Online mentalization-based treatment on negative affection and non-suicidal self-injury in adolescence

Document Type : Original Article

Authors

1 Ph.D. candidate, Department of Psychology, University of Science and Culture, Tehran, Iran.

2 Assistant Professor, Department of Psychology, University of Science and Culture, Tehran, Iran.

3 Department of Psychology, Tarbiat Modares University, Tehran, Iran.

Abstract

The prevalence of adolescents who self-injure each year indicates a public health problem requiring attention and intervention. This study investigated the effectiveness of mentalization-based treatment on negative affection and non-suicidal self-injury in adolescence. The research method was quasi-experimental with pre-test and post-test design with a control group. The study included 22 adolescents with non-suicidal self-injury selected with a snowball sampling method and randomly divided into two groups, experimental (n=11) and control (n=11) from November to January 2021 in Tehran, Iran. To collect data, questionnaires such as the Inventory of Statements About Self-Injury and the Positive and Negative Affect Questionnaire were administered. For the experimental group, mentalization-based treatment was administered in ten sessions of 90 minutes each week, while the control group received no treatment. The data were analyzed using MANOVA in SPSS software version 23. The participants ranged in age from 14 to 18 years old, with a mean age of 14.89 years (SD = 2.01). The results suggest that the mentalization-based treatment had positive effects on negative affection (p < .01, F_1.18 = 9.396) and non-suicidal self-injury (p < .01, F_1.18 = 10.048) in adolescent girls with non-suicidal self-injury (p-value < .01). The study found that mentalization-based treatment for negative affection and non-suicidal self-injury was an effective intervention for adolescents with non-suicidal self-injury aged 14 to 18.

Keywords

References

Bahji, A., Pierce, M., Wong, J., Roberge, J. N., Ortega, I., & Patten, S. (2021). Comparative efficacy and acceptability of psychotherapies for self-harm and suicidal behavior among children and adolescents: A systematic review and network meta-analysis. JAMA network open, 4(4), e216614-e216614. doi:10.1001/jamanetworkopen.2021.6614
Bales, D., van Beek, N., Smits, M., Willemsen, S., Busschbach, J. J. V., Verheul, R., & Andrea, H. (2012). Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality disorder in the Netherlands. Journal of Personality Disorders, 26, 568–582. doi:10.1521/pedi.2012.26.4.568
Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatmentversus structured clinical management for borderline personality disorder. The American Journal of Psychiatry, 166(12), 1355–1364. doi:10.1176/appi.ajp.2009.09040539
Bateman, A., O’Connell, J., Lorenzini, N., Gardner, T., & Fonagy, P. (2016). A randomised controlled trial of mentalization-based treatment versus structured clinical management for patients with comorbid borderline personality disorder and antisocial personality disorder. BMC psychiatry, 16(1), 1-11. doi:10.1186/s12888-016-1000-9
Beck, E., Bo, S., Jørgensen, M. S., Gondan, M., Poulsen, S., Storebø, O. J., ... & Simonsen, E. (2020). Mentalization‐based treatment in groups for adolescents with borderline personality disorder: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 61(5), 594-604. doi:10.1111/jcpp.13152
Bevington, D., Fuggle, P., Fonagy, P., Target, M., & Asen, E. (2013). Innovations in practice: Adolescent mentalization‐based integrative therapy (AMBIT)–A new integrated approach to working with the hardest to reach adolescents with severe complex mental health needs. Child and Adolescent Mental Health, 18(1), 46-51. doi:10.1111/j.1475-3588.2012.00666.x
Bildik, T., Somer, O., Basay, B. K., Basay, Ö., & Özbaran, B. (2013). The validity and reliability of the Turkish version of the inventory of statements about self-injury. Turk Psikiyatri Dergisi, 24(1), 49. https://pubmed.ncbi.nlm.nih.gov/23446540
Cipriano, A., Cella, S., & Cotrufo, P. (2017). Nonsuicidal self-injury: A systematic review. Frontiers in psychology, 8.
Clarke, A., Meredith, P. J., & Rose, T. A. (2020). Exploring mentalization, trust, communication quality, and alienation in adolescents. Plos one, 15(6). doi:10.1371/journal.pone.0234662
Ghorbani, S., Kameneh, A. S., Motahedy, A., & Alipour, Z. (2020). Comparative effectiveness of cognitive-behavioral therapy and dialectical behavior therapy on emotion regulation, positive and negative affection, aggressive and self-harm behaviors of 13-16-year-old female students. International Journal of Multicultural and Multireligious Understanding, 7(9), 20-32. doi:10.18415/ijmmu.v7i9.1883
Hawton K, Witt KG, Taylor Salisbury TL, et al . Interventions for self-harm in children and adolescents. Cochrane Database Syst Rev. 2015;(12):CD012013.
Jarahi, L., Dadgarmoghaddam, M., Naderi, A., & Ghalibaf, A. M. (2021). Self-harm prevalence and associated factors among street children in Mashhad, North East of Iran. Archives of public health, 79(1), 1-8. doi:10.1186/s13690-021-00660-x
Jørgensen, M. S., Bo, S., Vestergaard, M., Storebø, O. J., Sharp, C., & Simonsen, E. (2021). Predictors of dropout among adolescents with borderline personality disorder attending mentalization-based group treatment. Psychotherapy Research, 31(7), 950-961.
Kleiman, E. M., Ammerman, B., Look, A. E., Berman, M. E., & McCloskey, M. S. (2014). The role of emotional reactivity and gender in the relationship between psychopathology and self-injurious behavior. Personality and Individual Differences, 69, 150-155. doi:10.1016/j.paid.2014.05.021
Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal self-injury: Psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of psychopathology and behavioral assessment, 31(3), 215-219. doi:10.1007/s10862-008-9107-z
Klonsky ED, Victor SE, Saffer BY. Nonsuicidal self-injury: what we know, and what we need to know. Can J Psychiatry. 2014 Nov;59(11):565-8.
Klonsky, E. D. (2009). The functions of self-injury in young adults who cut themselves: Clarifying the evidence for affect-regulation. Psychiatry Res. 166, 260–268.
Kortte, K. B., Gilbert, M., Gorman, P., & Wegener, S. T. (2010). Positive psychological variables in the prediction of life satisfaction after spinal cord injury. Rehabilitation Psychology, 55(1), 40–47. doi:10.1037/a0018624
Kvarstein, E. H., Pedersen, G., Urnes, Ø., Hummelen, B., Wilberg, T., Karterud, S., ... Karterud, S. (2015). Changing from a traditional psychodynamic treatment programme to mentalizationbased treatment for patients with borderline personality disorder – Does it make a difference? Psychology and Psychotherapy-Theory Research and Practice, 88(1), 71–86. doi:10.1111/papt.12036
Laporte, N., Tuente, S. K., Ozolins, A., Westrin, Å., Westling, S., & Wallinius, M. (2021). Emotion regulation and self-harm among forensic psychiatric patients. Frontiers in psychology, 12 doi:10.3389/fpsyg.2021.710751
Lengel GJ, Mullins-Sweatt SN. Nonsuicidal self-injury disorder: clinician and expert ratings. Psychiatry research. 2013 Dec 30;210(3):940-4.doi: 10.1016/j.psychres.2013.08.047
Markowitz, J. C., Milrod, B., Luyten, P., & Holmqvist, R. (2019). Mentalizing in interpersonal psychotherapy. American journal of psychotherapy, 72 (4),95-100. doi.10.1176/appi.psychotherapy.20190021
Mohammadi, A., Birashk, B., & Gharraee, B. (2013). Comparison of the Effect of Group Transdiagnostic Treatment and Group Cognitive Therapy on Emotion Regulation. Iranian Journal of Psychiatry & Clinical Psychology, 19(3).
Morgan, C., Webb, R. T., Carr, M. J., Kontopantelis, E., Green, J., Chew-Graham, C. A., ... & Ashcroft, D. M. (2017). Incidence, clinical management, and mortality risk following self harm among children and adolescents: a cohort study in primary care. bmj, 359.bmj. 2017 Oct 18;359.
Ougrin, D., Tranah, T., Stahl, D., Moran, P., & Asarnow, J. R. (2015). Therapeutic interventions for suicide attempts and self-harm in adolescents: systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 54(2), 97-107. doi:10.1016/j.jaac.2014.10.009.
Rossouw, T. I. (2015). The use of mentalization‐based treatment for adolescents (MBT‐A) with a young woman with mixed personality disorder and tendencies to self‐harm. Journal of clinical psychology, 71(2), 178-187.
Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial. Journal of the American Academy of Child & adolescent psychiatry, 51(12), 1304-1313.
Sadeghi, H., Shahri, M., Khaleghi, N., Asadian, Z., & Pirani, Z. (2015). Investigation of the role of negative emotion regulation and educational enthusiasm in predicting risky behavior of students. Quarterly Journal of Health Breeze, 3(4), 37-44.
Stänicke, L. I., Haavind, H., Rø, F. G., & Gullestad, S. E. (2020). Discovering one’s own way: Adolescent girls’ different pathways into and out of self-harm. Journal of adolescent research, 35(5), 605-634. doi:10.1177%2F0743558419883360
Storebø, O. J., Stoffers-Winterling, J. M., Völlm, B. A., Kongerslev, M. T., Mattivi, J. T., Jørgensen, M. S., ... & Simonsen, E. (2020). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews, (5). doi:10.1002/14651858.cd012955.pub2
Vogt, K. S., & Norman, P. (2019). Is mentalization‐based therapy effective in treating the symptoms of borderline personality disorder? A systematic review. Psychology and Psychotherapy: Theory, Research, and Practice, 92(4), 441-464.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.
Zarghami, M., Babakhanian, M., Asgarabad, M. H., Ghazanfanpour, M., Akrami, F. S., Nazeri, N., ... & Molavi, N. (2020). Psychometric properties of the inventory of statements about self-injury (ISAS) in Iranian opioid and alcohol abusers. Iranian Journal of Psychiatry and Behavioral Sciences, 14(4).

Files

Share

How to cite

Statistics