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Emotion regulation ...
Emotion regulation group therapy for deliberate self-harm : A multi-site evaluation in routine care using an uncontrolled open trial design
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- Sahlin, Hanna (författare)
- Karolinska Institutet,Karolinska Institute
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- Bjureberg, Johan (författare)
- Karolinska Institutet,Karolinska Institute
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- Gratz, Kim L. (författare)
- University of Toledo
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- Tull, Matthew T. (författare)
- University of Toledo
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- Hedman, Erik (författare)
- Karolinska Institutet,Karolinska Institute
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- Bjärehed, Jonas (författare)
- Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
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- Jokinen, Jussi (författare)
- Karolinska Institutet,Umeå universitet,Umeå University,Karolinska Institute,Psykiatri,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Lundh, Lars Gunnar (författare)
- Lund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences
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- Ljótsson, Brjánn (författare)
- Karolinska Institutet,Karolinska Institute
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- Hellner Gumpert, Clara (författare)
- Karolinska Institutet,Karolinska Institute
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(creator_code:org_t)
- 2017-10-05
- 2017
- Engelska.
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 7:10
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://bmjopen.bmj....
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https://umu.diva-por... (primary) (Raw object)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective Emotion regulation group therapy (ERGT) has shown promising results in several efficacy trials. However, it has not been evaluated outside a research setting. In order to increase the availability of empirically supported treatments for individuals with borderline personality disorder and deliberate self-harm, an evaluation of ERGT in routine clinical care was conducted with therapists of different professional backgrounds who had received brief intensive training in ERGT prior to trial onset. Design Multi-site evaluation, using an uncontrolled open trial design with assessments at pretreatment, post-treatment and 6-month follow-up. Setting 14 adult outpatient psychiatric clinics across Sweden. Participants Ninety-five women (mean age=25.1 years) with borderline personality disorder (both threshold and subthreshold) and repeated self-harm were enrolled in the study. Ninety-three per cent of participants completed the post-treatment assessment and 88% completed the follow-up assessment. Primary and secondary outcome measures Primary outcome was self-harm frequency as measured with the Deliberate Self-Harm Inventory. Secondary outcomes included self-harm versatility, emotion dysregulation, other self-destructive behaviours, depression, anxiety, stress symptoms and interpersonal and vocational difficulties. Intervention ERGT is an adjunctive, 14-week, acceptance-based behavioural group treatment that directly targets both self-harm and its proposed underlying mechanism of emotion dysregulation. Results At post-treatment, intent-to-treat analyses revealed a significant improvement associated with a moderate effect size on the primary outcome of self-harm frequency (51%, reduction; Cohen's d=0.52, p<0.001) as well as significant improvements in the secondary outcomes of self-harm versatility, emotion dysregulation, other self-destructive behaviours and general psychiatric symptomatology. These results were either maintained or further improved on at 6-month follow-up. Conclusions ERGT appears to be a feasible, transportable and useful treatment for deliberate self-harm and other self-destructive behaviours, emotion dysregulation and psychiatric symptoms when delivered by clinicians in the community. Trial registration number NCT01986257; results.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- borderline personality disorder
- emotion regulation
- group therapy
- implementation
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
Hitta via bibliotek
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BMJ Open
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Till lärosätets databas
- Av författaren/redakt...
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Sahlin, Hanna
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Bjureberg, Johan
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Gratz, Kim L.
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Tull, Matthew T.
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Hedman, Erik
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Bjärehed, Jonas
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Jokinen, Jussi
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Lundh, Lars Gunn ...
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Ljótsson, Brjánn
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Hellner Gumpert, ...
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- Om ämnet
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Psykiatri
- Artiklar i publikationen
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BMJ Open
- Av lärosätet
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Lunds universitet
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Umeå universitet
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Karolinska Institutet