Group mindfulness based cognitive therapy vs group support for self-injury among young people: study protocol for a randomised controlled trial

BMC Psychiatry

Cyril Mamotte²  Ottmar V. Lipp¹  Lauren J. Breen¹  Penelope Hasking¹  Clare S. Rees¹ 

[1] School of Psychology and Speech Pathology, Curtin University, Perth 6845, WA, Australia;School of Biomedical Science, Curtin University, Perth 6845, WA, Australia

关键词: Randomised controlled trial;    Mindfulness based cognitive therapy;    Non-suicidal self-injury;   

Others  :  1217885
DOI  :  10.1186/s12888-015-0527-5

 received in 2015-01-16, accepted in 2015-06-12,  发布年份 2015

【 摘 要 】

Background

Non-suicidal self-injury (NSSI) is a transdiagnostic behaviour that can be difficult to treat; to date no evidence based treatment for NSSI exists. Mindfulness Based Cognitive Therapy (MBCT) specifically targets the mechanisms thought to initiate and maintain NSSI, and thus appears a viable treatment option. The aims of the current study are to test the ability of MBCT to reduce the frequency and medical severity of NSSI, and explore the mechanisms by which MBCT exerts its effect.

Methods/Design

We will conduct a parallel group randomised controlled trial of Mindfulness Based Cognitive Therapy (MBCT) versus Supportive Therapy (ST) in young people aged 18–25 years. Computerised block randomisation will be used to allocate participants to groups. All participants will meet the proposed DSM-5 criteria for NSSI (i.e. five episodes in the last twelve months). Participants will be excluded if they: 1) are currently receiving psychological treatment, 2) have attempted suicide in the previous 12 months, 3) exhibit acute psychosis, 4) have a diagnosis of borderline personality disorder, or 5) have prior experience of MBCT. Our primary outcome is the frequency and medical severity of NSSI. As secondary outcomes we will assess changes in rumination, mindfulness, emotion regulation, distress tolerance, stress, and attentional bias, and test these as mechanisms of change.

Discussion

This is the first randomised controlled trial to test the efficacy of MBCT in reducing NSSI. Evidence of the efficacy of MBCT for self-injury will allow provision of a brief intervention for self-injury that can be implemented as a stand-alone treatment or integrated with existing treatments for psychiatric disorders.

Trial registration

Australian New Zealand Clinical Trials Registry Number ACTRN12615000023550. Registered 16 January 2015.

【 授权许可】

   
2015 Rees et al.

【 图 表 】

Fig. 1.

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