Brief Psychotherapeutic Intervention Compared with Treatment as Usual for Adolescents with Nonsuicidal Self-Injury: Outcomes over a 2-4-Year Follow-Up.

IF 16.3 1区 医学 Q1 PSYCHIATRY Psychotherapy and Psychosomatics Pub Date : 2023-01-01 Epub Date: 2023-07-24 DOI:10.1159/000531092
Franziska Rockstroh, Alexandra Edinger, Johannes Josi, Romuald Brunner, Franz Resch, Michael Kaess
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Abstract

Introduction: The "Cutting Down Programme" (CDP), a brief psychotherapeutic intervention for treating nonsuicidal self-injury (NSSI) in adolescents, was comparable to high-quality treatment as usual (TAU) in a previous randomized controlled trial (RCT).

Objective: The aim of the study was to evaluate the long-term outcomes of the CDP over up to 4 years.

Methods: Assessments of NSSI, suicide attempts, borderline personality disorder (BPD), depression, and quality of life took place 2 to 4 years (T3) after enrollment in a RCT. The evolution of NSSI, suicide attempts, depression, and quality of life was analyzed using (generalized) linear mixed-effects models. Ordered logistic regression was used for analyzing BPD diagnoses. Data from T0, T2, and T3 are reported.

Results: Out of 74 patients, 70 (95%) were included in the T3 assessment. The frequency of NSSI events alongside with suicide attempts and depression further decreased between T2 and T3 and BPD between T0 and T3 in both groups. Quality of life remained stable in both groups between T2 and T3. Both groups received substantial but comparable additional treatment between T2 and T3. More treatment sessions during the follow-up period were linked to larger improvements of NSSI.

Conclusions: The CDP was found to be as effective as TAU in promoting recovery from NSSI and comorbid symptoms in the long term. Results suggest that treatment effects from a brief psychotherapeutic intervention may endure and even further improve after completion of the program. However, additional treatment seems to improve chances for recovery independent from CDP versus TAU.

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非自杀性自伤青少年的简短心理治疗干预与常规治疗的比较:2-4年随访的结果。
引言:“减少计划”(CDP)是一种治疗青少年非自杀性自伤(NSSI)的简短心理治疗干预措施,与之前的随机对照试验(RCT)中的高质量照常治疗(TAU)相当。目的:本研究的目的是评估CDP在长达4年内的长期结果。方法:纳入随机对照试验后2-4年(T3),对NSSI、自杀未遂、边缘型人格障碍(BPD)、抑郁和生活质量进行评估。使用(广义)线性混合效应模型分析NSSI、自杀未遂、抑郁和生活质量的演变。采用有序逻辑回归分析BPD诊断。报告了T0、T2和T3的数据。结果:在74名患者中,70名(95%)患者被纳入T3评估。在T2和T3之间,NSSI事件以及自杀未遂和抑郁的频率进一步降低,在T0和T3之间BPD的频率进一步下降。两组患者的生活质量在T2和T3之间保持稳定。在T2和T3之间,两组都接受了实质性但相当的额外治疗。在随访期间,更多的治疗疗程与NSSI的更大改善有关。结论:从长远来看,CDP在促进NSSI和合并症症状的恢复方面与TAU一样有效。结果表明,短期心理治疗干预的治疗效果可能会持续,甚至在项目完成后进一步改善。然而,与TAU相比,额外的治疗似乎可以提高独立于CDP的恢复机会。
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来源期刊
Psychotherapy and Psychosomatics
Psychotherapy and Psychosomatics 医学-精神病学
CiteScore
29.40
自引率
6.10%
发文量
46
期刊介绍: Psychotherapy and Psychosomatics is a reputable journal that has been published since 1953. Over the years, it has gained recognition for its independence, originality, and methodological rigor. The journal has been at the forefront of research in psychosomatic medicine, psychotherapy research, and psychopharmacology, and has contributed to the development of new lines of research in these areas. It is now ranked among the world's most cited journals in the field. As the official journal of the International College of Psychosomatic Medicine and the World Federation for Psychotherapy, Psychotherapy and Psychosomatics serves as a platform for discussing current and controversial issues and showcasing innovations in assessment and treatment. It offers a unique forum for cutting-edge thinking at the intersection of medical and behavioral sciences, catering to both practicing clinicians and researchers. The journal is indexed in various databases and platforms such as PubMed, MEDLINE, Web of Science, Science Citation Index, Social Sciences Citation Index, Science Citation Index Expanded, BIOSIS Previews, Google Scholar, Academic Search, and Health Research Premium Collection, among others.
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