A Brief Cognitive Analytic Therapy–Informed Approach for Young People That Have Self-Injured (CATCH-Y): A Case Series

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-05-17 DOI:10.1002/cpp.2976

R. Haw, M. Marsden, S. Hartley, C. Turpin, P. J. Taylor

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Abstract

Background

Non-suicidal self-injury (NSSI) presents an increasingly prevalent problem for young people; however, there remains a scarce evidence base for effective, scalable treatments for adolescents. This study aimed to assess the feasibility and acceptability of a brief, cognitive analytic therapy (CAT)–informed intervention for young people who engage in NSSI (CATCH-Y).

Methods

A case series design recruited 13 young people who met the inclusion and exclusion criteria to participate in the five-session intervention. Eligible participants were aged 13–17 years (M = 15.15, SD = 1.28) and had engaged in NSSI at least once in the previous 6 months. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. The secondary outcome measures of personal recovery and motivation were administered pre- and post-assessment, with measures of depressive symptoms and urges to self-injure.

Results

The intervention was found to be largely feasible and acceptable with high rates of recruitment, retention and pre-/post-assessment data completeness. Measures showed preliminary support for positive change in rates of NSSI, urges to self-harm, low mood and personal recovery, although results were mixed. Completion rates for remote assessments were low.

Conclusions

The findings of this study support further evaluation of the CATCH-Y intervention on a larger scale. In-person assessments may be preferable to remote to ensure good completion rates.

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针对自伤青少年的简易认知分析疗法 (CATCH-Y)：病例系列

背景非自杀性自伤（NSSI）在青少年中是一个日益普遍的问题；然而，针对青少年的有效、可扩展的治疗方法的证据基础仍然很少。本研究旨在评估针对 NSSI 青少年的简短认知分析疗法（CAT）干预（CATCH-Y）的可行性和可接受性。方法采用病例系列设计，招募 13 名符合纳入和排除标准的青少年参加为期五节课的干预。符合条件的参与者年龄为 13-17 岁（M = 15.15，SD = 1.28），在过去 6 个月中至少有过一次 NSSI 行为。可行性和可接受性通过招募、保留、定性反馈和缺失数据来衡量。个人康复和动机的次要结果测量是在评估前后进行的，同时还测量了抑郁症状和自我伤害冲动。结果干预措施基本可行且可接受，招募率、保留率和评估前/后数据完整率都很高。测量结果显示，尽管结果参差不齐，但初步支持在非自伤行为、自伤冲动、情绪低落和个人康复方面出现积极变化。远程评估的完成率较低。结论本研究的结果支持对 CATCH-Y 干预进行更大规模的进一步评估。为确保良好的完成率，面对面评估可能比远程评估更可取。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.