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)
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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 |
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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 > School of Health & 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 |
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