Adolescent - Emotional Problem, Adolescent Problem Behavior, Anxiety, Depressive Symptoms, Nonsuicidal Self Injury, Self-Criticism
Conditions
Keywords
self-criticism, adolescents, group intervention, single-case experimental design
Brief summary
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.
Interventions
BEHAVIORALTreating self-criticism
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.
Sponsors
Region Östergötland
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Single-case experimental design
Eligibility
Sex/Gender
ALL
Age
15 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patient at the child- and adolescent psychiatric clinic in Linköping, Sweden. * 15 to 18 years * an adequate understanding of the Swedish language * cognitively capable of giving informed consent * scoring 26 or above on subscale Inadequate self and 8.5 or above on subscale Hated Self on questionnaire Forms of Self-Criticism and Self-Reassuring Scale (FSCRS) * the treatment is transdiagnostic so all diagnoses are included (See
Exclusion criteria
for exceptions).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-criticism | Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months | Forms of Self-Criticism and Self-Reassuring Scale (FSCRS; Gilbert et al., 2004) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-Compassion | Change from before to after intervention, and at 3- and 6- month follow-up | Self-Compassion Scale, short form (SCS; Raes et al., 2011) |
| Psychological flexibility | Change from before to after intervention, and at 3- and 6- month follow-up | Avoidance and Fusion Questionnaire for Youth (AFQ-Y8; Greco et al., 2008). |
| Symptoms of depression | Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months | Montgomery Åsberg Depression Rating Scale, self-report version (MADRS-S; Montgomery et al., 1979). |
| Quality of life and functioning | Change from before to after intervention, and at 3- and 6- month follow-up | The Work and Social Adjustment Scale, youth version (WSAS-Y; Mundt et al., 2002). |
| Nonsuicidal self-injury | Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months | 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) |
| Individually chosen behavior | Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months | A behavior driven by self-criticism |
| Symptoms of anxiety | Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months | Liebowitz Social Anxiety Scale, self-report (LSAS; Liebowitz, 1987) |
Countries
Sweden
Outcome results
None listed