The DOI matches its Crossref record; 58 of the 61 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“However, it has not been evaluated outside a research setting.”
From Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design (2017) · cites this paper as [14]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
(1993) · Cited by 7,136
Psychological Assessment Resources
Abidin, R. R. (1995) · Medical Entomology and Zoology · Cited by 3,141
(1997) · American Psychiatric Press eBooks · Cited by 3,056
Cognitive-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
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
Psychotherapy for Borderline Personality Disorder: Mentalization-based treatment
Bateman, A., & Fonagy, P. (2004) · doi:10.1093/med:psych/9780198527664.001.0001 · Cited by 1,460
Self-citationBateman, A., & Fonagy, P. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.10.1563 · Cited by 1,416
Self-citation(1993) · Cited by 1,279
Giesen-Bloo, J., van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., Kremers, I., Nadort, M., & Arntz, A. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.6.649 · Cited by 1,248
Flagged first, then by citations
3 of the 61 references couldn’t be matched to a known paper.
Research works printed but not linked: 6
- Beck A. T., 1996, Manual for the beck depression inventory‐II
- First M. B., 1998, Structured clinical interview for DSM‐IV Axis I disorders – Patient edition (SCID‐I
- Linehan M. M., 1987, Treatment history inventory (THI)
- Moran P., 2005, Meeting the health social care and wellbeing needs of individuals with a personality disorder
- NICE, 2009, Borderline personality disorder: Treatment and management
- Singleton N., 1998, Study on psychiatric morbidity among prisoners
Cited by
Sorted by citations
Items 101–123 of 123
Dialectical Behavior Therapy: Assessment and Case Conceptualization
Fitzpatrick, S., & Rizvi, S. L. (2022) · Springer eBooks · doi:10.1007/978-3-031-11677-3_8
Chapter 12. Dialectical Behavior Therapy
Sonley, A. K. I., Boritz, T. Z., & McMain, S. (2022) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375233.gg12
Ellberger, M. (2023) · Springer eBooks · doi:10.1007/978-3-031-16508-5_24
Implementering av DBT i en rural kontekst
Knive, T. J., Østmo, S. D., & Fors, M. (2023) · Tidsskrift for Norsk psykologforening · doi:10.52734/tuqm5106
DBT Skills Group for Individuals with Complex Emotional Needs: A Pilot Study
Catino, M. J. E. (2023) · International Journal of Psychological Studies · doi:10.5539/ijps.v15n3p19
The management of aggression in third wave behavioral therapies: A systematic review
de Almeida, K. P., Silva, A., & Rienzo, V. D. D. (2024) · Aggression and Violent Behavior · doi:10.1016/j.avb.2024.102012
Dialectical Behaviour Therapy: Effectiveness and Future Direction
Essletzbichler, A. G. (2025) · Springer eBooks · doi:10.1007/978-3-032-00353-9_10
Ledden, S., Rains, L. S., Schlief, M., Barnett, P., Ching, B. C. F., Hallam, B., Günak, M. M., Steare, T., Parker, J., Labovitch, S., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20962345
Self-citationWibbelink, C. J. M., Arntz, A. R., Grasman, R. P. P. P., Sinnaeve, R., Boog, M., Bremer, O. M. C., Dek, E. C. P., Alkan, S. G., James, C., Koppeschaar, A. M., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19129058
Wibbelink, C. J. M., Arntz, A. R., Grasman, R. P. P. P., Sinnaeve, R., Boog, M., Bremer, O. M. C., Dek, E. C. P., Alkan, S. G., James, C., Koppeschaar, A. M., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19129061
Wibbelink, C. J. M., Arntz, A. R., Grasman, R. P. P. P., Sinnaeve, R., Boog, M., Bremer, O. M. C., Dek, E. C. P., Alkan, S. G., James, C., Koppeschaar, A. M., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19129064
Wibbelink, C. J. M., Arntz, A. R., Grasman, R. P. P. P., Sinnaeve, R., Boog, M., Bremer, O. M. C., Dek, E. C. P., Alkan, S. G., James, C., Koppeschaar, A. M., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19129055
Westby, L., & Thoresen, S. H. (2026) · Child Care in Practice · doi:10.1080/13575279.2025.2585034
Spilková, E., & Livanou, M. (2026) · Child & Family Behavior Therapy · doi:10.1080/07317107.2026.2662968
Fergusson, L., Hepworth, C., Jolley, S., & Lawlor, C. (2026) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2026.102127
Maxwell, C. A., Holland, K. E., Young, L., Chen, E. Y., Olino, T. M., & Kendall, P. C. (2026) · Journal of Clinical Psychology · doi:10.1002/jclp.70195
Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review