Adapted Dialectical Behaviour Therapy for Adolescents With Deliberate Self-Harm: A Pre-post Observational Study

Not Applicable

Completed

• Conditions: Deliberate Self Harm; Borderline Personality Disorder
• Interventions: Behavioral: A-DBT-A

• Registration Number: NCT02988037
• Lead Sponsor: University of Ottawa

Brief Summary

The investigators conducted a pre-post naturalistic study regarding changes observed associated with a 15-week course of an adapted form of dialectical behaviour therapy for adolescents. We measured frequency of self-harm prior to treatment and after treatment using the Self-Injurious Thoughts and Behaviors Interview. We also measured changes using the Suicide Ideation Questionnaire, Life Problems Inventory, Resiliency Scale for Children and Adolescents.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-09
• Primary Completion: 2016-09
• Study Completion: 2016-09
• Study First Submitted: 2016-11-27
• Status Verified: 2016-12
• Study First Submitted QC: 2016-12-06
• Study First Posted: 2016-12-09
• Last Update Submitted: 2016-12-09
• Last Update Posted: 2016-12-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 33

Inclusion Criteria

• features of Borderline Personality Disorder (BPD) and recent history of self-injurious thoughts or behaviours.

  1. meeting criteria for BPD or for subsyndromal variants of BPD, and (2) self-injurious thoughts and behaviours defined as: (a) a score > 30 on the Suicidal Ideation Questionnaire (SIQ) OR (b) Deliberate Self-harm in the 4 months prior to treatment

Exclusion Criteria

• severe substance use (where residential treatment would be indicated), florid psychosis and developmental delay

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
A-DBT-A	A-DBT-A	Began Adapted Dialectical Behaviour Therapy for Adolescents

Primary Outcome Measures

Name	Time	Method
Change in Frequency of Deliberate Self-harm	15 weeks	Self-Injurious Thoughts and Behaviors Interview was performed by clinicians. Using the scale the investigators rated the frequency of deliberate self-harm of participants (with or without suicidal intent) as "most days", "twice or more per week", "once or more per week", "less than once per week", "less than once per 2 weeks" and "less than once a month" or "no self-harm" in the 4 month interval prior to treatment and the 4 month interval during treatment.

Secondary Outcome Measures

Name	Time	Method
Suicidal Ideation Questionnaire	15 weeks	Self-report measure was requested a baseline and end of treatment to measure the severity of suicidal ideas.
Resiliency Scales for Children and Adolescents	15 weeks	RSCA is a self-report measure that was performed at baseline and post-treatment.
Attrition from therapy	15 weeks	If participants missed 4 or more individual therapy sessions; OR 4 or more group sessions, they were considered to have "dropped out" of therapy.
Life Problems Inventory	15 weeks	Symptoms of Borderline Personality Disorder were measured by a self-report form at baseline and post-treatment.