND: Manualized cognitive-behavioural therapy (MCBT) approaches to treating adolescent anxiety and depression have been shown to be effective in recent years, as have MCBT for adult self-harm (SH). AIMS: This paper describes the rationale for, development and pilot evaluation of the efficacy of a novel manualized CBT package for adolescent self-harm (SH). It also addresses the acceptability of this treatment package to therapists and patients. METHOD: Twenty-five adolescents (aged 12-18 years) presenting to a Community Child and Adolescent Mental Health Service (CAMHS) in Greater London with SH behaviour began the "Cutting Down" programme and 16 (64%) completed the treatment. Outcomes were assessed at baseline, at the end of treatment and at 3 month follow up. RESULTS: Significant reductions in self-harm behaviour, depression symptoms and trait anxiety were reported. There was no change in state anxiety or in levels of parental expressed emotion as perceived by the adolescent. CONCLUSION: These pilot findings provide preliminary support for the efficacy and acceptability of this time-limited CBT package for adolescents who self-harm.
Authors: Jason J Washburn; Sarah L Richardt; Denise M Styer; Michelle Gebhardt; K R Juzwin; Adrienne Yourek; Delia Aldridge Journal: Child Adolesc Psychiatry Ment Health Date: 2012-03-30 Impact factor: 3.033
Authors: Paul L Plener; Romuald Brunner; Jörg M Fegert; Rebecca C Groschwitz; Tina In-Albon; Michael Kaess; Nestor D Kapusta; Franz Resch; Katja Becker Journal: Child Adolesc Psychiatry Ment Health Date: 2016-11-29 Impact factor: 3.033
Authors: Alexandra Edinger; Gloria Fischer-Waldschmidt; Peter Parzer; Romuald Brunner; Franz Resch; Michael Kaess Journal: Front Psychiatry Date: 2020-11-04 Impact factor: 4.157
Authors: Katrina G Witt; Sarah E Hetrick; Gowri Rajaram; Philip Hazell; Tatiana L Taylor Salisbury; Ellen Townsend; Keith Hawton Journal: Cochrane Database Syst Rev Date: 2021-03-07