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 by
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
How To Therapy 