@article{ref1,
title="Childhood sexual abuse differentially predicts outcome of cognitive-behavioral therapy for deliberate self-harm",
journal="Journal of nervous and mental disease",
year="2009",
author="Spinhoven, P. and Slee, Nadja and Garnefski, N. and Arensman, Ella",
volume="197",
number="6",
pages="455-457",
abstract="This study examined the association of childhood abuse with deliberate self-harm and related psychopathology and the impact of childhood abuse on treatment outcome as assessed in a randomized controlled trial of cognitive-behavioral therapy for 90 young people who recently engaged in Deliberate Self-Harm (DSH). Participants with a history of childhood sexual abuse manifested more Axis I disorders and reported higher levels of DSH, depression, suicidal cognitions, anxiety, and dissociation. After statistically controlling for baseline differences in DSH and related psychopathology, participants with a reported history of childhood sexual abuse showed a significantly lower risk of repeated DSH in the Cognitive-Behavioral Therapy condition compared with those receiving treatment-as-usual (TAU). Our results suggest that a structured treatment format and focus on adequate emotion regulation skills may be essential elements in the treatment of persons with DSH and a history of childhood sexual abuse.<p /> <p>Language: en</p>",
language="en",
issn="0022-3018",
doi="10.1097/NMD.0b013e3181a620c8",
url="http://dx.doi.org/10.1097/NMD.0b013e3181a620c8"
}