TY  - JOUR
PY  - 2003//
TI  - Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in The Netherlands
JO  - British journal of psychiatry
A1  - Verheul, Roel
A1  - Van Den Bosch, Louise M. C.
A1  - Koeter, Maarten W. J.
A1  - De Ridder, Maria A. J.
A1  - Stijnen, Theo
A1  - van den Brink, Wim
SP  - 135
EP  - 140
VL  - 182
IS  - 
N2  - BACKGROUND: Dialectical behaviour therapy (DBT) is widely considered to be a promising treatment for borderline personality disorder (BPD). However, the evidence for its efficacy published thus far should be regarded as preliminary.  AIMS: To compare the effectiveness of DBT with treatment as usual for patients with BPD and to examine the impact of baseline severity on effectiveness.  METHOD: Fifty-eight women with BPD were randomly assigned to either 12 months of DBT or usual treatment in a randomised controlled study. Participants were recruited through clinical referrals from both addiction treatment and psychiatric services. Outcome measures included treatment retention and the course of suicidal, self-mutilating and self-damaging impulsive behaviours.  RESULTS: Dialectical behaviour therapy resulted in better retention rates and greater reductions of self-mutilating and self-damaging impulsive behaviours compared with usual treatment, especially among those with a history of frequent self-mutilation.  CONCLUSIONS: Dialectical behaviour therapy is superior to usual treatment in reducing high-risk behaviours in patients with BPD.<p /> <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.182.2.135
ID  - ref1
ER  -