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Dialectical behavior therapy: current status, recent developments, and future directions.

Clive J Robins1, Alex L Chapman

  • 1Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA. robin026@nc.duke.edu

Journal of Personality Disorders
|April 6, 2004
PubMed
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Dialectical behavior therapy (DBT) effectively treats borderline personality disorder and has been adapted for diverse populations, showing promising outcomes across various settings and conditions.

Area of Science:

  • Psychology
  • Psychiatry
  • Behavioral Therapy

Background:

  • Dialectical Behavior Therapy (DBT) was initially developed for individuals with borderline personality disorder (BPD) experiencing parasuicidal behaviors.
  • DBT has demonstrated adaptability and efficacy across a range of mental health conditions and patient demographics.

Purpose of the Study:

  • To review the outcomes of standard DBT and its adaptations in various clinical settings and populations.
  • To explore predictors and mechanisms of change within DBT.
  • To discuss current advancements in DBT theory, practice, and research.

Main Methods:

  • Comprehensive literature review of outcome studies on DBT.
  • Analysis of studies involving diverse patient groups including those with BPD, substance use disorders, eating disorders, ADHD, and other conditions.

Related Experiment Videos

  • Examination of research on predictors and mechanisms of change in DBT.
  • Main Results:

    • DBT has shown positive outcomes in outpatient, inpatient, and crisis intervention settings for borderline personality disorder.
    • Adaptations of DBT have yielded beneficial results for suicidal adolescents, patients with eating disorders, inmates, depressed elders, and adults with ADHD.
    • Predictors and mechanisms of change in DBT are being actively investigated.

    Conclusions:

    • DBT is a versatile and effective therapeutic approach with broad applicability.
    • Further research into DBT's mechanisms and predictors will enhance its clinical utility.
    • Ongoing developments in DBT continue to expand its theoretical and practical foundations.