eprintid: 35541 rev_number: 10 eprint_status: archive userid: 3730 dir: disk0/00/03/55/41 datestamp: 2024-10-24 13:44:13 lastmod: 2024-10-29 15:16:04 status_changed: 2024-10-24 13:44:13 type: article metadata_visibility: show creators_name: Rockstroh, Franziska creators_name: Edinger, Alexandra creators_name: Josi, Johannes creators_name: Brunner, Romuald creators_name: Resch, Franz creators_name: Kaess, Michael corp_creators: Fischer-Waldschmidt title: Brief Psychotherapeutic Intervention Compared with Treatment as Usual for Adolescents with Nonsuicidal Self-Injury: Outcomes over a 2–4-Year Follow-Up ispublished: pub subjects: ddc-610 divisions: i-910600 note: Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively. abstract: Introduction: The “Cutting Down Programme” (CDP), a brief psychotherapeutic intervention for treating nonsuicidal self-injury (NSSI) in adolescents, was comparable to high-quality treatment as usual (TAU) in a previous randomized controlled trial (RCT). Objective: The aim of the study was to evaluate the long-term outcomes of the CDP over up to 4 years. Methods: Assessments of NSSI, suicide attempts, borderline personality disorder (BPD), depression, and quality of life took place 2 to 4 years (T3) after enrollment in a RCT. The evolution of NSSI, suicide attempts, depression, and quality of life was analyzed using (generalized) linear mixed-effects models. Ordered logistic regression was used for analyzing BPD diagnoses. Data from T0, T2, and T3 are reported. Results: Out of 74 patients, 70 (95%) were included in the T3 assessment. The frequency of NSSI events alongside with suicide attempts and depression further decreased between T2 and T3 and BPD between T0 and T3 in both groups. Quality of life remained stable in both groups between T2 and T3. Both groups received substantial but comparable additional treatment between T2 and T3. More treatment sessions during the follow-up period were linked to larger improvements of NSSI. Conclusions: The CDP was found to be as effective as TAU in promoting recovery from NSSI and comorbid symptoms in the long term. Results suggest that treatment effects from a brief psychotherapeutic intervention may endure and even further improve after completion of the program. However, additional treatment seems to improve chances for recovery independent from CDP versus TAU. date: 2023-09 date_type: published publisher: Karger id_scheme: DOI id_number: 10.11588/heidok.00035541 official_url: https://doi.org/10.1159/000531092 ppn_swb: 1907122850 own_urn: urn:nbn:de:bsz:16-heidok-355412 language: eng bibsort: ROCKSTROHFBRIEFPSYCH2023 full_text_status: public publication: Psychotherapy and Psychosomatics volume: 92 number: 4 pagerange: 243-254 pages: 12 issn: 0033-3190 (Druck-Ausg.), 1423-0348 (Online-Ausg.) edition: Zweitveröffentlichung citation: Rockstroh, Franziska ; Edinger, Alexandra ; Josi, Johannes ; Brunner, Romuald ; Resch, Franz ; Kaess, Michael (2023) Brief Psychotherapeutic Intervention Compared with Treatment as Usual for Adolescents with Nonsuicidal Self-Injury: Outcomes over a 2–4-Year Follow-Up. Psychotherapy and Psychosomatics, 92 (4). pp. 243-254. ISSN 0033-3190 (Druck-Ausg.), 1423-0348 (Online-Ausg.) document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/35541/1/000531092.pdf