| A real-world study of the effectiveness of DBT in the UK National Health Service. | |
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MedLine Citation:
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PMID: 22574799 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objectives. Dialectical behavioral therapy (DBT) has gained widespread popularity as a treatment for borderline personality disorder (BPD), and its efficacy has been demonstrated in several trials. The aim of this study was to evaluate the effectiveness of DBT delivered by staff with a level of training readily achievable in National Health Service care settings for individuals with a Cluster B personality disorder. Design. Randomized control trial methodology was used to compare DBT to treatment as usual (TAU). Method. Forty-two participants entered the trial. Diagnostic and outcome measures were undertaken at assessment, at 6 months, and at 1 year. The clinical outcomes in routine evaluation - outcome measure (CORE-OM) were utilized as the primary outcome measure. Results. Both the DBT and TAU groups improved on the range of measures employed. The DBT group showed a slightly greater decrease in CORE-OM risk scores, suicidality, and post-traumatic stress disorder symptom severity. However, the TAU group showed comparable reductions in all measures and a larger decrease in para-suicidal behaviours and risk. Conclusions. DBT may be an effective treatment delivered by community outpatient services for individuals with a Cluster B personality disorder. Further studies are needed to consider the impact of experience and adherence to DBT in improving outcome. |
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Authors:
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Janet D Feigenbaum; Peter Fonagy; Stephen Pilling; Alan Jones; Amanda Wildgoose; Paul E Bebbington |
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Publication Detail:
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Type: Journal Article Date: 2011-05-20 |
Journal Detail:
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Title: The British journal of clinical psychology / the British Psychological Society Volume: 51 ISSN: 0144-6657 ISO Abbreviation: Br J Clin Psychol Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-05-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8105533 Medline TA: Br J Clin Psychol Country: England |
Other Details:
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Languages: eng Pagination: 121-41 Citation Subset: IM |
Copyright Information:
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©2011 The British Psychological Society. |
Affiliation:
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Research Department of Clinical, Educational, and Health Psychology, University College London, UK Camden and Islington Social Care Trust, London, UK Research Department of Mental Health Sciences, University College London, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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