期刊
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
卷 51, 期 12, 页码 1304-1313出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jaac.2012.09.018
关键词
self-harm; treatment; borderline; RCT
资金
- National Institute of Clinical Excellence
- UK Mental Health Research Network
- British Academy
- Wellcome Trust
- National Institute of Health Research (Senior Investigator Award and Research for Patient Benefit Programme)
- Pulitzer Foundation
- Department for Children, Schools, and Families
- Central and East London Comprehensive Local Research Network (CLRN) Programme
- NHS Health Technology Assessment (HTA) programme
- Department of Health's IAPT Programme
- Hope for Depression Foundation
- National Institute for Health Research [NF-SI-0510-10228] Funding Source: researchfish
Objective: We examined whether mentalization-based treatment for adolescents (MBT-A) is more effective than treatment as usual (TAU) for adolescents who self-harm. Method: A total of 80 adolescents (85% female) consecutively presenting to mental health services with self-harm and comorbid depression were randomly allocated to either MBT-A or TAU. Adolescents were assessed for self-harm, risk-taking and mood at baseline and at 3-monthly intervals until 12 months. Their attachment style, mentalization ability and borderline personality disorder (BPD) features were also assessed at baseline and at the end of the 12-month treatment. Results: MBT-A was more effective than TAU in reducing self-harm and depression. This superiority was explained by improved mentalization and reduced attachment avoidance and reflected improvement in emergent BPD symptoms and traits. Conclusions: MBT-A may be an effective intervention to reduce self-harm in adolescents. Clinical trial registration information The emergence of personality disorder traits in adolescents who deliberately self harm and the potential for using a mentalisation based treatment approach as an early intervention for such individuals: a randomised controlled trial; http://www.controlled-trials.com; ISRCTN95266816. J. Am. Acad. Child Adolesc. Psychiatry; 2012; 51(12):1304-1313.
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