A real‐world study of the effectiveness of DBT in the UK National Health Service
Abstract
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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ERGT had not been evaluated outside a research setting prior to this study.
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- Authors
- Feigenbaum, J. D., Fonagy, P., Pilling, S., Jones, A., Wildgoose, A., & Bebbington, P. E.
- Affiliations
- University College London (GB)
- Camden and Islington NHS Foundation Trust (GB)
- Corresponding author
- Feigenbaum, Janet D.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2011-05-20
- Volume
- 51
- Issue
- 2
- Pages
- 121-141
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W1873376911
- Cited by
- 123
- References
- 61
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 4 · 2023: 11 · 2022: 15 · 2021: 12 · 2020: 13 · 2019: 7 · 2018: 7 · 2017: 10 · 2016: 11 · 2015: 7 · 2014: 5 · 2013: 6 · 2012: 4
- FWCI
- 5.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute for Health and Care Research (NF-SI-0510-10228)
- Department of Biotechnology, Ministry of Science and Technology, India
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- dialectical behavior therapy, borderline personality disorder, cluster B personality disorders, treatment effectiveness, suicidality, post-traumatic stress disorder, risk score, usual care, National Health Service
- MeSH terms
- Adult, Antisocial Personality Disorder, Behavior Therapy, Borderline Personality Disorder, Community Health Services, Female, United Kingdom, Humans, Male, Middle Aged, Outpatients, Personality Disorders, State Medicine, Treatment Outcome
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