TY - JOUR PY - 2021// TI - Effects of dialectical behavior therapy on reducing self-harming behaviors and negative emotions in patients with borderline personality disorder: a meta-analysis JO - Journal of Psychiatric and Mental Health Nursing A1 - Chen, Shu-Yan A1 - Yin, Cheng A1 - Zhao, Wei-Wei A1 - Zhang, Yan-Hong SP - ePub EP - ePub VL - ePub IS - ePub N2 - INTRODUCTION: Dialectical behavior therapy(DBT) has been widely used for borderline personality disorder(BPD). Existing studies are limited to behaviors such as self-harm , and the results for reducing self-harm were controversial. Few have systematically evaluated the effect of DBT on self-harming behaviors and negative emotions.

AIM: This study aims to evaluate the effects of DBT on self-harming behaviors and negative emotions in patients with BPD.

METHODS: RCTs on DBT for BPD were searched from PubMed, Embase, etc., and the results were performed by RevMan 5.3.

RESULTS: The meta-analysis demonstrated that DBT reduced self-harming behaviors, and alleviated depression, but had a negligible effect on suicidal ideation and anger. One subgroup revealed that standard DBT improved depression significantly, but DBT skills trainning improved poorly. Another subgroup revealed that there was a significant reduction in depression among patients receiving DBT for 4 months to 14 months, but not at 4 months.

DISCUSSION AND IMPLICATIONS FOR PRACTICE: Findings indicate that DBT can reduce self-harming behaviors and improve depression, but effects on suicidal ideation and anger are insignificant. Subgroup analysis suggests that standard DBT and DBT-ST lasting beyond 4 months benefits on BPD. Given the quality and quantity restrictions of RCTs, more high-quality RCTs need to verify these effects.

Language: en

LA - en SN - 1351-0126 UR - http://dx.doi.org/10.1111/jpm.12797 ID - ref1 ER -