The Efficacy of Dialectical Behavior Therapy (DBT) for Borderline Personality Disorder (BPD): A Meta-Analysis of Randomized Controlled Trials
Abstract
Dialectical Behavior Therapy (DBT) has emerged as a leading treatment for Borderline Personality Disorder (BPD), integrating cognitive-behavioral techniques with mindfulness and acceptance-based strategies to address emotion dysregulation, impulsivity, and interpersonal difficulties. This meta-analysis of randomized controlled trials (RCTs) evaluates the efficacy of DBT in reducing BPD symptoms and improving overall functioning in individuals with BPD. Through an exhaustive literature review, the meta-analysis synthesizes effect sizes from RCTs assessing the effectiveness of DBT compared to control conditions (e.g., treatment as usual, supportive therapy, waitlist) in targeting BPD symptoms, including affective instability, self-harm behaviors, and interpersonal problems. Additionally, it examines potential moderators of treatment outcomes, such as treatment duration, therapist adherence to DBT principles, treatment setting (inpatient vs. outpatient), and participant characteristics (e.g., age, comorbidities), to better understand the factors influencing the effectiveness of DBT for BPD.
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References
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