Objective: Despite the prevalence and impact of nonsuicidal self-injury (NSSI), there are few treatments developed to treat the behavior specifically, and little is known about moderators of treatment response. The Treatment for Self-Injurious Behaviors (T-SIB), a brief, behavioral intervention, was developed to treat NSSI in young adults; a previous pilot randomized controlled trial (RCT) comparing T-SIB with treatment as usual (TAU) provided support for the intervention. This study examined demographic, clinical, and NSSI-related predictors of treatment outcome in the pilot RCT for T-SIB. Method: Young adults (N = 33) were randomized to receive T-SIB or treatment as usual; all participants were included in intent-to-treat analyses. The primary outcome of NSSI behaviors was assessed at baseline, posttreatment (9 weeks), and 3-month follow up, and potential moderators were assessed at baseline. Results: Greater lifetime and last year NSSI frequency was associated with fewer NSSI behaviors at posttreatment and follow up among participants in T-SIB. Anxious symptoms also moderated treatment outcomes, but other demographic and clinical variables did not. Conclusion: Previous research has shown that T-SIB is more effective than TAU overall; the current study suggests that T-SIB may be effective for individuals with more frequent NSSI and those with elevated anxiety. A larger evaluation of T-SIB is supported. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Objective: Despite the prevalence and impact of nonsuicidal self-injury (NSSI), there are few treatments developed to treat the behavior specifically, and little is known about moderators of treatment response. The Treatment for Self-Injurious Behaviors (T-SIB), a brief, behavioral intervention, was developed to treat NSSI in young adults; a previous pilot randomized controlled trial (RCT) comparing T-SIB with treatment as usual (TAU) provided support for the intervention. This study examined demographic, clinical, and NSSI-related predictors of treatment outcome in the pilot RCT for T-SIB. Method: Young adults (N = 33) were randomized to receive T-SIB or treatment as usual; all participants were included in intent-to-treat analyses. The primary outcome of NSSI behaviors was assessed at baseline, posttreatment (9 weeks), and 3-month follow up, and potential moderators were assessed at baseline. Results: Greater lifetime and last year NSSI frequency was associated with fewer NSSI behaviors at posttreatment and follow up among participants in T-SIB. Anxious symptoms also moderated treatment outcomes, but other demographic and clinical variables did not. Conclusion: Previous research has shown that T-SIB is more effective than TAU overall; the current study suggests that T-SIB may be effective for individuals with more frequent NSSI and those with elevated anxiety. A larger evaluation of T-SIB is supported. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Authors: Elizabeth McCauley; Michele S Berk; Joan R Asarnow; Molly Adrian; Judith Cohen; Kathyrn Korslund; Claudia Avina; Jennifer Hughes; Melanie Harned; Robert Gallop; Marsha M Linehan Journal: JAMA Psychiatry Date: 2018-08-01 Impact factor: 21.596
Authors: Molly Adrian; Elizabeth McCauley; Michele S Berk; Joan R Asarnow; Kathryn Korslund; Claudia Avina; Robert Gallop; Marsha M Linehan Journal: J Child Psychol Psychiatry Date: 2019-07-30 Impact factor: 8.982
Authors: Mary C Zanarini; A Anna Vujanovic; Elizabeth A Parachini; Jennifer L Boulanger; Frances R Frankenburg; John Hennen Journal: J Pers Disord Date: 2003-12
Authors: Emma M Millon; Kira L Alqueza; Rahil A Kamath; Rachel Marsh; David Pagliaccio; Hilary P Blumberg; Jeremy G Stewart; Randy P Auerbach Journal: Child Psychiatry Hum Dev Date: 2022-06-21