Manual-assisted cognitive-behaviour therapy (MACT): a randomized controlled trial of a brief intervention with bibliotherapy in the treatment of recurrent deliberate self-harm

Abstract

Although limited by the small sample, the results of this pilot study suggest that this new form of cognitive-behaviour therapy is promising in its efficacy and feasible in clinical practice.

Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis

“…For information on the effectiveness of the remaining interventions not covered in this report the reader is instead referred to our review in the Cochrane Library. 13 A total of 29 trials were therefore included in the present review (Figure 1; Supplementary Document SD3), comprising 18 trials of cognitive behavioural-based psychotherapy (CBT), [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] three trials of dialectical behaviour therapy (DBT), [36][37][38] and four trials each of case management [39][40][41][42] and postcards. [43][44][45][46] (Insert Figure 1 about here)…”

“…[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] Data on the proportion of patients repeating self-harm by the end of treatment was only available for one trial, 27 in which there was no apparent effect (23/171 vs. 27/142, OR 0·66, 95% CI 0·36 to 1·21, N=313). However, CBT-based therapy was associated with fewer participants repeating self-harm at the six month (OR 0·54, 95% CI 0·34 to 0·85, N=1,317; Figure 2) and 12 month follow-up assessments (OR 0·80, 95% CI 0·65 to 0·98, N=2,232; Figure 2).…”

The efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems

“…In McLeavey et al (1994) particular attention was paid to improving problem-solving skills in general as well as tackling current problems. Evans et al (1999) provided a selfhelp manual for patients and included basic cognitive techniques to manage emotions and negative thinking, in addition to problemsolving. Thus, the overall nature of treatment varied somewhat between the trials but they all had problem-solving as the central therapeutic strategy.…”

Intervenções Psicológicas na Perturbação Borderline da Personalidade: Uma Revisão das Terapias de Base Cognitivo-Comportamental

“…39 O manual inclui técnicas cognitivas tradicionais, como a identificação e modificação de pensamentos automáticos negativos, estratégias para a resolução de problemas e para o controlo do consumo de substâncias psicoativas, bem como elementos da TCD. 39,40 Weinberg et al 40 avaliaram a eficácia da TCM em 30 doentes com PBP. A amostra foi distribuída equitativamente por dois grupos de intervenção: tratamento habitual e tratamento habitual com TCM.…”