关键词: adolescents brief intervention cognitive analytic therapy non‐suicidal self‐injury self‐harm

Mesh : Humans Adolescent Self-Injurious Behavior / psychology therapy Male Female Cognitive Behavioral Therapy / methods Feasibility Studies Treatment Outcome Psychotherapy, Brief / methods

来  源:   DOI:10.1002/cpp.2976

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.
摘要:
背景:非自杀性自我伤害(NSSI)对年轻人来说是一个越来越普遍的问题;然而,有效的证据基础仍然很少,可扩展的青少年治疗。本研究旨在评估一个简短的可行性和可接受性,认知分析疗法(CAT)-知情干预对从事NSSI(CATCH-Y)的年轻人。
方法:一项病例系列设计招募了13名符合纳入和排除标准的年轻人参加五期干预。符合条件的参与者年龄为13-17岁(M=15.15,SD=1.28),并且在过去6个月中至少参加过一次NSSI。通过招聘衡量可行性和可接受性,保留,定性反馈和缺失数据。个人康复和动机的次要结果指标在评估前和评估后进行。有抑郁症状的措施和自我伤害的冲动。
结果:发现干预措施在很大程度上是可行的,并且可以接受高招募率,保留和评估前/后数据的完整性。措施显示了对NSSI率积极变化的初步支持,敦促自我伤害,情绪低落和个人康复,虽然结果好坏参半。远程评估的完成率很低。
结论:本研究的结果支持对CATCH-Y干预的更大规模的进一步评估。亲自评估可能比远程评估更可取,以确保良好的完成率。
公众号