TY  - JOUR
PY  - 2021//
TI  - Targeting self-criticism in the treatment of nonsuicidal self-injury in dialectical behavior therapy for adolescents: a randomized clinical trial
JO  - Child and adolescent mental health
A1  - Ramsey, William A.
A1  - Berlin, Kristoffer S.
A1  - Del Conte, Garry
A1  - Lightsey, Owen R.
A1  - Schimmel-Bristow, Allison
A1  - Marks, Laura R.
A1  - Strohmer, Douglas C.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1475-357X
UR  - http://dx.doi.org/10.1111/camh.12452
ID  - ref1
ER  -