{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:09:46Z","timestamp":1766473786092,"version":"3.48.0"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":48,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100020207","name":"Health Commission of Sichuan Province","doi-asserted-by":"publisher","award":["19PJ053"],"award-info":[{"award-number":["19PJ053"]}],"id":[{"id":"10.13039\/501100020207","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nonsuicidal self\u2010injury (NSSI) is common among adolescents and adults and is linked to depression, impulsivity and borderline traits, with increased suicide risk. Dialectical behaviour therapy (DBT) is widely used for NSSI, yet long\u2010term evidence across age groups remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the long\u2010term effectiveness of DBT skills groups (DBT\u2010ST) versus social support group training (SSGT) for individuals with NSSI, and to characterize the durability of changes over up to 5\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective randomized controlled trial, 47 individuals with NSSI were assigned to 13\u2009weeks of DBT\u2010ST or SSGT. Assessments were conducted at baseline, post\u2010treatment, 1\u2009year and 5\u2009years using the HAMD\u201024, DERS, BIS and BSL\u201023, supplemented by the Chinese M.I.N.I. Intervention effects were analysed with linear mixed effects models and sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      DBT\u2010ST significantly improved emotion regulation in adults at 5\u2009years (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u221227.97,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043), while adolescents showed fluctuating gains (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009+53.99,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Impulsivity declined in adults but rebounded in adolescents (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009+19.16,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026). Depressive symptoms improved by 74.0% in adolescents (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u221218.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.020), and adults showed early remission. Borderline symptoms decreased substantially in adolescents (76.0%). Structured interviews confirmed greater reductions in depression (10\u2009\u2192\u20092) and BPD (17\u2009\u2192\u20095) in the DBT\u2010ST group, though anxiety disorders increased, particularly among adolescents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At the sample level, DBT\u2010ST yielded larger and more durable gains than SSGT\u2014primarily among adults\u2014whereas adolescent effects were smaller, heterogeneous and not consistently significant. Long\u2010term endpoints addressed symptoms and diagnostic status; NSSI episode frequency was not quantified longitudinally. Anxiety diagnoses increased in both arms, underscoring the need for routine anxiety screening and targeted management in future protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.70204","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T09:09:10Z","timestamp":1766135350000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Five\u2010Year Outcomes of a Dialectical Behaviour Therapy Skills Training Group Versus Supportive Group Training for Individuals With Nonsuicidal Self\u2010Injury: A Randomized Controlled Study"],"prefix":"10.1002","volume":"32","author":[{"given":"Lin","family":"Wang","sequence":"first","affiliation":[{"name":"Sichuan Mental Health Center The Third Hospital of Mianyang  Mianyang Sichuan China"},{"name":"School of Clinical Medicine North Sichuan Medical College  Nanchong 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Third Hospital of Mianyang  Mianyang Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4063-5448","authenticated-orcid":false,"given":"Mingjin","family":"Huang","sequence":"additional","affiliation":[{"name":"Sichuan Mental Health Center The Third Hospital of Mianyang  Mianyang Sichuan 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