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Manual-assisted cognitive therapy for self-harm in personality disorder and substance misuse: a feasibility trial

  • Kate M. Davidson (a1), Tom M. Brown (a2), Vairi James (a1), Jamie Kirk (a1) and Julie Richardson (a3)...
Abstract
Aims and method

To assess the feasibility of conducting a larger, definitive randomised controlled trial of manual-assisted cognitive therapy (MACT), a brief focused therapy to address self-harm and promote engagement in services. We established recruitment, randomisation and assessment of outcome within a sample of these complex patients admitted to a general hospital following self-harm. We assessed symptoms of depressed mood, anxiety and suicidality at baseline and at 3 months' follow-up.

Results

Twenty patients were randomised to the trial following an index episode of self-harm, and those allocated to MACT demonstrated improvement in anxiety, depression and suicidal ideation.

Clinical implications

It is feasible to recruit a sample of these complex patients to a randomised controlled trial of MACT following an index episode of self-harm. There is preliminary support that MACT could be an acceptable and effective intervention in patients with personality disorder and substance misuse.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Declaration of interest

None.

Footnotes
References
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BJPsych Bulletin
  • ISSN: 2053-4868
  • EISSN: 2053-4876
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Manual-assisted cognitive therapy for self-harm in personality disorder and substance misuse: a feasibility trial

  • Kate M. Davidson (a1), Tom M. Brown (a2), Vairi James (a1), Jamie Kirk (a1) and Julie Richardson (a3)...
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