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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: lucy.taylor@slam.nhs.uk
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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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