TY - JOUR
PY - 2014//
TI - Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy (DBT)
JO - Research on social work practice
A1 - Panos, Patrick T.
A1 - Jackson, John W.
A1 - Hasan, Omar
A1 - Panos, Angelea
SP - 213
EP - 223
VL - 24
IS - 2
N2 - 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
LA - en SN - 1049-7315 UR - http://dx.doi.org/10.1177/1049731513503047 ID - ref1 ER -