The Effectiveness of Dialectical Behavior Therapy Skills Training Group vs. Cognitive Therapy Group on Reducing Depression and Suicide Attempts for Borderline Personality Disorder in Taiwan
Abstract
In this study the effectiveness of the condensed Dialectical Behavior Therapy Skills Training Group (DBTSTG) was compared to the Cognitive Therapy Group (CTG) in reducing depression and suicide reattempt and modifying emotion regulation strategies among those with borderline personality disorder (BPD). A total of 82 depressed BPD college students with a suicidal history within the past 6-months were randomly allocated to DBTSTG or CTG. Both groups had similar reductions in suicide reattempts and depression after the intervention and 6-month follow-ups. However, the CTG showed improvements in cognitive errors, but the DBTSTG revealed increases in acceptance and decreases in suppression scores. Both groups were effective in decreasing depression and suicide reattempt in BPD college students, probably through increasing adaptive antecedent-focused or response-focused strategies of emotion regulation, respectively.
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DBT is recognized as a first-line treatment for the prevention of suicidal behavior in diverse clinical populations, including high-risk and acutely suicidal clients.
“DBT is recognized as a first‐line treatment for the prevention of suicidal behavior in diverse clinical populations, including high‐risk and acutely suicidal clients (DeCou, Comtois, & Landes, 2018; Lin et al., 2019).”
Cites
Gross, J. J., & John, O. P. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.85.2.348 · Cited by 11,929 · see citing works
Emotion regulation: affective, cognitive, and social consequences.
Gross, J. J. (2002) · Psychophysiology · doi:10.1017/s0048577201393198 · Cited by 4,890 · cited 2× · see citing works
“Response-focused strategies refer to things we do once an emotion is already underway, after the response tendencies have been generated (Gross, 2002).”
BackgroundGross, J. J. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.74.1.224 · Cited by 4,671 · cited 2× · see citing works
“The Emotion Regulation Scale (ERS) was developed based on the process model of emotion regulation proposed by Gross (1998).”
BackgroundMethodCognitive-behavioral treatment of chronically parasuicidal borderline patients
Linehan, M. M. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810360024003 · Cited by 2,203 · see citing works
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.757 · Cited by 2,025 · see citing works
Cognitive Therapy for the Prevention of Suicide Attempts: A Randomized Controlled Trial
Brown, G. K., Ten Have, T., Henriques, G. R., Xie, S. X., Hollander, J. E., & Beck, A. T. (2005) · JAMA · doi:10.1001/jama.294.5.563 · Cited by 1,045 · see citing works
Psychological therapies for people with borderline personality disorder.
Stoffers-Winterling, J. M., Völlm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005652.pub2 · Cited by 895 · cited 1× · see citing works
“A recent Cochrane review concluded that DBT is the only evidence-based treatment with sufficient replication for BPD (Stoffers et al., 2012).”
BackgroundThe borderline diagnosis I: psychopathology, comorbidity, and personaltity structure
Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01324-0 · Cited by 769 · cited 2× · see citing works
“Notably, the mortality rate of suicide in patients with BPD was estimated to be between 9–10% (Paris, 2002; Skodol et al., 2002), and nearly 7% of college students reported attempting suicide in their lifetime, whereas 1% had attempted suicide none defined 82 in the past year (American College…”
BackgroundMcMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09010039 · Cited by 729 · cited 2× · see citing works
“These findings are consistent with previous studies indicating that DBT skills training is a necessary component to achieve optimal outcomes in the treatment for BPD (McMain et al., 2009; Linehan et al., 2015; Neacsiu, Rizvi, & Linehan, 2010) and implied that DBTSG-only may be an useful alternative to the comprehensiv…”
BackgroundResultAcceptance and mindfulness-based therapy: New wave or old hat?
Hofmann, S. G., & Asmundson, G. J. G. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2007.09.003 · Cited by 665 · cited 2× · see citing works
“Both CBT and mindfulness-based therapy encourage adaptive emotion regulation strategies but target different stages of the generative emotion process: CTG intends to enhance adaptive antecedent-focused strategies of emotion regulation while mindfulness-based therapy anticipates an increase in acceptance and to counter…”
BackgroundBohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., Lieb, K., & Linehan, M. M. (2004) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(03)00174-8 · Cited by 526 · see citing works
Kliem, S., Kröger, C., & Kosfelder, J. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0021015 · Cited by 474 · see citing works
Ensuring balanced distribution of prognostic factors in treatment outcome research.
Stout, R. L., Wirtz, P. W., Carbonari, J. P., & Del Boca, F. K. (1994) · Journal of Studies on Alcohol, Supplement · doi:10.15288/jsas.1994.s12.70 · Cited by 461 · see citing works
Stanley, B., Brown, G., Brent, D. A., Wells, K., Poling, K., Curry, J., Kennard, B. D., Wagner, A., Cwik, M. F., Klomek, A. B., et al. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181b5dbfe · Cited by 423 · see citing works
Davidson, K., Norrie, J., Tyrer, P., Gumley, A., Tata, P., Murray, H., & Palmer, S. (2006) · Journal of Personality Disorders · doi:10.1521/pedi.2006.20.5.450 · Cited by 362 · see citing works
Contemporary cognitive behavior therapy: A review of theory, history, and evidence
Thoma, N., Pilecki, B., & McKay, D. (2015) · Psychodynamic Psychiatry · doi:10.1521/pdps.2015.43.3.423 · Cited by 197 · see citing works
Cognitive-behavioural intervention for self-harm: Randomised controlled trial
Slee, N., Garnefski, N., van der Leeden, R., Arensman, E., & Spinhoven, P. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.037564 · Cited by 183 · see citing works
Evidence-Based Psychotherapies for Suicide Prevention
Brown, G. K., & Jager-Hyman, S. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.06.008 · Cited by 120 · see citing works
Chugani, C. D., Ghali, M. N., & Brunner, J. (2013) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2013.824337 · Cited by 58 · see citing works
Wang, Y., Hsieh, L., Wang, M., Chou, C., Huang, M., & Ko, H. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12177 · Cited by 37 · see citing works
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Psychological therapies for people with borderline personality disorder
Storebø, O. J., Stoffers-Winterling, J. M., Völlm, B. A., Kongerslev, M. T., Mattivi, J. T., Jørgensen, M. S., Faltinsen, E., Todorovac, A., Sales, C. P., Callesen, H. E., et al. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012955.pub2 · Cited by 450 · see citing works
Dixon, L. J., & Linardon, J. (2020) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2019.1620324 · Cited by 86 · see citing works
Breet, E., Matooane, M., Tomlinson, M., & Bantjes, J. (2021) · BMC Public Health · doi:10.1186/s12889-021-11124-w · Cited by 65 · see citing works
Chen, S., Cheng, Y., Zhao, W., & Zhang, Y. (2021) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12797 · Cited by 50 · see citing works
Fu, Z., Zhou, S., Burger, H., Bockting, C. L. H., & Williams, A. D. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.058 · Cited by 44 · see citing works
Yang, X., Liu, D., Wang, Y., Chen, Y., Chen, W., Yang, C., Zhang, P., Ding, S., & Zhang, X. (2020) · Brain and Behavior · doi:10.1002/brb3.1621 · Cited by 36 · see citing works
Spong, A. J., Clare, I. C. H., Galante, J., Crawford, M. J., & Jones, P. B. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101937 · Cited by 31 · see citing works
Prevention of self-harm and suicide in young people up to the age of 25 in education settings
Sharma, V., Marshall, D., Fortune, S., Prescott, A. E., Boggiss, A., Macleod, E., Mitchell, C., Clarke, A., Robinson, J., Witt, K. G., et al. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013844.pub2 · Cited by 11 · see citing works
- Authors
- Lin, T.-J., Ko, H.-C., Wu, J. Y.-W., Oei, T. P., Lane, H.-Y., & Chen, C.-H.
- Affiliations
- Asia University (TW)
- Corresponding author
- Ko, Huei-Chen
- Venue
- Archives of Suicide Research
- Publisher
- Informa UK Limited
- Published
- 2018-05-10
- Volume
- 23
- Issue
- 1
- Pages
- 82-99
- ISSN
- 1381-1118 (ISSN-L)
- 1543-6136
- OpenAlex
- W2790199450
- Cited by
- 64
- References
- 20
- Citations by year
- 2026: 10 · 2025: 4 · 2024: 7 · 2023: 10 · 2022: 12 · 2021: 11 · 2020: 8 · 2019: 2
- FWCI
- 6.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Suicide Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council, Taiwan, R.O.C. ((NSC96-2413-H006-007, NSC97-2410-H006-076))
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- dialectical behavior therapy, cognitive therapy, borderline personality disorder, depression, suicide attempts, repeated suicide attempts, emotion regulation strategies, acceptance, emotional suppression, university students, Taiwan
- MeSH terms
- Dialectical Behavior Therapy, Emotional Regulation, Adolescent, Adult, Borderline Personality Disorder, Depression, Female, Humans, Male, Psychotherapy, Group, Suicide, Attempted, Taiwan, Self-Injurious Behavior, Treatment Outcome, Suicidal Ideation
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