In this pilot study, the effect of a group intervention targeting self-criticism in adolescents in a clinical child- and adolescent psychiatric outpatient setting will be examined using a single-case experimental design (AB). Participants will be randomized to multiple baseline with weekly measures. Our primary outcomes, measured weekly, are self-criticism, nonsuicidal self-injury and symptoms of depression and anxiety, as well as an individually chosen behavior driven by self-criticism. Secondary outcomes are self-compassion, psychological flexibility, quality of life and functioning. In addition to the weekly administered questionnaires, before and after measures, and 3- and 6-month follow-up will be collected. After the treatment, participants will also be interviewed about their experiences of targeting self-criticism.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
A psychological treatment given i a group format targeting self-criticism. The treatment is based on treatment principles from Cognitive behavior therapy, Self-compassion, Acceptance and Commitment Therapy and also contains psychoeducation. The group treatment consists of 8 sessions delivered once a week for 2 hrs during 8 weeks in a child- and adolescent psychiatric outpatient setting.
Region Ostergotland BUP-kliniken
Linköping, Sweden
Self-criticism
Forms of Self-Criticism and Self-Reassuring Scale (FSCRS; Gilbert et al., 2004)
Time frame: Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months
Self-Compassion
Self-Compassion Scale, short form (SCS; Raes et al., 2011)
Time frame: Change from before to after intervention, and at 3- and 6- month follow-up
Psychological flexibility
Avoidance and Fusion Questionnaire for Youth (AFQ-Y8; Greco et al., 2008).
Time frame: Change from before to after intervention, and at 3- and 6- month follow-up
Quality of life and functioning
The Work and Social Adjustment Scale, youth version (WSAS-Y; Mundt et al., 2002).
Time frame: Change from before to after intervention, and at 3- and 6- month follow-up
Symptoms of depression
Montgomery Åsberg Depression Rating Scale, self-report version (MADRS-S; Montgomery et al., 1979).
Time frame: Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months
Symptoms of anxiety
Liebowitz Social Anxiety Scale, self-report (LSAS; Liebowitz, 1987)
Time frame: Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months
Nonsuicidal self-injury
Selected items from Self-Injurious Thoughts and Behaviors interview (SITBI; Nock et al., 2007), Deliberate self-harm inventory (DSHI; Gratz et al., 2001) och Clinician Administered Nonsuicidal self-injury Disorder Interview (CANDI; Gratz et al., 2015)
Time frame: Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months
Individually chosen behavior
A behavior driven by self-criticism
Time frame: Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.