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 -