@article{ref1,
title="Targeting self-criticism in the treatment of nonsuicidal self-injury in dialectical behavior therapy for adolescents: a randomized clinical trial",
journal="Child and adolescent mental health",
year="2021",
author="Ramsey, William A. and Berlin, Kristoffer S. and Del Conte, Garry and Lightsey, Owen R. and Schimmel-Bristow, Allison and Marks, Laura R. and Strohmer, Douglas C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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. <br><br>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. <br><br>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. <br><br>CONCLUSIONS: The results of this investigation support the added benefit of targeting self-criticism in the treatment of NSSI for adolescents.<p /> <p>Language: en</p>",
language="en",
issn="1475-357X",
doi="10.1111/camh.12452",
url="http://dx.doi.org/10.1111/camh.12452"
}