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Internet‐delivered emotion regulation therapy for adolescents engaging in non‐suicidal self‐injury and their parents: A qualitative, online focus group study.

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Title: Internet‐delivered emotion regulation therapy for adolescents engaging in non‐suicidal self‐injury and their parents: A qualitative, online focus group study.
Authors: Christensen, Sofie Heidenheim, Heinrichsen, Michella, Møhl, Bo, Rubæk, Lotte, Byrialsen, Katherine Krage, Ojala, Olivia, Hellner, Clara, Pagsberg, Anne Katrine, Bjureberg, Johan, Morthorst, Britt
Source: Psychology & Psychotherapy: Theory, Research & Practice. Jun2025, Vol. 98 Issue 2, p322-341. 20p.
Subjects: Self-injurious behavior, Emotion regulation, Psychotherapy, Research funding, Qualitative research, Focus groups, Medical care, Pilot projects, Interviewing, Statistical sampling, Fatigue (Physiology), Internet, Parent attitudes, Thematic analysis, Motivation (Psychology), Teenagers' conduct of life, Research methodology, Interpersonal relations, Therapeutic alliance, Psychology of parents, Patients' attitudes, Adolescence
Abstract: Objectives: We explore adolescents' and their parents' experiences of internet‐based emotion regulation therapy for non‐suicidal self‐injury (NSSI). Design: A qualitative study nested within a controlled feasibility trial. Methods: Online, semi‐structured focus group interviews were conducted with outpatient adolescents with NSSI aged 13–17 years (n = 9) and their parents (n = 8) who had received therapist‐guided Internet‐delivered Emotion Regulation Individual Therapy for Adolescents (IERITA). Transcripts were analysed using reflexive thematic analysis. Results: Three main themes were generated: (1) Fatigue – barriers to and during treatment, comprised of two sub‐themes 'Arriving to services exhausted, needing motivation, and leaving feeling abandoned' and 'the burden of IERITA and the consequences of fatigue', (2) inter‐ and intrapersonal insights as facilitators of change and (3) Online, written contact with the therapist is beneficial and contributes with less pressure, comprised of three sub‐themes 'the therapist behind the screen is essential', 'less pressure sitting alone: the physical absence of a therapist' and 'engaging on your own terms, in your own tempo'. Themes were consistent among adolescents and parents. Conclusion: Fatigue due to therapeutic engagement and previous help‐seeking processes created barriers for engagement. Emotion regulation therapy was experienced as beneficial leading to inter‐ and intra‐personal insights, facilitating change of maladaptive patterns. Therapists were regarded as indispensable, and the internet‐based format did not hinder therapeutic alliance. The written format allowed for reflection and alleviated the pressure of relating to the therapist. Further research should explore experiences of other online treatment formats (e.g. synchronous or video‐based) with regard to benefits, fatigue and therapist interaction. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Internet‐delivered emotion regulation therapy for adolescents engaging in non‐suicidal self‐injury and their parents: A qualitative, online focus group study.
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  Data: <searchLink fieldCode="AR" term="%22Christensen%2C+Sofie+Heidenheim%22">Christensen, Sofie Heidenheim</searchLink><br /><searchLink fieldCode="AR" term="%22Heinrichsen%2C+Michella%22">Heinrichsen, Michella</searchLink><br /><searchLink fieldCode="AR" term="%22Møhl%2C+Bo%22">Møhl, Bo</searchLink><br /><searchLink fieldCode="AR" term="%22Rubæk%2C+Lotte%22">Rubæk, Lotte</searchLink><br /><searchLink fieldCode="AR" term="%22Byrialsen%2C+Katherine+Krage%22">Byrialsen, Katherine Krage</searchLink><br /><searchLink fieldCode="AR" term="%22Ojala%2C+Olivia%22">Ojala, Olivia</searchLink><br /><searchLink fieldCode="AR" term="%22Hellner%2C+Clara%22">Hellner, Clara</searchLink><br /><searchLink fieldCode="AR" term="%22Pagsberg%2C+Anne+Katrine%22">Pagsberg, Anne Katrine</searchLink><br /><searchLink fieldCode="AR" term="%22Bjureberg%2C+Johan%22">Bjureberg, Johan</searchLink><br /><searchLink fieldCode="AR" term="%22Morthorst%2C+Britt%22">Morthorst, Britt</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Psychotherapy%3A+Theory%2C+Research+%26+Practice%22">Psychology & Psychotherapy: Theory, Research & Practice</searchLink>. Jun2025, Vol. 98 Issue 2, p322-341. 20p.
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  Data: <searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Emotion+regulation%22">Emotion regulation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Fatigue+%28Physiology%29%22">Fatigue (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers'+conduct+of+life%22">Teenagers' conduct of life</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+relations%22">Interpersonal relations</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutic+alliance%22">Therapeutic alliance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: We explore adolescents' and their parents' experiences of internet‐based emotion regulation therapy for non‐suicidal self‐injury (NSSI). Design: A qualitative study nested within a controlled feasibility trial. Methods: Online, semi‐structured focus group interviews were conducted with outpatient adolescents with NSSI aged 13–17 years (n = 9) and their parents (n = 8) who had received therapist‐guided Internet‐delivered Emotion Regulation Individual Therapy for Adolescents (IERITA). Transcripts were analysed using reflexive thematic analysis. Results: Three main themes were generated: (1) Fatigue – barriers to and during treatment, comprised of two sub‐themes 'Arriving to services exhausted, needing motivation, and leaving feeling abandoned' and 'the burden of IERITA and the consequences of fatigue', (2) inter‐ and intrapersonal insights as facilitators of change and (3) Online, written contact with the therapist is beneficial and contributes with less pressure, comprised of three sub‐themes 'the therapist behind the screen is essential', 'less pressure sitting alone: the physical absence of a therapist' and 'engaging on your own terms, in your own tempo'. Themes were consistent among adolescents and parents. Conclusion: Fatigue due to therapeutic engagement and previous help‐seeking processes created barriers for engagement. Emotion regulation therapy was experienced as beneficial leading to inter‐ and intra‐personal insights, facilitating change of maladaptive patterns. Therapists were regarded as indispensable, and the internet‐based format did not hinder therapeutic alliance. The written format allowed for reflection and alleviated the pressure of relating to the therapist. Further research should explore experiences of other online treatment formats (e.g. synchronous or video‐based) with regard to benefits, fatigue and therapist interaction. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/papt.12541
    Languages:
      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: Emotion regulation
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Focus groups
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      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Fatigue (Physiology)
        Type: general
      – SubjectFull: Internet
        Type: general
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Teenagers' conduct of life
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      – SubjectFull: Research methodology
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      – SubjectFull: Psychology of parents
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      – SubjectFull: Patients' attitudes
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      – SubjectFull: Adolescence
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      – TitleFull: Internet‐delivered emotion regulation therapy for adolescents engaging in non‐suicidal self‐injury and their parents: A qualitative, online focus group study.
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              Text: Jun2025
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