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The Effectiveness of Dialectical Behavior Therapy (DBT) for Borderline Personality Disorder (BPD) in Adults: A Meta-Analysis of Randomized Controlled Trials
Abstract
Dialectical Behavior Therapy (DBT) has emerged as a leading treatment for Borderline Personality Disorder (BPD) in adults, offering a comprehensive approach to addressing the core symptoms and functional impairments associated with the disorder. This meta-analysis of randomized controlled trials (RCTs) evaluates the efficacy of DBT in reducing BPD symptoms and improving overall functioning in adults. Through a thorough review of the literature, the meta-analysis synthesizes effect sizes from RCTs assessing the effectiveness of DBT compared to control conditions (e.g., treatment as usual, active control interventions) in targeting core symptoms of BPD, including emotional dysregulation, impulsivity, interpersonal difficulties, and self-harm behaviors. Additionally, it examines potential moderators of treatment outcomes, such as treatment duration, therapist adherence, participant characteristics (e.g., comorbidities, severity of symptoms), and session format (individual vs. group), to better understand the factors influencing the effectiveness of DBT for BPD in adults.
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References
- Linehan, M. M., et al. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757-766.
- Bohus, M., et al. (2004). Dialectical behavior therapy for borderline personality disorder: A randomized controlled trial. British Journal of Psychiatry, 184(2), 144-150.
- McMain, S. F., et al. (2009). Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder: Clinical outcomes and functioning over a 2-year follow-up. American Journal of Psychiatry, 166(12), 1365-1374.
- Verheul, R., et al. (2003). Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in The Netherlands. British Journal of Psychiatry, 182(2), 135-140.
- Koons, C. R., et al. (2001). Dialectical behavior therapy adapted for the vocational rehabilitation of significantly disabled mentally ill adults. Cognitive and Behavioral Practice, 8(1), 107-115.
- Lynch, T. R., et al. (2007). Dialectical behavior therapy for depressed older adults: A randomized pilot study. American Journal of Geriatric Psychiatry, 15(10), 1-11.