DBT for Suicidal and Self-Injurious Behaviors

Cognitive-behavioral interventions to reduce suicide behavior: a systematic review and meta-analysis

A systematic review and meta-analysis were carried out to investigate whether Cognitive-behavioral therapies (CBTs) would reduce suicide behavior. Overall, there was a highly significant effect for CBT in reducing suicide behavior, including DBT.

Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis

The objective of this study was to evaluate the importance of the skills training component of DBT by comparing skills training plus case management (DBT-S), DBT individual therapy plus activities group (DBT-I), and standard DBT which includes skills training and individual therapy. A variety of DBT interventions with therapists trained in the DBT suicide risk assessment and management protocol were effective for reducing suicide attempts and non-suicidal self-injury episodes. Interventions that include DBT skills training are more effective than DBT without skills training, and standard DBT may be superior in some areas.

DBT for Borderline Personality Disorder

Psychological therapies including dialectical behaviour therapy for borderline personality disorder: a systematic review and preliminary economic evaluation

This study summarizes the available evidence on the clinical effectiveness and cost-effectiveness of psychological therapies including dialectical behaviour therapy (DBT) for borderline personality disorder (BPD). They provided some evidence that DBT is more effective than treatment as usual (TAU) for the treatment of chronically parasuicidal and drug-dependent borderline women; that DBT-orientated therapy is more effective than client-centred therapy (CCT) for the treatment of BPD; and that DBT is as effective as comprehensive validation therapy plus 12-Step for the treatment of opioid-dependent borderline women

Dialectical behavior therapy for borderline personality disorder: a meta-analysis using mixed-effects modeling

Researchers conducted a meta-analysis to examine the efficacy and long-term effectiveness of DBT. A moderate global effect and a moderate effect size for suicidal and self-injurious behaviors were found, when including a moderator for random control trials with borderline-specific treatments.

A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder

The authors sought to evaluate the clinical efficacy of dialectical behavior therapy compared with general psychiatric management, including a combination of psychodynamically informed therapy and symptom-targeted medication management derived from specific recommendations in APA guidelines for borderline personality disorder. These results suggest that individuals with borderline personality disorder benefited equally from dialectical behavior therapy and a well-specified treatment delivered by psychiatrists with expertise in the treatment of borderline personality disorder.

DBT for BPD & Substance Abuse

Dialectical Behavior Therapy of borderline patients with and without substance use problems. Implementation and long-term effects

The aim of this article is to examine whether standard Dialectical Behavior Therapy (DBT) (1) can be successfully implemented in a mixed population of borderline patients with or without comorbid substance abuse (SA), (2) is equally efficacious in reducing borderline symptomatology among those with and those without comorbid SA, and (3) is efficacious in reducing the severity of the substance use problems. Standard DBT can be effectively applied with borderline patients with comorbid SA problems, as well as those without.


A pilot randomized controlled trial of Dialectical Behavior Therapy with and without the Dialectical Behavior Therapy Prolonged Exposure protocol for suicidal and self-injuring women with borderline personality disorder and PTSD

This study evaluates the efficacy of integrating PTSD treatment, Prolonged Exposure (PE),  into Dialectical Behavior Therapy (DBT) for women with borderline personality disorder, PTSD, and intentional self-injury. DBT with the DBT PE protocol is feasible, acceptable, and safe to administer, and may lead to larger improvements in PTSD, intentional self-injury, and other outcomes than DBT alone.

Dialectical behaviour therapy for posttraumatic stress disorder related to childhood sexual abuse: a pilot study in an outpatient treatment setting

Researchers investigated the feasibility, acceptance and safety of DBT-PTSD in an outpatient treatment setting by therapists who were novice to the treatment. They treated 21 female patients suffering from PTSD following childhood sexual abuse (CSA) plus difficulties in emotion regulation in an uncontrolled clinical trial. The outcome suggests that outpatient DBT-PTSD can safely be used to reduce PTSD symptoms and comorbid psychopathology in adults who have experienced childhood sexual abuse.

DBT for Eating Disorders

Dialectical behavior therapy for bulimia nervosa

The effects of dialectical behavior therapy adapted for the treatment of binge/purge behaviors were examined. The use of dialectical behavior therapy adapted for treatment of bulimia nervosa was associated with a promising decrease in binge/purge behaviors.

Adaptation and implementation of family-based treatment enhanced with dialectical behavior therapy skills for anorexia nervosa in community-based specialist clinics

Therapists reported high treatment fidelity in skills-enhanced family-based therapy for anorexia nervosa. There was a large improvement in weight and moderate improvement in caregiver-reported eating disorder psychopathology but no clinically significant change by youth report.

Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy

Dialectical Behavior Therapy for Binge Eating Disorder (DBT-BED) aims to reduce binge eating by improving adaptive emotion-regulation skills. Linear Mixed Models revealed that posttreatment binge abstinence and reductions in binge frequency were achieved more quickly for DBT-BED than for active comparison group therapy (ACGT).

DBT for Depression

Adaptation of dialectical behavior therapy skills training group for treatment-resistant depression

This study describes the development and preliminary outcome evaluation of a dialectical behavior therapy-based skills training group to treat depressive symptoms in adult outpatients for whom antidepressant medication had not produced remission. Skills group participants showed significantly greater improvements in depressive symptoms compared with the control condition. Effect sizes were large for both measures of depression.

Dialectical behavior therapy for depressed older adults: a randomized pilot study

Authors assessed the benefits of augmenting medication with group psychotherapy for the treatment of depression in older adults. Results from this pilot study suggest that DBT skills training and telephone coaching may offer promise to effectively augment the effects of antidepressant medication in depressed older adults.

DBT Skills Training

The use of dialectical behavior therapy skills training as stand-alone treatment: a systematic review of the treatment outcome literature

Dialectical behavior therapy (DBT) skills training is currently being administered as stand-alone treatment across a variety of clinical settings, serving diverse client populations. The authors found preliminary evidence supporting the use of DBT skills training as a method of addressing a range of behaviors.