• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Psychiatry >Extending research on Emotion Regulation Individual Therapy for Adolescents (ERITA) with nonsuicidal self-injury disorder: open pilot trial and mediation analysis of a novel online version
【24h】

Extending research on Emotion Regulation Individual Therapy for Adolescents (ERITA) with nonsuicidal self-injury disorder: open pilot trial and mediation analysis of a novel online version

机译：扩展对非自杀性自我伤害疾病的青少年情绪调节个体疗法（ERITA）的研究：新型在线版本的开放式试验和中介分析

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Nonsuicidal self-injury (NSSI) is common among adolescents and associated with negative outcomes. However, treatments developed specifically for NSSI and the proposed NSSI disorder (NSSID) are scarce, and access to empirically supported treatments for NSSI in many areas is limited. Online treatments carry the potential to increase the availability of evidence-based treatments. Emotion regulation individual therapy for adolescents (ERITA) has shown promise in the treatment of adolescents with NSSID. The present study examined the feasibility, acceptability, and utility of an online version of ERITA. Twenty-five adolescents (aged 13–17) with NSSID and their parents were included in an uncontrolled open trial. Self-report and clinician-rated assessments of outcomes such as NSSI, self-destructive behaviors, emotion dysregulation, and global functioning were administered at pre-treatment, post-treatment, 3- and 6- month follow-up. Measures of NSSI, self-destructive behaviors, and emotion dysregulation were also assessed weekly during treatment. Ratings of treatment credibility, expectancy, and satisfaction were acceptable, and the therapeutic alliance and treatment completion rate (96%) were high. Adolescent participation in the treatment was associated with a statistically significant increase in past-month NSSI abstinence (p?=?.007), large-sized improvements in past-month NSSI frequency (55% reduction, 95% confidence interval [CI]: 29, 72; Cohen’s d?=?0.88, 95% CI: 0.73, 1.06) and global functioning (d?=?1.01, 95% CI: 0.77, 1.32), and medium-sized improvements in emotion dysregulation (d?=?0.75, 95% CI: 0.59, 0.90) and NSSI versatility (d?=?0.63, 95% CI: 0.54, 0.77) from pre- to post-treatment. These improvements were further strengthened at 3-month follow-up and maintained at 6-month follow-up. The online therapist-guided parent program was associated with small- to large-sized (ds?=?0.47–1.22) improvements in adaptive parent behaviors, and these improvements were maintained or further improved upon at 6-month follow-up. Moreover, in line with the theoretical model underlying ERITA, change in emotion dysregulation mediated changes in both NSSI frequency and self-destructive behaviors over the course of treatment. Together, results suggest that online ERITA is an acceptable, feasible, and promising low-intensity treatment for adolescents with NSSID. The results of this open trial must be replicated in controlled studies. ClinicalTrials.gov ( NCT02697019 ).
机译：非自杀性自残（NSSI）在青少年中很常见，并与阴性结果相关。但是，专门为NSSI和拟议的NSSI疾病（NSSID）开发的治疗方法很少，并且在许多领域中，获得经验支持的NSSI治疗方法的途径受到限制。在线治疗可能会增加基于证据的治疗的可用性。青少年情绪调节个体疗法（ERITA）在NSSID青少年治疗中显示出希望。本研究检查了ERITA在线版本的可行性，可接受性和实用性。 25名患有NSSID的青少年（13至17岁）及其父母被纳入一项不受控制的公开试验。在治疗前，治疗后，3个月和6个月的随访中，对NSSI，自我毁灭性行为，情绪失调和整体功能等结局进行自我报告和临床评估。治疗期间每周还评估NSSI，自我毁灭行为和情绪失调的量度。治疗可信度，预期和满意程度均可接受，治疗联盟和治疗完成率较高（96％）。青少年参与该治疗与过去一个月的NSSI戒断在统计学上显着增加（p？= ?. 007），过去一个月的NSSI频率大幅度改善有关（减少55％，95％置信区间[CI]： 29，72; Cohen d？=？0.88，95％CI：0.73，1.06）和整体功能（d？=？1.01，95％CI：0.77，1.32），情绪失调的中等改善（d？=从治疗前到治疗后的≤0.75、95％CI：0.59、0.90）和NSSI通用性（d≥0.63，95％CI：0.54、0.77）。这些改善在3个月的随访中得到进一步加强，并在6个月的随访中得以保持。在线治疗师指导的父母计划与适应性父母行为的小到大（ds？=？0.47–1.22）改善相关，并且在6个月的随访中这些改善得以维持或进一步改善。此外，与ERITA的理论模型一致，情绪失调的变化介导了在治疗过程中NSSI频率和自我毁灭行为的变化。总之，结果表明，在线ERITA对于NSSID青少年是一种可接受，可行且有希望的低强度治疗。该公开试验的结果必须在对照研究中复制。 ClinicalTrials.gov（NCT02697019）。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号