Dialectical Behaviour Therapy (DBT) Service, Maudsley Hospital, UK.
Behav Cogn Psychother. 2011 Oct;39(5):619-25. doi: 10.1017/S1352465811000075. Epub 2011 Mar 11.
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).
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.
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.
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.
These pilot findings provide preliminary support for the efficacy and acceptability of this time-limited CBT package for adolescents who self-harm.
近年来，针对青少年焦虑和抑郁的规范化认知行为疗法（MCBT）已被证明是有效的，针对成人自残（SH）的 MCBT 也是如此。
本文描述了一种针对青少年自残（SH）的新型规范化认知行为治疗（CBT）方案的原理、开发和初步疗效评估。它还探讨了这种治疗方案对治疗师和患者的可接受性。
25 名（12-18 岁）在大伦敦的社区儿童和青少年心理健康服务（CAMHS）就诊并出现 SH 行为的青少年开始了“减少”计划，其中 16 名（64%）完成了治疗。在基线、治疗结束时和 3 个月随访时评估结果。
报告了自我伤害行为、抑郁症状和特质焦虑的显著减少。状态焦虑或青少年感知到的父母表达情感的水平没有变化。
这些初步发现为针对有 SH 行为的青少年的这种限时 CBT 方案的疗效和可接受性提供了初步支持。
