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Behav Cogn Psychother. 2011 Oct;39(5):619-25. doi: 10.1017/S1352465811000075. Epub 2011 Mar 11.

Development and pilot evaluation of a manualized cognitive-behavioural treatment package for adolescent self-harm.

Author information

1
Dialectical Behaviour Therapy (DBT) Service, Maudsley Hospital, UK. lucy.taylor@slam.nhs.uk

Abstract

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.

PMID:
21392417
DOI:
10.1017/S1352465811000075
[Indexed for MEDLINE]
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