Citation

Panos PT, Jackson JW, Hasan O, Panos A. Res. Soc. Work Pract. 2014; 24(2): 213-223.

Copyright

(Copyright © 2014, SAGE Publishing)

DOI

10.1177/1049731513503047

PMID

unavailable

Abstract

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.

Language: en