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Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy (DBT)
Open accessAbstract
Objective: The objective was to quantitatively and qualitatively examine the efficacy of DBT (e.g., decreasing life-threatening suicidal and parasuicidal acts, attrition, and depression) explicitly with borderline personality disorder (BPD) and using conservative assumptions and criteria, across treatment providers and settings. Method: Five randomized controlled trials (RCTs) were identified in a systematic search that examined the efficacy of DBT in reducing suicide attempts, parasuicidal behavior, attrition during treatment, or symptoms of depression, in adult patients with BPD. Results: Combining effect measures for suicide and parasuicidal behavior (five studies total) revealed a net benefit in favor of DBT (pooled Hedges’ g −0.622). DBT was only marginally better than treatment as usual (TAU) in reducing attrition during treatment in five RCTs (pooled risk difference −0.168). DBT was not significantly different from TAU in reducing depression symptoms in three RCTs (pooled Hedges’ g −0.896). Discussion: DBT demonstrates efficacy in stabilizing and controlling self-destructive behavior and improving patient compliance.
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“DBT was excluded from the current review as this approach has been mainly tested in RCTs for the treatment of borderline personality disorder (Panos et al. , 2014).”
From A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people (2017) · cites this paper as Panos et al. , 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Dialectical behavior therapy (DBT) has been proved effective to treat ED in disorders other than autism spectrum disorder.”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Panos et al., 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Overall, the significant improvement in self-reported ED is consistent with our clinical observations and with findings relative to DBT in several disorders (Panos et al., 2014; DeCou et al., 2019).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Panos et al., 2014
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“DBT is highly effective in treating presentations of self-harm among those with borderline personality disorder and is frequently delivered as group therapy [10].”
From Efficacy of acceptance and commitment therapy in reducing suicidal ideation and deliberate self-harm: Systematic review (2018) · cites this paper as [10]
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“The absence of an intervention effect for secondary mental health and well-being outcomes was unexpected yet appears to corroborate findings from prior meta-analytic studies that even face-to-face DBT does not significantly reduce depressive symptoms among adolescents (p = 0.099; [32]) nor adults (p = 0.08; [33]).”
From The effect of a therapeutic smartphone application on suicidal ideation in young adults: Findings from a randomized controlled trial in Australia. (2022) · cites this paper as [33]
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“These improvements are in line with previous studies that support the effectiveness of DBT in reducing suicidal behaviors (Panos et al., 2014; DeCou et al., 2019).”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Panos et al., 2014
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Metadata
- Authors
- Panos, P. T., Jackson, J. W., Hasan, O., & Panos, A.
- Affiliations
- University of Utah (US)
- Harvard University (US)
- Corresponding author
- Panos, Patrick T.
- Venue
- Research on Social Work Practice
- Publisher
- SAGE Publications
- Published
- 2013-09-19
- Volume
- 24
- Issue
- 2
- Pages
- 213-223
- ISSN
- 1049-7315 (ISSN-L)
- 1552-7581
- PMC
- PMC6405261
- OpenAlex
- W2043982193
- Cited by
- 299
- References
- 39
- Citations by year
- 2026: 26 · 2025: 32 · 2024: 33 · 2023: 35 · 2022: 27 · 2021: 44 · 2020: 22 · 2019: 21 · 2018: 15 · 2017: 14 · 2016: 16 · 2015: 8 · 2014: 6
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research on Social Work Practice (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32MH017119)
- 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, suicide attempts, parasuicide, treatment discontinuation, depressive symptoms, treatment efficacy, self-destructive behavior
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