Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials
Objective: Borderline personality disorder (BPD) is a serious public health problem. Dialectical Behavior Therapy (DBT) is a program that has provided encouraging results for its treatment. However, scientific evidence about its efficacy is scarce. Therefore, we aimed to describe the scientific prod...
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| Formato: | Artículo |
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Tehran University of Medical Sciences
2024
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| author | Hernandez Bustamante, Milton Manuel Cjuno Suni, Julio Cesar Hernández-Vásquez, Ronald Miguel Ponce-Meza, Jacqueline C. |
| author_browse | Cjuno Suni, Julio Cesar Hernandez Bustamante, Milton Manuel Hernández-Vásquez, Ronald Miguel Ponce-Meza, Jacqueline C. |
| author_facet | Hernandez Bustamante, Milton Manuel Cjuno Suni, Julio Cesar Hernández-Vásquez, Ronald Miguel Ponce-Meza, Jacqueline C. |
| author_sort | Hernandez Bustamante, Milton Manuel |
| collection | Producción científica |
| description | Objective: Borderline personality disorder (BPD) is a serious public health problem. Dialectical Behavior Therapy (DBT) is a program that has provided encouraging results for its treatment. However, scientific evidence about its efficacy is scarce. Therefore, we aimed to describe the scientific production on the components of the DBT program and its therapeutic efficacy in the treatment of people with BPD. Method: A systematic review with relevant keywords was conducted based on studies available in Scopus, Web of Science, and PubMed until June 2023, including studies in English, research on therapeutic intervention, studies with a randomized controlled trial (RCT) design that included people with the diagnosis of BPD. Results: We found 18 RCTs, most of which supported the effectiveness of DBT for BPD. There were a total of 1,755 participants in these studies, most of whom were women. These studies looked for treating self-injurious behaviors, suicidal thoughts or ideations, number of visits to emergency services, and frequency of hospital admissions. Most studies revealed that both short-term DBT and standard DBT improved suicidality in BPD patients with small or moderate effect sizes, lasting up to 24 months after the treatment period. Furthermore, these studies showed that DBT can significantly improve general psychopathology and depressive symptoms in patients with BPD. Improvement of compliance, impulsivity, mood instability, as well as reduction in hospitalization rate are other findings observed in the trials following DBT. Conclusion: Although DBT shows efficacy in the treatment of BPD, heterogeneity in the methodologies employed is highlighted. Therefore, it is necessary to design studies from a homogeneous theoretical and methodological framework. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/2961 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Tehran University of Medical Sciences |
| publisherStr | Tehran University of Medical Sciences |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/29612026-10-30T16:46:53ZEfficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled TrialsHernandez Bustamante, Milton ManuelCjuno Suni, Julio CesarHernández-Vásquez, Ronald MiguelPonce-Meza, Jacqueline C.Systematic reviewRandomized controlled trialBorderline Personality DisorderSuicidal IdeationDialectical Behavior TherapyObjective: Borderline personality disorder (BPD) is a serious public health problem. Dialectical Behavior Therapy (DBT) is a program that has provided encouraging results for its treatment. However, scientific evidence about its efficacy is scarce. Therefore, we aimed to describe the scientific production on the components of the DBT program and its therapeutic efficacy in the treatment of people with BPD. Method: A systematic review with relevant keywords was conducted based on studies available in Scopus, Web of Science, and PubMed until June 2023, including studies in English, research on therapeutic intervention, studies with a randomized controlled trial (RCT) design that included people with the diagnosis of BPD. Results: We found 18 RCTs, most of which supported the effectiveness of DBT for BPD. There were a total of 1,755 participants in these studies, most of whom were women. These studies looked for treating self-injurious behaviors, suicidal thoughts or ideations, number of visits to emergency services, and frequency of hospital admissions. Most studies revealed that both short-term DBT and standard DBT improved suicidality in BPD patients with small or moderate effect sizes, lasting up to 24 months after the treatment period. Furthermore, these studies showed that DBT can significantly improve general psychopathology and depressive symptoms in patients with BPD. Improvement of compliance, impulsivity, mood instability, as well as reduction in hospitalization rate are other findings observed in the trials following DBT. Conclusion: Although DBT shows efficacy in the treatment of BPD, heterogeneity in the methodologies employed is highlighted. Therefore, it is necessary to design studies from a homogeneous theoretical and methodological framework.Article10.18502/ijps.v19i1.143472-s2.0-85183488376https://hdl.handle.net/20.500.15037/2961enIranian Journal of PsychiatryIranian Journal of Psychiatry1735-4587Tehran University of Medical Sciences20242026-06-27T02:35:00Z2026-06-27T02:35:00Z |
| spellingShingle | Systematic review Randomized controlled trial Borderline Personality Disorder Suicidal Ideation Dialectical Behavior Therapy Hernandez Bustamante, Milton Manuel Cjuno Suni, Julio Cesar Hernández-Vásquez, Ronald Miguel Ponce-Meza, Jacqueline C. Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials |
| title | Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials |
| title_full | Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials |
| title_fullStr | Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials |
| title_full_unstemmed | Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials |
| title_short | Efficacy of Dialectical Behavior Therapy in the Treatment of Borderline Personality Disorder: A Systematic Review of Randomized Controlled Trials |
| title_sort | efficacy of dialectical behavior therapy in the treatment of borderline personality disorder a systematic review of randomized controlled trials |
| topic | Systematic review Randomized controlled trial Borderline Personality Disorder Suicidal Ideation Dialectical Behavior Therapy |
| topic_facet | Systematic review Randomized controlled trial Borderline Personality Disorder Suicidal Ideation Dialectical Behavior Therapy |
| url | https://hdl.handle.net/20.500.15037/2961 |
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