Moderators of treatment response to an intervention for nonsuicidal self-injury in young adults.
Moderators of treatment response to an intervention for nonsuicidal self-injury in young adults.
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DOI：
10.1037/ccp0000603
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发表时间：
2020-11
影响因子：
5.9
通讯作者：
Miller IW
中科院分区：
文献类型：
--
作者：
Andover MS;Schatten HT;Holman CS;Miller IW
尽管非自杀性自伤（NSSI）的流行和影响，但很少有专门针对这种行为的治疗方法，并且对治疗反应的调节剂知之甚少。自伤行为治疗（T-SIB）是一种简单的行为干预，用于治疗年轻人的NSSI;之前的一项试点随机对照试验（RCT）比较了T-SIB与常规治疗（TAU），为干预提供了支持。本研究在T-SIB的试点RCT中检查了人口统计学、临床和NSSI相关的治疗结局预测因素。年轻人（N = 33）随机接受T-SIB或常规治疗;所有参与者均纳入意向治疗分析。在基线、治疗后（9周）和3个月随访时评估NSSI行为的主要结局，并在基线时评估潜在的调节因素。在T-SIB的参与者中，更高的一生和去年的NSSI频率与治疗后和随访时更少的NSSI行为相关。焦虑症状也能调节治疗结果，但其他人口统计学和临床变量则不能。以前的研究表明，T-SIB总体上比TAU更有效;目前的研究表明，T-SIB可能对更频繁的NSSI和焦虑程度升高的人有效。支持对T-SIB进行更大的评估。
Despite the prevalence and impact of nonsuicidal self-injury (NSSI), there are few treatments developed to treat the behavior specifically, and little is known about moderators of treatment response. The Treatment for Self-Injurious Behaviors (T-SIB), a brief, behavioral intervention, was developed to treat NSSI in young adults; a previous pilot randomized controlled trial (RCT) comparing T-SIB with treatment as usual (TAU) provided support for the intervention. This study examined demographic, clinical, and NSSI-related predictors of treatment outcome in the pilot RCT for T-SIB. Young adults (N = 33) were randomized to receive T-SIB or treatment as usual; all participants were included in intent-to-treat analyses. The primary outcome of NSSI behaviors was assessed at baseline, posttreatment (9 weeks), and 3-month follow up, and potential moderators were assessed at baseline. Greater lifetime and last year NSSI frequency was associated with fewer NSSI behaviors at posttreatment and follow up among participants in T-SIB. Anxious symptoms also moderated treatment outcomes, but other demographic and clinical variables did not. Previous research has shown that T-SIB is more effective than TAU overall; the current study suggests that T-SIB may be effective for individuals with more frequent NSSI and those with elevated anxiety. A larger evaluation of T-SIB is supported.
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影响因子：
25.8
作者：
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通讯作者：
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通讯作者：
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影响因子：
2.9
作者：
Andover MS;Schatten HT;Morris BW;Miller IW
通讯作者：
Miller IW