Dialectical Behavior Therapy (DBT): Large Effectiveness

Large effectiveness: 0.95

What is Dialectical Behavior Therapy?

1. People are doing their best but lack the skills needed to succeed, or are influenced bymorgan-basham-364865-unsplash positive reinforcement or negative reinforcement that interferes with their ability to function appropriately.

2. Combines standard cognitive behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness.

 

Evidence:

0.81 large effect: reduced non-suicidal self-injury (Cook & Gorraiz, 2016)

0.36 small effect: reduced depression symptoms (Cook & Gorraiz, 2016)

0.62 moderate effect: reduced suicidal and parasuicidal behaviors (Panos, Jackson, Hasan, & Panos, 2014)

0.93 large effect: improvement in living with emotions (Wilson & Donachie, 2018)

0.80 large effect: reduced binge eating severity (Cancian, Souza, Liboni, Machado, & Oliveira, 2017)

0.82 large effect: reduced depression compared to no treatment (Cancian, Souza, Liboni, Machado, & Oliveira, 2017)

0.73 moderate to large effect: reduced emotional eating (Cancian, Souza, Liboni, Machado, & Oliveira, 2017)

0.72 moderate to large effect: increased emotion regulation (Cancian, Souza, Liboni, Machado, & Oliveira, 2017)

0.50 moderate effect: increased Body Mass Index in patients with anorexia nervosa (Chen, Segal, Weissman, Zeffiro, Gallop, Linehan, & … Lynch, 2015)

1.12 large effect: increased Body Mass Index in patients with anorexia nervosa at 1 year follow-up (Chen, Segal, Weissman, Zeffiro, Gallop, Linehan, & … Lynch, 2015)

1.91 large effect: increased Body Mass Index with inpatients with anorexia nervosa (Lynch, Gray, Hempel, Titley, Chen, & O’Mahen, 2013)

1.71 large effect: reduced psychological eating disorder symptoms (Lynch, Gray, Hempel, Titley, Chen, & O’Mahen, 2013)

1.03 large effect: increased eating disorder-related quality of life (Lynch, Gray, Hempel, Titley, Chen, & O’Mahen, 2013)

1.34 large effect: reduced psychological distress (Lynch, Gray, Hempel, Titley, Chen, & O’Mahen, 2013)

0.54 moderate effect: reduced borderline symptoms (Kröger, Harbeck, Armbrust, & Kliem, 2013)

1.22 large effect: reduced Posttraumatic Stress Disorder symptoms (Steil, Dyer,  Priebe, Kleindienst, & Bohus, 2011)

 


 

Cancian, A. M., Souza, L. S., Liboni, R. A., Machado, W. L., & Oliveira, M. S. (2017). Effects of a dialectical behavior therapy-based skills group intervention for obese individuals: A brazilian pilot study. Eating And Weight Disorders, doi:10.1007/s40519-017-0461-2

Chen, E. Y., Segal, K., Weissman, J., Zeffiro, T. A., Gallop, R., Linehan, M. M., & … Lynch, T. R. (2015). Adapting dialectical behavior therapy for outpatient adult anorexia nervosa—A pilot study. International Journal Of Eating Disorders, 48(1), 123-132. doi:10.1002/eat.22360

Cook, N. E., & Gorraiz, M. (2016). Dialectical behavior therapy for nonsuicidal self‐injury and depression among adolescents: Preliminary meta‐analytic evidence. Child and Adolescent Mental Health, 21(2), 81-89. doi:10.1111/camh.12112

Kröger, C., Harbeck, S., Armbrust, M., & Kliem, S. (2013). Effectiveness, response, and dropout of dialectical behavior therapy for borderline personality disorder in an inpatient setting. Behaviour Research And Therapy, 51(8), 411-416. doi:10.1016/j.brat.2013.04.008

Lynch, T. R., Gray, K. H., Hempel, R. J., Titley, M., Chen, E. Y., & O’Mahen, H. A. (2013). Radically open-dialectical behavior therapy for adult anorexia nervosa: Feasibility and outcomes from an inpatient program. BMC Psychiatry, 13 doi:10.1186/1471-244X-13-293

Panos, P. T., Jackson, J. W., Hasan, O., & Panos, A. (2014). Meta-analysis and systematic review assessing the efficacy of Dialectical Behavior Therapy (DBT). Research On Social Work Practice, 24(2), 213-223. doi:10.1177/1049731513503047

Steil, R., Dyer, A., Priebe, K., Kleindienst, N., & Bohus, M. (2011). Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: A pilot study of an intensive residential treatment program. Journal Of Traumatic Stress, 24(1), 102-106. doi:10.1002/jts.20617

Wilson, H., & Donachie, A. L. (2018). Evaluating the effectiveness of a dialectical behaviour therapy (dbt) informed programme in a community perinatal team. Behavioural And Cognitive Psychotherapy, doi:10.1017/S1352465817000790

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