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Use of Dialectical Behavior Therapy in Inpatient Treatment of Borderline Personality Disorder: A Systematic Review
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 [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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Cited by
Sorted by citations
Feasibility and utility of positive psychology exercises for suicidal inpatients
Huffman, J. C., DuBois, C. M., Healy, B. C., Boehm, J. K., Kashdan, T. B., Celano, C. M., Denninger, J. W., & Lyubomirsky, S. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.10.006 · Cited by 209
“, cognitive behavioral therapy [5,6] and dialectical behavior therapy [7,8]) typically target negative emotions and cognitions.”
BackgroundOud, M., Arntz, A., Hermens, M., Verhoef, R. E. J., & Kendall, T. (2018) · Australian and New Zealand journal of psychiatry (Print) · doi:10.1177/0004867418791257 · Cited by 128
“Email: matthijsoud@gmail.com Australian & New Zealand Journal of Psychiatry, 52(10) may be superior to others (Bloom et al., 2012; Cristea et al., 2017; Kliem et al., 2010; Stoffers et al., 2012).”
BackgroundVogt, K. S., & Norman, P. (2019) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12194 · Cited by 98
Rudge, S., Feigenbaum, J., & Fonagy, P. (2017) · Journal of Mental Health · doi:10.1080/09638237.2017.1322185 · Cited by 107
“Developed by Linehan (1993), DBT has a large and robust evidence base (Bloom et al., 2012; Feigenbaum et al., 2011; Feigenbaum, 2007; Kliem et al., 2010; Linehan et al., 2006a; Panos et al., 2014).”
BackgroundSchmitt, R., Winter, D., Niedtfeld, I., Herpertz, S. C., & Schmahl, C. G. (2016) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2016.07.003 · Cited by 80
Metadata
- Authors
- Bloom, J. M., Woodward, E. N., Susmaras, T., & Pantalone, D. W.
- Affiliations
- Suffolk University (US)
- Venue
- Psychiatric Services
- Published
- 2012-09
- Volume
- 63
- Issue
- 9
- Pages
- 881-888
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- 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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