Manual-assisted cognitive therapy for self-harm in personality disorder and substance misuse: a feasibility trial

Davidson, K. M., Brown, T. M., James, V., Kirk, J. and Richardson, J. (2014) Manual-assisted cognitive therapy for self-harm in personality disorder and substance misuse: a feasibility trial. Psychiatric Bulletin, 38(3), pp. 108-111. (doi: 10.1192/pb.bp.113.043109)

[img]
Preview
Text
94159.pdf - Published Version
Available under License Creative Commons Attribution.

159kB

Publisher's URL: http://dx.doi.org/10.1192/pb.bp.113.043109

Abstract

<b>Aims and method</b> To assess the feasibility of conducting a larger, definitive randomised controlled trial of manual-assisted cognitive therapy (MACT), a brief focused therapy to address self-harm and promote engagement in services. We established recruitment, randomisation and assessment of outcome within a sample of these complex patients admitted to a general hospital following self-harm. We assessed symptoms of depressed mood, anxiety and suicidality at baseline and at 3 months’ follow-up.<p></p> <b>Results</b> Twenty patients were randomised to the trial following an index episode of self-harm, and those allocated to MACT demonstrated improvement in anxiety, depression and suicidal ideation.<p></p> <b>Clinical implications</b> It is feasible to recruit a sample of these complex patients to a randomised controlled trial of MACT following an index episode of self-harm. There is preliminary support that MACT could be an acceptable and effective intervention in patients with personality disorder and substance misuse.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Davidson, Professor Kate and Richardson, Dr Julie and Kirk, Dr Jamie and James, Miss Vairi
Authors: Davidson, K. M., Brown, T. M., James, V., Kirk, J., and Richardson, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Psychiatric Bulletin
Publisher:Royal College of Psychiatrists
ISSN:2053-4868
ISSN (Online):2053-4876
Copyright Holders:Copyright © 2014 The Royal College of Psychiatrists
First Published:First published in Psychiatric Bulletin 38(3):108-111
Publisher Policy:Reproduced under a Creative Commons License

University Staff: Request a correction | Enlighten Editors: Update this record