@article{ref1,
title="Efficacy of dialectical behaviour therapy in the treatment of female borderline patients with and without substance abuse problems: Result of a Dutch study",
journal="Tijdschrift voor Psychiatrie",
year="2005",
author="Van Den Bosch, L.M.C.",
volume="47",
number="3",
pages="127-137",
abstract="BACKGROUND: Dialectical behaviour therapy (DBT) is considered to be a promising treatment for patients with borderline personality disorder (BPD). However, the question is whether DBT can be regarded as the treatment-of-choice in the Netherlands for a mixed population of borderline patients with or without co-morbid substance abuse. <br><br>AIM: To investigate whether in the case of female BPD patients DBT is more effective than treatment-as-usual (TAU) in reducing borderline symptomatology and substance abuse. <br><br>METHOD: Fifty-eight women with BPD, referred from addiction centres (n=19) and psychiatric services (n=39) were randomly assigned to either 12 months of DBT or 12 months of TAU. Outcome measures included drop-out (treatment compliance), parasuicidal behaviour, self-damaging impulsive behaviour and substance abuse. <br><br>RESULTS: Compared to TAU, DBT resulted in lower drop-out rates (23% vs. 63%), less self-mutilating and self-damaging impulsive behaviour, and less alcohol abuse. At follow-up, 6 months after treatment had been discontinued, the benefits of DBT were still significantly more effective, but the size of the effect had become smaller. <br><br>CONCLUSIONS: DBT is superior to TAU in reducing high-risk behaviour and alcohol abuse in patients with BPD. If the effect of DBT is to be maintained, the treatment needs to be continued.<p /><p>Language: nl</p>",
language="nl",
issn="0303-7339",
doi="",
url="http://dx.doi.org/"
}