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Cited by 103Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsBipolar Disorder and Treatment

Use of dialectical behavior therapy in inpatient treatment of borderline personality disorder: a systematic review

Bloom, Jill Myerow, Woodward, Eva N., Susmaras, Teresa, Pantalone, David W.·2012·Psychiatric Services
DOI 10.1176/appi.ps.201100311
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Abstract

OBJECTIVE: Dialectical behavior therapy (DBT) is an empirically supported treatment for outpatients with borderline personality disorder. However, the utility of DBT strategies for inpatients with the disorder is unclear. This review summarizes and synthesizes findings from trials of DBT in inpatient settings. METHODS: Multiple research databases were searched for articles published through June 2011 that reported on any implementation of DBT in an inpatient setting to address symptoms related to borderline personality disorder, including suicidal and self-injurious behavior. RESULTS: Eleven studies that reported pre- and posttreatment symptoms related to borderline personality disorder were evaluated. Studies indicated that many variations of standard DBT have been used in inpatient settings, including approaches that do not include phone consultation, that include group therapy only, and that vary in treatment duration (from two weeks to three months). Most studies reported reductions in suicidal ideation, self-injurious behaviors, and symptoms of depression and anxiety, whereas results for reducing anger and violent behaviors were mixed. Follow-up data indicated that symptom reduction was often maintained between one and 21 months posttreatment. On the basis of the evidence, the authors identify essential components of an inpatient DBT package and discuss its potential function as an "intensive orientation" to outpatient DBT services. CONCLUSIONS: There is considerable variation in the configuration and duration of DBT implementation for inpatients with borderline personality disorder. However, findings suggest that DBT may be effective in reducing symptoms related to borderline personality disorder in inpatient settings. Future research should standardize and systematically test inpatient DBT. (Psychiatric Services 63:881-888, 2012; doi: 10.1176/appi.ps.201100311).

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  • Existing interventions for suicidal patients (e.g., cognitive behavioral therapy and dialectical behavior therapy) typically target negative emotions and cognitions.

    “Existing interventions for suicidal patients (e.g., cognitive behavioral therapy [5,6] and dialectical behavior therapy [7,8]) typically target negative emotions and cognitions.”

    From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [8]

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Authors
Bloom, J. M., Woodward, E. N., Susmaras, T., & Pantalone, D. W.
Affiliations
Suffolk University (US)
ORCID
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2012-09
Volume
63
Issue
9
Pages
881-888
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/appi.ps.201100311
OpenAlex
W2101656487
Semantic Scholar
23306a10e405ba10db966e765de568760b23edcb
Cited by
103
References
51
Citations by year
2026: 5 · 2025: 11 · 2024: 12 · 2023: 7 · 2022: 7 · 2021: 12 · 2020: 5 · 2019: 8 · 2018: 9 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 8 · 2013: 5
FWCI
0.79
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
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
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Keywords
dialectical behavior therapy, borderline personality disorder, inpatient care, suicidal ideation, self-harm, depression, anxiety, anger, violence, telephone consultation, group therapy, treatment duration, symptom maintenance, intensive outpatient treatment
MeSH terms
Behavior Therapy, Borderline Personality Disorder, Female, Humans, Male

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