A Brief Mobile App Reduces Nonsuicidal and Suicidal Self-Injury: Evidence From Three Randomized Controlled Trials.
Objective: Self-injurious thoughts and behaviors (SITBs) are a major public health problem that traditional interventions have been unable to address on a large scale. The goal of this series of studies was to take initial steps toward developing an effective SITB treatment that can be easily delive...
| Publicado en: | Journal of Consulting & Clinical Psychology Vol. 84; no. 6; pp. 544 - 558 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Psychological Association
Jun2016
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=115591759&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 115591759 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0022006X JCC jtl: Journal of Consulting & Clinical Psychology issn: 0022006X maglogo: N pubinfo: dt: Jun2016 vid: 84 iid: 6 pid: 34 pub: American Psychological Association artinfo: ui: 115591759 10.1037/ccp0000093 ppf: 544 ppct: 14 formats: tig: atl: A Brief Mobile App Reduces Nonsuicidal and Suicidal Self-Injury: Evidence From Three Randomized Controlled Trials. aug: au: Franklin, Joseph C. Fox, Kathryn R. Franklin, Christopher R. Kleiman, Evan M. Ribeiro, Jessica D. Jaroszewski, Adam C. Hooley, Jill M. Nock, Matthew K. affil: Harvard University su: Self-mutilation Self-destructive behavior Suicidal behavior Mobile apps Application software sug: subj: Self-mutilation Self-destructive behavior Suicidal behavior Software Publishers Software publishers (except video game publishers) Custom Computer Programming Services Mobile apps Application software keyword: mobile app NSSI self-injury suicide treatment mobile app NSSI self-injury suicide treatment ab: Objective: Self-injurious thoughts and behaviors (SITBs) are a major public health problem that traditional interventions have been unable to address on a large scale. The goal of this series of studies was to take initial steps toward developing an effective SITB treatment that can be easily delivered on a very large scale. Method: We created a brief (1-2 min), game-like app called Therapeutic Evaluative Conditioning (TEC), designed to increase aversion to SITBs and decrease aversion to the self. In 3 separate studies, we recruited participants with recent and severe histories of SITBs from web forums focused on self-injury and psychopathology (Ns = 114, 131, and 163) and randomly assigned them to receive access to the mobile treatment TEC app or a control app for 1 month. We tested the effect of TEC on the frequency of self-cutting, nonsuicidal self-injury more generally, suicide ideation, suicide plans, and suicidal behaviors. Results: Analyses showed that, compared with the control app, TEC produced moderate reductions for all SITBs except suicide ideation. Across studies, the largest and most consistent reductions were for self-cutting episodes (32%-40%), suicide plans (21%-59%), and suicidal behaviors (33%-77%). Two of the 3 studies showed that TEC impacted its intended treatment targets and that greater change in these targets was associated with greater SITB reductions. TEC effects were not maintained at the 1-month posttreatment follow-up. Conclusions: Future versions of brief, mobile interventions like that tested here may have the potential to reduce SITBs and related behaviors on a large scale. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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