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Development and Pilot Evaluation of a Manualized Cognitive-Behavioural Treatment Package for Adolescent Self-Harm

Published online by Cambridge University Press:  11 March 2011

Lucy M. W. Taylor ,
Anna Oldershaw ,
Clair Richards ,
Kate Davidson ,
Ulrike Schmidt  and
Mima Simic
Lucy M. W. Taylor*
Affiliation:
Dialectical Behaviour Therapy (DBT) Service, Maudsley Hospital, UK
Anna Oldershaw
Affiliation:
Kings College London, Institute of Psychiatry, UK
Clair Richards
Affiliation:
NHS Brighton & Hove Child and Adolescent Mental Health Service, UK
Kate Davidson
Affiliation:
University of Glasgow, Gartnavel Royal Hospital, UK
Ulrike Schmidt
Affiliation:
King's College London, Institute of Psychiatry, UK
Mima Simic
Affiliation:
The Maudsley Hospital, London, UK
*
Reprint requests to Lucy M. W. Taylor, Dialectical Behaviour Therapy (DBT) Service, Michael Rutter Centre, Maudsley Hospital, De Crespigny Park, London SE5 8AZ, UK. E-mail: [email protected]
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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.

Keywords

Self harm (SH)manualCBTadolescents
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 39 , Issue 5 , October 2011 , pp. 619 - 625
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2011

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References

Audit Commission (1999). Children in Mind: child and adolescent mental health services. London: HMSO.Google Scholar
Cole, J. and Kazarian, S. (1988). The Level of Expressed Emotion Scale: A new measure of expressed emotion. Journal of Clinical Psychology, 44, 392–397.Google Scholar
Costello, E. J. and Angold, A. (1988). Scales to assess child and adolescent depression: checklists, screens, and nets. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 726–737.CrossRefGoogle ScholarPubMed
Davidson, K., Norrie, J., Tyrer, P., Gumley, A., Tata, P., Murray, H. and Palmer, S. (2006). The effectiveness of cognitive behaviour therapy for borderline personality disorder: results from the borderline personality disorder study of cognitive therapy (BOSCOT Trial). Journal of Personality Disorders, 20, 450–465.CrossRefGoogle ScholarPubMed
Evans, E., Hawton, K., Rodham, K. and Deeks, J. (2005). The prevalence of suicide phenomena in adolescents: a systematic review of population based studies. Suicide & Life Threatening Behaviour, 35, 239–50.CrossRefGoogle ScholarPubMed
Hawton, K., Rodham, K., Evans, E. and Weatherall, R. (2002). Deliberate self-harm in adolescents: self report survey in schools in England. British Medical Journal, 325, 1207–1211.CrossRefGoogle ScholarPubMed
Schmidt, U. and Davidson, K. (2003). When Life is Too Painful: finding options after self-harm. London: Psychological Press.Google Scholar
Spielberger, C. D., Edwards, C. D., Lushene, R., Montuori, J. and Platzek, D. (1973). State-Trait Anxiety Inventory for Children (manual). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Tarrier, N., Taylor, K. and Gooding, P. (2008). Cognitive-behavioral interventions to reduce suicide behavior: a systematic review and meta-analysis. Behavioral Modification, 32, 77–108.CrossRefGoogle ScholarPubMed
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