DBT-Based Parenting Intervention for Self-Injurious Behavior

Phase-Based Estimates
1
Effectiveness
1
Safety
Stanford University, Palo Alto, CA
Self-Injurious Behavior+4 More
DBT-Based Parenting Intervention - Behavioral
Eligibility
Any Age
All Sexes
Eligible conditions
Self-Injurious Behavior

Study Summary

This study is evaluating whether a parent coaching intervention may help improve outcomes for youth with suicidal ideation, suicide attempts, or non-suicidal self-injury.

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Eligible Conditions

  • Self-Injurious Behavior
  • Suicide
  • Adolescent - Emotional Problem
  • Suicide and Self Harm
  • Parenting

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether DBT-Based Parenting Intervention will improve 2 primary outcomes and 4 secondary outcomes in patients with Self-Injurious Behavior. Measurement will happen over the course of 3, 6, 12 months from baseline.

Month 12
Caregiver Strain Questionnaire Short Form 7(CGSQ-SF7; Brannan et al., 1997) Questionnaire (CGSQ; Brannan et al., 1997)
Center for Epidemiological Studies Depression Scale (CES-D, Radloff, 1977), scores range 0-60, greater than 16 = clinical concern for depressive episode
Columbia Suicide Severity Rating Scale (Posner et al., 2011) and the Suicide Attempt Self-Injury Interview (SASII; Linehan et al., 2006), Face Sheets
Conflict Behavior Questionnaire (CBQ; Robin & Foster, 1989)
Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004)
Suicide Ideation Questionnaire Jr. (Reynolds, 1988) (SIQ- Jr; Reynolds, 1988)

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Inpatient Treatment alone
PI+ Inpatient Treatment as Usual

This trial requires 40 total participants across 2 different treatment groups

This trial involves 2 different treatments. DBT-Based Parenting Intervention is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

PI+ Inpatient Treatment as UsualStandard inpatient treatment delivered in the context of an adolescent psychaitric inpatient unit plus an 4 session DBT-based parenting intervention PI) Intervention: Behavioral: DBT-Based Parenting Intervention
Inpatient Treatment alone
Behavioral
No parenting intervention provided beyond what is part of the inpatient treatment as usual. Intervention: Behavioral: Treatment as Usual
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Treatment as usual
2010
Completed Phase 3
~6570

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 3, 6, 12 months from baseline
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 3, 6, 12 months from baseline for reporting.

Who is running the study

Principal Investigator
M. B.
Prof. Michele Berk, Assistant Professor
Stanford University

Closest Location

Stanford University - Palo Alto, CA

Eligibility Criteria

This trial is for patients born any sex of any age. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The study found that youth in the United States are most likely to experience physical and sexual violence between the ages of 12 and 18. show original
At least one parent or guardian is willing to participate in the study intervention. show original
The youth and their parents can speak English well enough to complete the study treatment and assessments in English. show original
The youth is currently hospitalized on the psychiatric unit at Mills Peninsula Medical Center for suicidal thoughts or attempts. show original

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes self-injurious behavior?

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The risk of self-injurious behavior is increased by a number of environmental, biological, medical and psychological factors, with the most important being depression. Self-injurious behavior may be used as a marker of distress, pain, or a lack of competence. It is important to identify which factors may increase risk of self-injury in particular cases.

Unverified Answer

How many people get self-injurious behavior a year in the United States?

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There is a high prevalence of self-injurious behavior among children in the United States. These data provide key clinical data regarding the need in the United States for research to develop, test, and then disseminate research interventions to decrease the prevalence of self-injurious behavior within children.

Unverified Answer

Can self-injurious behavior be cured?

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This [case study] suggests that self-injurious behavior may not have an underlying neurobiological basis, and there is no definitive evidence of its curability. Instead, it may be treated in a functional and systemic perspective.

Unverified Answer

What are the signs of self-injurious behavior?

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Self-injurious behavior of children and adults can lead to severe medical problems. The diagnostic presentation of self-injurious in these young patients varies. The identification of the signs and symptoms of self-injurious behavior is important not only for the prevention of the self-injurious behavior, but also for the adequate management of the patient and their family. Awareness of these signs can aid in the early detection and treatment of the symptom, thereby avoiding severe medical problems.

Unverified Answer

What are common treatments for self-injurious behavior?

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Treatments involving direct behavioral training seem to be as effective as medications. Given the risk of side effects of medication use, pharmacotherapy may not be the most effective treatment when other behavioral techniques and parent-education are available. These strategies have also been shown to reduce the level of aggressive behavior in these patients. The authors suggest that such strategies be reconsidered to improve the effectiveness of treatment.

Unverified Answer

What is self-injurious behavior?

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Findings from a recent study provide support for the theory that self-injurious behavior is a learned response pattern, and can be altered through experience-dependent learning.

Unverified Answer

What are the latest developments in dbt-based parenting intervention for therapeutic use?

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The use of DBT as an adjunct to treatment of problematic behaviors in children may be beneficial, and may lead to effective treatment of challenging behaviors associated with DBT's parent-directed focus on skill acquisition and mindful awareness. The utility of DBT for the treatment of such problematic behaviors should be further evaluated.

Unverified Answer

How does dbt-based parenting intervention work?

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Despite the lack of a control, the improvement in child care and communication associated with the Dbt-based parenting intervention appears to be maintained three months after the intervention.

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What is dbt-based parenting intervention?

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Parents with severe behavior problems are more likely to participate in dbt-based parenting parenting intervention than parents with mild or moderate behavior problems. Parent-reported child behavior and caregiver mental health are significant predictors of intervention enrollment.

Unverified Answer

Have there been any new discoveries for treating self-injurious behavior?

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The evidence reviewed confirms the important impact of self-injury on an individual's functioning in terms of physical, psychosocial, and educational contexts. Although self-injurious behavior is very diverse, interventions have been found to positively influence students with a range of different severities of self-injury as well as different types of disruptive behaviors. The evidence from the review also supports the use of behavior modification and skill-building as therapeutic approaches for treating self-injurious behavior in the educational context that involves school personnel who are knowledgeable, knowledgeable and supported about self-injurious behavior and the importance of early intervention for these students.

Unverified Answer

Has dbt-based parenting intervention proven to be more effective than a placebo?

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This pilot study provides further evidence that the Dbt-based parenting program is not only effective in decreasing infant disruptive behavior but also in reducing physiological arousal problems as measured by cortisol secretion. When compared to a placebo control group, mothers reported less interference in their infant's behavior regardless of treatment condition.

Unverified Answer
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