Targeting self‐criticism in the treatment of nonsuicidal self‐injury in dialectical behavior therapy for adolescents: a randomized clinical trial

Author(s):  
William A. Ramsey ◽  
Kristoffer S. Berlin ◽  
Garry Del Conte ◽  
Owen R. Lightsey ◽  
Allison Schimmel‐Bristow ◽  
...  
2012 ◽  
Vol 26 (4) ◽  
pp. 299-317 ◽  
Author(s):  
Michael F. Armey

This study provides an introduction to ecological momentary assessment (EMA) methods and the potential use of ecological momentary intervention (EMI) for nonsuicidal self-injury (NSSI). The novel use of EMA and EMI are discussed within the context of the emotion regulation function of NSSI, the ability of these approaches to complement established treatments (i.e., cognitive behavior therapy & dialectical behavior therapy), and the specific areas in which an EMI treatment approach can augment traditional treatment. Based on established EMA findings in general and specific applications of EMA to the NSSI, a model EMI for NSSI is proposed.


2012 ◽  
Vol 34 (1) ◽  
pp. 56-71 ◽  
Author(s):  
Laura Choate

Nonsuicidal self-injury (NSSI), the direct and intentional destruction of one's own body tissue in the absence of any intent to die, is becoming an alarmingly common behavior in adolescents of both sexes and across all racial and ethnic groups. The purpose of this article is to (a) provide a model for conceptualizing the onset and maintenance of this behavior, and (b) describe how a dialectical behavior therapy treatment approach can be applied to working with adolescents who engage in NSSI.


2012 ◽  
Vol 80 (6) ◽  
pp. 982-994 ◽  
Author(s):  
Jacqueline Pistorello ◽  
Alan E. Fruzzetti ◽  
Chelsea MacLane ◽  
Robert Gallop ◽  
Katherine M. Iverson

2012 ◽  
Vol 26 (1) ◽  
pp. 3-18 ◽  
Author(s):  
Amy M. Brausch ◽  
Sarah K. Girresch

Nonsuicidal self-injury (NSSI) is a concern in the adolescent population given its relationship to suicidal behavior, pointing to the serious need for adequate treatments for this high-risk population. This review examined empirical studies that evaluated treatments for NSSI among adolescents, and evaluated how the components of each treatment address common underlying and concurrent factors of NSSI. Among the available treatments, cognitive-behavioral therapy (CBT) interventions that integrate a problem-solving component and dialectical behavior therapy (DBT) have received the most empirical attention. However, studies examining the utility of cognitive-behavioral problem-solving interventions for adolescents, and randomized controlled trials examining the efficacy of DBT are lacking. Overall, CBT-based treatments improved underlying or maintaining factors of NSSI, such as depression, hopelessness, and problem-solving skills. DBT was effective for reducing hospitalizations. No existing studies evaluated treatment effectiveness for NSSI exclusively, and few studies used a purely adolescent sample. This review highlights the gap in knowledge regarding adolescent NSSI—there is no strong evidence for the efficacy of any specific treatment.


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