Effects of dialectical behaviour therapy on reducing self-harming behaviours and negative emotions in patients with borderline personality disorder: a meta-analysis
Abstract
INTRODUCTION: Dialectical behaviour therapy(DBT) has been widely used for borderline personality disorder(BPD). Existing studies are limited to behaviours such as self-harm, and the results for reducing self-harm were controversial. Few have systematically evaluated the effect of DBT on self-harming behaviours and negative emotions. AIM: This study aims to evaluate the effects of DBT on self-harming behaviours and negative emotions in patients with BPD. METHODS: RCTs on DBT for BPD were searched from PubMed, Embase, etc., and the results were performed by RevMan 5.3. RESULTS: The meta-analysis demonstrated that DBT reduced self-harming behaviours, and alleviated depression, but had a negligible effect on suicidal ideation and anger. One subgroup revealed that standard DBT improved depression significantly, but DBT skills training improved poorly. Another subgroup revealed that there was a significant reduction in depression among patients receiving DBT for 4 months to 14 months, but not at 4 months. DISCUSSION AND IMPLICATIONS FOR PRACTICE: Findings indicate that DBT can reduce self-harming behaviours and improve depression, but effects on suicidal ideation and anger are insignificant. Subgroup analysis suggests that standard DBT and DBT-ST lasting beyond 4 months benefits on BPD. Given the quality and quantity restrictions of RCTs, more high-quality RCTs need to verify these effects.
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DBT has strong evidence in reducing emotional dysregulation, depression, anxiety, and improving mental health, but has been mainly applied to people with significant psychopathology in psychiatric settings.
“Although supported by strong evidence in reducing emotional dysregulation, depression [11], anxiety, and improving mental health [16], DBT has been mainly applied to people with significant psychopathology in psychiatric settings.”
From The efficacy of applying the Interpersonal Effectiveness skills of dialectical behavior therapy into communication skills workshop for clinical nurses (2023) · cites this paper as [11]
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- Authors
- Chen, S., Cheng, Y., Zhao, W., & Zhang, Y.
- Affiliations
- Nanjing Medical University (CN)
- Nanjing Brain Hospital (CN)
- School of Nursing Nanjing Medical University Nanjing China
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2021-09-20
- Volume
- 28
- Issue
- 6
- Pages
- 1128-1139
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W3199455630
- Cited by
- 50
- References
- 55
- Citations by year
- 2026: 9 · 2025: 16 · 2024: 12 · 2023: 10 · 2022: 3
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- dialectical behavior therapy, borderline personality disorder, self-harm, negative emotions, depression, suicidal ideation, anger, DBT skills training, treatment duration
- MeSH terms
- Dialectical Behavior Therapy, Anger, Behavior Therapy, Borderline Personality Disorder, Humans, Self-Injurious Behavior, 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 ›
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