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Trajectories and Predictors of Change in Emotion Dysregulation and Deliberate Self-Harm Amongst Adolescents with Borderline Features.
Dibaj, Iselin Solerød; Tørmoen, Anita Johanna; Klungsøyr, Ole; Haga, Egil; Mehlum, Lars.
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  • Dibaj IS; Institute of Clinical Medicine, University of Oslo, National Center for Suicide Research and Prevention, Oslo, Norway.
  • Tørmoen AJ; Institute of Clinical Medicine, University of Oslo, National Center for Suicide Research and Prevention, Oslo, Norway.
  • Klungsøyr O; Institute of Clinical Medicine, University of Oslo, National Center for Suicide Research and Prevention, Oslo, Norway.
  • Haga E; Institute of Clinical Medicine, University of Oslo, National Center for Suicide Research and Prevention, Oslo, Norway.
  • Mehlum L; Institute of Clinical Medicine, University of Oslo, National Center for Suicide Research and Prevention, Oslo, Norway.
Clin Child Psychol Psychiatry ; 29(2): 407-423, 2024 Apr.
Article en En | MEDLINE | ID: mdl-37220421
BACKGROUND: Deliberate self-harm (DSH) and emotion dysregulation (ED) peaks in adolescence, and is associated with an increased risk of psychopathology, suicide and lower functioning in adulthood. DBT-A has been established as an effective treatment for reducing DSH, however less is known about changes in emotion dysregulation. This study aimed to identify baseline predictors of treatment response in outcome trajectories of DSH and emotion dysregulation. METHODS: Response trajectories of DSH and ED were investigated using Latent Class Analysis on RCT data comparing DBT-A and EUC for 77 adolescents treated for deliberate self-harm and borderline traits. Logistic regression analysis was used to examine baseline predictors. RESULTS: Two-class solutions were selected for both indicators, distinguishing between early and late responders in DSH, and responders and non-responders in ED. Higher levels of depression, shorter DSH histories and not receiving DBT-A predicted less favourable response in DSH, while DBT-A was the only predictor of treatment response in ED. CONCLUSIONS: DBT-A was associated with a significantly faster reduction of deliberate self-harm in the short-term and improved emotion regulation in the long-term.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Suicidio / Regulación Emocional Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adolescent / Humans Idioma: En Revista: Clin Child Psychol Psychiatry Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Suicidio / Regulación Emocional Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adolescent / Humans Idioma: En Revista: Clin Child Psychol Psychiatry Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido