The Impact of Adverse Childhood Experiences on Therapy Outcome in Adolescents Engaging in Nonsuicidal Self-Injury
Bibliographic Data
| ID | 15520646 |
|---|---|
| Authors | Alexandra Edinger (Heidelberg University, corresponding author), Gloria Fischer-Waldschmidt (Heidelberg University), Peter Parzer (0000-0003-0283-3316, Heidelberg University), Romuald Brunner (0000-0001-7815-0699, University of Regensburg), Franz Resch (0000-0001-9479-518X, University Hospital Heidelberg), Michael Kaess (0000-0003-0031-7764, University Hospital Heidelberg) |
| Year | 2020 |
| Volume | 11 |
| Pages | 505661-505661 |
| Publication date | 2020-11-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2020.505661 |
| PMID | 33329074 |
| OpenAlex | W3094669432 |
| Language | EN |
| Citations received | 1 |
| References cited | 15 |
Objective: Nonsuicidal self-injury (NSSI) is a prevalent and clinically significant behavior. There is a substantial association between adverse childhood experiences (ACEs) and NSSI. However, there are no studies investigating the impact of ACEs on NSSI treatment (psychotherapy) outcome. The aim of this secondary analysis of a randomized controlled trial (RCT) on psychotherapy of NSSI was to investigate the relationship between ACEs and treatment outcome in adolescents engaging in NSSI. Method: A sample of 74 adolescent outpatients engaging in repetitive NSSI (incidents on ≥ 5 days within the last 6 months) was recruited for a RCT. ACEs were assessed by the Childhood Experience of Care and Abuse (CECA) interview before treatment onset. Based on the CECA, participants were divided in two groups: with a history of ACEs ( n = 30) and without a history of ACEs ( n = 44). Frequencies of NSSI, depression, and suicide attempts as well as quality of life were measured at three points in time: before treatment onset (baseline; T0), 4 (T1), and 10 months (T2) after treatment onset. Results: Both participants with and without ACEs were able to reduce the frequency of NSSI significantly [χ 2 (1) = 26.72; p 2 (1) = 5.08; p = 0.024]. There were also substantial and similar improvements regarding depressive symptoms, suicide attempts and quality of life in both groups. Conclusion: ACEs seem to positively predict treatment response in psychotherapy for adolescent NSSI. This is contrary to prior research suggesting ACE as an unfavorable prognostic factor in the treatment of mental disorders. Clinical Trial Registration: Short term therapy in adolescents with self-destructive and risk-taking behaviors; http://www.drks.de; DRKS00003605
Adverse Childhood Experiences · Adverse effect · Mental health · Outcome (game theory · Psychiatry · Psychotherapist · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Homicide, Infanticide, and Child Abuse · Medicine · Psychology · Suicide and Self-Harm Studies · Internal Medicine
For Better and For Worse
Longitudinal Analysis of Adolescent NSSI
International prevalence of adolescent non-suicidal self-injury and deliberate self-harm
Self-harm and suicide in adolescents
Self-Injury
Self-injurious Behaviors in a College Population
Self-Injurious Thoughts and Behaviors Interview
A Functional Approach to the Assessment of Self-Mutilative Behavior.
Why Do People Hurt Themselves?
The Role of Trauma Symptoms in Nonsuicidal Self-Injury
The Relation Between Childhood Maltreatment and Self-Injury
Longitudinal Study of Nonsuicidal Self-Injury Among Young Adolescents
An exploration of the role of adverse childhood experiences (ACEs) on youth engagement in residential treatment
Risk factors for deliberate self-harm among college students
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |