Component analysis of dialectical behavior therapy skills training
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Updated: Jul 14, 2026

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Published on: May 14, 2019
1Thames Community Mental Health Service, Waikato District Health Board, Thames, New Zealand.
Objective:
This paper aims to examine patient perceptions of the relative effectiveness of components of dialectical behavior therapy group skills training.
Method:
Nineteen patients rated their perceptions of the relative effectiveness of 27 separate dialectical behavior therapy skills after completing 6 months standard dialectical behavior therapy. Two-tailed t-tests were used, comparing the first ranked skill with all other skills.
Results:
The 27 skills were ranked by means in order of perceived value. Eleven skills were statistically significantly different from the first ranked skill.
Conclusions:
The data in this pilot study contributes in a small way to dialectical behavior therapy dismantling research and warrants a larger multi-centred study. A planned future study will compare patient rankings of skills with clinical outcomes.
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