title: The effect of cognitive behavior therapy on decision making in adolescents who self-harm: a pilot study.
abstract: Research shows poor decision making in adolescents who self-harm and a positive correlation between decision-making abilities and duration since last self-harm episode. This exploratory study investigated whether decision making in self-harming adolescents could be improved through treatment with a novel cognitive behavior therapy (CBT). It also investigated whether improvement in decision making following treatment was linked to self-harm cessation. Adolescent self-harmers receiving CBT (n = 24) or no treatment (n = 9) and healthy controls (n = 22) were longitudinally compared on the Iowa gambling task (IGT). Significant IGT improvements were only observed for adolescents who self-harm following CBT. CBT may benefit adolescent self-harmers and generate decision-making improvements.
authors.affiliation: King's College London, Institute of Psychiatry, London, UK. anna.oldershaw@kcl.ac.uk
authors.forename: Anna
authors.initials: A
authors.lastname: Oldershaw
authors.forename: Mima
authors.initials: M
authors.lastname: Simic
authors.forename: Emanuela
authors.initials: E
authors.lastname: Grima
authors.forename: Fabrice
authors.initials: F
authors.lastname: Jollant
authors.forename: Clair
authors.initials: C
authors.lastname: Richards
authors.forename: Lucy
authors.initials: L
authors.lastname: Taylor
authors.forename: Ulrike
authors.initials: U
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003657:Decision Making; D005260:Female; D006801:Humans; D008131:London; D008137:Longitudinal Studies; D008297:Male; D010865:Pilot Projects; D016728:Self-Injurious Behavior / Q000523:psychology / Q000628:therapy*