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Citation
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Ramsey WA, Berlin KS, Del Conte G, Lightsey OR, Schimmel-Bristow A, Marks LR, Strohmer DC. Child Adolesc. Ment. Health 2021; ePub(ePub): ePub. |
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Abstract
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BACKGROUND: The Benefits and Barriers Model proposes both benefits and barriers associated with nonsuicidal self-injury (NSSI) and that a negative association with the self plays a key role in the initial selection of and acute motivation for NSSI. The current investigation builds upon previous findings by assessing the added benefit of targeting self-criticism in the treatment of NSSI.
METHODS: Sample included 40 participants (30 females; M(age) = 14.92) enrolled in dialectical behavior therapy for adolescents within a partial hospitalization program. All study participants received dialectical behavior therapy for adolescents, and those randomized to the experimental condition received an additional brief cognitive intervention developed to decrease self-criticism.
RESULTS: There was no evidence of an indirect effect of targeting self-criticism upon NSSI at post-treatment via post-treatment self-criticism (b = -0.98, p =.543); however, there was evidence of a significant interaction between treatment condition and self-criticism at pretreatment in the prediction of NSSI at post-treatment (b = 0.33, p =.030). Analyses of simple slopes indicated the conditional direct effect of targeting self-criticism varied as a function of patient's level of self-criticism at the onset of treatment, such that individuals -1 SD below the mean (b = -5.76, p =.037) and at average pretreatment levels of self-criticism (b = -4.09, p =.042), but not + 1 SD above the mean (b = -2.42, p =.056), experienced fewer incidents of NSSI at post-treatment.
CONCLUSIONS: The results of this investigation support the added benefit of targeting self-criticism in the treatment of NSSI for adolescents.
Language: en |