Treating Self-criticism in Adolescents: a Study With Single-case Experimental Design

NCT05247190 | Completed

• 1 other identifier: 2021-04939
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

In this pilot study, the effect of a group intervention targeting self-criticism in adolescents in a clinical child- and adolescent psychiatric outpatient setting will be examined using a single-case experimental design (AB). Participants will be randomized to multiple baseline with weekly measures. Our primary outcomes, measured weekly, are self-criticism, nonsuicidal self-injury and symptoms of depression and anxiety, as well as an individually chosen behavior driven by self-criticism. Secondary outcomes are self-compassion, psychological flexibility, quality of life and functioning. In addition to the weekly administered questionnaires, before and after measures, and 3- and 6-month follow-up will be collected. After the treatment, participants will also be interviewed about their experiences of targeting self-criticism.

Conditions

Adolescent - Emotional Problem; Adolescent Problem Behavior; Nonsuicidal Self Injury; Depressive Symptoms; Anxiety; Self-Criticism

Keywords

self-criticism; adolescents; group intervention; single-case experimental design

Outcome Measures

Primary Outcomes (1)

• Self-criticism

  Forms of Self-Criticism and Self-Reassuring Scale (FSCRS; Gilbert et al., 2004)

  Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months

Secondary Outcomes (7)

• Self-Compassion

  Change from before to after intervention, and at 3- and 6- month follow-up

• Psychological flexibility

  Change from before to after intervention, and at 3- and 6- month follow-up

• Quality of life and functioning

  Change from before to after intervention, and at 3- and 6- month follow-up

• Symptoms of depression

  Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months

• Symptoms of anxiety

  Change from baseline (phase A) at intervention (phase B) 8 weeks, and at 3- and 6- months

Study Arms (1)

Treating self-criticism

EXPERIMENTAL

8-session group intervention targeting self-criticism given 2-hrs/week with booster session after 3-months.

Behavioral: Treating self-criticism

Interventions

Treating self-criticism BEHAVIORAL

A psychological treatment given i a group format targeting self-criticism. The treatment is based on treatment principles from Cognitive behavior therapy, Self-compassion, Acceptance and Commitment Therapy and also contains psychoeducation. The group treatment consists of 8 sessions delivered once a week for 2 hrs during 8 weeks in a child- and adolescent psychiatric outpatient setting.

Treating self-criticism

Eligibility Criteria

• Age: 15 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patient at the child- and adolescent psychiatric clinic in Linköping, Sweden.
• to 18 years
• an adequate understanding of the Swedish language
• cognitively capable of giving informed consent
• scoring 26 or above on subscale "Inadequate self" and 8.5 or above on subscale "Hated Self" on questionnaire Forms of Self-Criticism and Self-Reassuring Scale (FSCRS)

You may not qualify if:

• severe anorexia, BMI ≤ 16
• ongoing substance abuse
• diagnosed intellectual disability
• needing interpreter for translation of Swedish language
• participants who cannot give informed consent

Sponsors & Collaborators

• Region Östergötland: lead

Study Sites (1)

Region Ostergotland BUP-kliniken

Linköping, 581 85, Sweden

Location

MeSH Terms

Conditions

Self-Injurious Behavior; Depression; Anxiety Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders

Study Officials

• Maria Zetterqvist, PhD

  Region Östergötland and Linköping university

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ass professor

Model Details: Single-case experimental design

Study Record Dates

• First Submitted: January 27, 2022
• First Posted: February 18, 2022
• Study Start: December 3, 2021
• Primary Completion: June 27, 2023
• Study Completion: June 27, 2023
• Last Updated: October 29, 2024

Record last verified: 2024-10

Locations

SE (1)