A Randomized Trial of Dialectical Behavior Therapy Versus General Psychiatric Management for Borderline Personality Disorder

Abstract

These results suggest that individuals with borderline personality disorder benefited equally from dialectical behavior therapy and a well-specified treatment delivered by psychiatrists with expertise in the treatment of borderline personality disorder.

Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis

“…For information on the effectiveness of the remaining interventions not covered in this report the reader is instead referred to our review in the Cochrane Library. 13 A total of 29 trials were therefore included in the present review (Figure 1; Supplementary Document SD3), comprising 18 trials of cognitive behavioural-based psychotherapy (CBT), [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] three trials of dialectical behaviour therapy (DBT), [36][37][38] and four trials each of case management [39][40][41][42] and postcards. [43][44][45][46] (Insert Figure 1 about here)…”

“…[36][37][38] There was no evidence of a significant treatment effect for DBT on the proportions of participants repeating self-harm at post-intervention (OR 0·59, 95% CI 0·16 to 2·15; N=267; Figure 4) nor at 12 months in two of these trials (OR 0·36, 95% CI 0·05 to 2·47; N=172; Figure 4). There was no evidence of a significant treatment effect for DBT on suicide at postintervention, although only one such event was observed (OR 3·00, 95% CI 0·12 to 76·49; N=317; Figure 4).…”

Eficacia de la psicoterapia para el tratamiento del Trastorno Límite de la Personalidad: Una revisión

“…Los cambios más relevantes se dan en conductas autolíticas y autolesivas, lo que lleva a una disminución tanto de los ingresos hospitalarios como de la utilización de los servicios de urgencias (Linehan et al, 1991;Linehan, Heard & Armstrong 1993;Turner, 2000;Verheul et al, 2003;Bohus et al, 2004;Linehan et al, 2006;McMain et al, 2009;Bedics, Atkins, Comtois & Linehan 2012;Linehan, et al, 2015;Stigmayr et al, 2014;Harned, Korsnlund & Linehan, 2014 Linehan et al, (1999) Turner (2000) Koons et al, BDI, Ham-D, Borderline Symtom List (BSL), Questionnaire of thoughts and feelings borderlinespecific cognitions (QTF), Brief Sympton InventoryGlobal Severity Index (BSI-GSI), Dissociation-TensionScale (DSS).…”

“…gía general McMain et al, 2009;Stigmayr et al, 2014), sintomatología límite (McMain et al, 2009;Stigmayr et al, 2014), funcionamiento global (Linehan, Heard & Armstrong 1993;Linehan et al, 1999;Bohus et al, 2004;McMain et al, 2009), disociaciones (Koons et al, 2001;Bohus et al, 2004;Harned et al, 2014;Stigmayr et al, 2014) y depresión (Koons et al, 2001;Bohus et al, 2004;McMain et al, 2009;Axelrod, Perepletchikova, Hotlzman & Sinha, 2011;Linehan, et al, 2015;Harned, Korsnlund & Linehan, 2014;Stigmayr et al, 2014). Sin embargo en el estudio de Linehan et al (1991) no se observó mejoría en depresión ni en las variables sentimientos de desesperación, ideación suicida y motivos para vivir.…”

Adaptation to the Spanish Language of the Invalidating Childhood Environmental Scale

“…Los estudios de eficacia están demostrando que la Terapia Dialéctico Comportamental (conocida como DBT por sus siglas en inglés) es eficaz en el tratamiento del trastorno límite de la personalidad (por ejemplo, McMain et al, 2009;Linehan et al, 2006y Bohus et al, 2004. Pero también se ha estudiado su utilidad para el abordaje de otras patologías como por ejemplo los trastornos de la alimentación (Bankoff, Karpel, Forbes y Pantalone, 2012) y el trastorno bipolar (Van Dijk, Jeffrey y Katz, 2013).…”