OBJECTIVE: The objective was to quantitatively and qualitatively examine the efficacy of DBT (e.g., decreasing life-threatening suicidal and parasuicidal acts, attrition, and depression) explicitly with borderline personality disorder (BPD) and using conservative assumptions and criteria, across treatment providers and settings. METHOD: Five randomized controlled trials (RCTs) were identified in a systematic search that examined the efficacy of DBT in reducing suicide attempts, parasuicidal behavior, attrition during treatment, or symptoms of depression, in adult patients with BPD. RESULTS: Combining effect measures for suicide and parasuicidal behavior (five studies total) revealed a net benefit in favor of DBT (pooled Hedges' g -0.622). DBT was only marginally better than treatment as usual (TAU) in reducing attrition during treatment in five RCTs (pooled risk difference -0.168). DBT was not significantly different from TAU in reducing depression symptoms in three RCTs (pooled Hedges' g -0.896). DISCUSSION: DBT demonstrates efficacy in stabilizing and controlling self-destructive behavior and improving patient compliance.
OBJECTIVE: The objective was to quantitatively and qualitatively examine the efficacy of DBT (e.g., decreasing life-threatening suicidal and parasuicidal acts, attrition, and depression) explicitly with borderline personality disorder (BPD) and using conservative assumptions and criteria, across treatment providers and settings. METHOD: Five randomized controlled trials (RCTs) were identified in a systematic search that examined the efficacy of DBT in reducing suicide attempts, parasuicidal behavior, attrition during treatment, or symptoms of depression, in adult patients with BPD. RESULTS: Combining effect measures for suicide and parasuicidal behavior (five studies total) revealed a net benefit in favor of DBT (pooled Hedges' g -0.622). DBT was only marginally better than treatment as usual (TAU) in reducing attrition during treatment in five RCTs (pooled risk difference -0.168). DBT was not significantly different from TAU in reducing depression symptoms in three RCTs (pooled Hedges' g -0.896). DISCUSSION: DBT demonstrates efficacy in stabilizing and controlling self-destructive behavior and improving patient compliance.
Authors: Marsha M Linehan; Katherine Anne Comtois; Angela M Murray; Milton Z Brown; Robert J Gallop; Heidi L Heard; Kathryn E Korslund; Darren A Tutek; Sarah K Reynolds; Noam Lindenboim Journal: Arch Gen Psychiatry Date: 2006-07
Authors: Raz Gross; Mark Olfson; Marc Gameroff; Steven Shea; Adriana Feder; Milton Fuentes; Rafael Lantigua; Myrna M Weissman Journal: Arch Intern Med Date: 2002-01-14
Authors: Roel Verheul; Louise M C Van Den Bosch; Maarten W J Koeter; Maria A J De Ridder; Theo Stijnen; Wim Van Den Brink Journal: Br J Psychiatry Date: 2003-02 Impact factor: 9.319